Equal Opportunities In Employment Application Form (Page 3 of 5) in pdf

Equal Opportunities In Employment Application Form Page 3

CONFIDENTIAL

APPLICANT INFORMATION FORM

FOR APPLICATIONS FOR ACADEMIC AND ACADEMIC-RELATED POSTS

Please return to Human Resources (Recruitment),

The University of Liverpool, Hart Building, Mount Pleasant, Liverpool L3 5TQ

E-MAIL: jobs@liv.ac.uk

Applications should comprise:

This form with all sections completed in full

A copy of your full curriculum vitae, including a list of publications where appropriate

A statement indicating the reasons for applying for this post, and how your training and experience are

relevant

Clinical Academic Consultant appointments only (Medical & Dental);

Documentary evidence to verify start

date of first consultant appointment and any additional pay elements referred to in Clinical Staff section, overleaf).

Please use black ink or type

POST DETAILS

Post Applied for

Job Ref:

Department

Where did you see the post advertised ?

PERSONAL DETAILS

Surname/Family Name

Title (Mr/Miss/Mrs/Ms/Dr/Prof

etc.)

First names (in full)

Address

Nationality

Postcode

Tel.: Home

E-mail (if any)

Work

Would you require a Certificate of Sponsorship to take up this

National Insurance No:

appointment ? (If you are a Non-EEA National and do not require

a Certificate of Sponsorship please indicate the reason why).

DETAILS OF PRESENT EMPLOYMENT

Name and Address of Present Employer

Position held

Start date in this employment

Current Salary

Period of Notice Required

Equal Opportunities In Employment Application Form Page 3