Digital, Technology and Cyber Security Lay Trustee

Please complete the form below.

Title *

First name *

Surname *

Date of birth

Email address *

Contact number *

Job applied for *

CV *

Suitability statement aligned with the role profile (no more than 600 words) *

Where did you hear about this job? *

If selected for an interview, do you have any reasonable adjustments for us to consider to support you?

If you answered “yes” please let us know what adjustments you need

As part of the process, you’ll need to confirm your eligibility to work in the UK. Click on the plus to expand

Some examples of acceptable proof includes:

a British passport
an Irish passport or passport card
UK birth or adoption certificate
an Irish birth or adoption certificate
a certificate of registration or naturalisation as a British citizen
a share code
immigration documents

Further information can be found: www.gov.uk/prove-right-to-work

If successful, you’ll be required to provide original copies of this documentation.

Do you have the right to work within the UK? *

Have you ever been convicted of a criminal offense, including driving offenses? (Note: Spent convictions under the Rehabilitation of Offenders Act 1974 need not be disclosed.) *

If you answered “YES,” please state the offences

References

We kindly ask you to provide the details of two professional or employer references. Please be assured that we will not contact them unless and until we reach the offer of employment stage.

By providing these details, you are giving us permission to contact your referees at that point in the process.

Reference one

Reference two

Why we collect diversity monitoring data?

You may think letting RCOT know your gender, age, disability, ethnicity, religion and belief and sexual orientation, has nothing to do with how you do your job and doesn't benefit you, but knowing about what makes you the individual you are is very important to us.

Why is it important to us?

Because when you declare this information, we can identify and remove barriers to full inclusion at work and implement positive action interventions and projects in a properly targeted way.

This data also helps us measure our success in making our policies and procedures fully inclusive and fair. Just some of the ways we use personal data include:

• exploring areas of under-representation of specific groups of people

• providing an understanding of the experience of different groups

• planning organisational changes so they are fair for everyone.

Some of you may worry about providing personal information and we really do understand those worries. Please let me assure you that we only use the information to improve our offering to you, the data is not used to identify individuals.

The information you share with us is protected under Data Protection legislation and importantly, we never disclose your personal data without your permission.

At RCOT we are committed to creating an inclusive environment in which everyone can thrive and you can help us continue to do that. Please take a few minutes to complete the information requested below. This will be separated from your application on receipt (before shortlisting and selection).

The information provided will be used for monitoring purposes only and will play no part in the recruitment process.

Completion of this form is voluntary, and all questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence, an anonymised format will be retained solely for monitoring purposes.

What is your gender?

If you would prefer to self-describe, please let us know below

Is your gender identity the same as the gender assigned to you at birth?

How would you describe your ethnicity?

What is your nationality?

How would you describe your Marital status?

Do you have a lived experience of disability and/or long-term health condition

If yes, what effect or impact of your disability or health condition on your work?

Please describe your sexual orientation below

What is your religion or belief?

Please sign the form below, click plus to expand:

By signing below you agree the following:

I confirm that the information provided in this form is accurate and complete.
I understand that withholding information or providing false/misleading details may result in rejection of my application or, if appointed, dismissal, and potential legal consequences.

Please add your full name to accept you agree with the statement above *

Date *