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TRAFFIC COMMISSIONERS and DEPUTY TRAFFIC COMMISSIONERS

RECRUITMENT PACK

Advertising Date: 26 September 2016

Closing Date: 21 October 2016

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JOB VACANCY ADVERTS TRAFFIC COMMISSIONERS APPOINTMENTS: NORTH EAST AND NORTH WEST REGION Appointment title: 2 x Traffic Commissioner Location: 1 x North West Traffic Area (office in Golborne), 1 x North East Traffic Area (office in Leeds) Start date: 13 February 2017 Length of Appointment: Permanent Time commitment: 42 hours (over a 5 day week) including one hour daily meal breaks. Remuneration: £96,930 per annum. Expenses: reasonable expenses in the course of duty will be reimbursed. Precise details will be contained in the terms and conditions. No relocation expenses will be paid. The Department for Transport is seeking to recruit two Traffic Commissioners. The likely deployments for the Commissioners are for the North West Traffic Area and the North East Traffic Area. Areas covered by the North West Traffic Area (office in Golborne): the Metropolitan Boroughs within Greater Manchester and Merseyside; the Counties of Cheshire, Cumbria, Derbyshire and Lancashire; the Districts of Blackburn with Darwen, Blackpool, Derby City, Halton and Warrington. Areas covered by the North East Traffic Area (office in Leeds): the Metropolitan Boroughs within South Yorkshire, Tyne and Wear and West Yorkshire; the Counties of Durham, Northumberland, Nottinghamshire and North Yorkshire; the Districts of Darlington, East Riding of Yorkshire, Hartlepool, Kingston upon Hull, Middlesbrough, North Lincolnshire, North East Lincolnshire, Nottingham, Redcar and Cleveland, Stockton-on-Tees and York. Traffic Commissioners are appointed by the Secretary of State for Transport under section 4 of the Public Passenger Vehicles Act 1981 as amended. Their roles and responsibilities are determined by statutory powers in primary and secondary legislation (as well as European legislation). Traffic Commissioners are responsible for the licensing and regulation of those who operate heavy goods vehicles, buses and coaches, and the registration of local bus services. They are assisted in this work by Deputy Traffic Commissioners (appointed under schedule 2 of the 1981 Act), who preside over a number of public inquiries and handle written cases. Work as a commissioner or deputy is recognised by the Judicial Appointments Commission as being equivalent to tribunal experience.

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Traffic Commissioners help ensure: • The safe operation of HGVs and PSVs; • Fair competition between operators; • Reducing the burden on compliant operators; • The safe and responsible conduct of HGV and PSV drivers. The Traffic Commissioners’ role is important to both the commercial vehicle operators and the wider public. They must maintain the confidence of a wide range of stakeholders and ensure personal integrity.

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DEPUTY TRAFFIC COMMISSIONERS: SCOTLAND AND ENGLAND Appointment title: 3 x Deputy Traffic Commissioner Location: 1 x Scotland (based in Edinburgh); 1 x North East England (based in Leeds); and 1 x Eastern Traffic Area (based in Cambridge. Start date: 13 February 2017 Length of appointment: Permanent Time Commitment: 2 days per month (average) Remuneration: £438.14 daily rate Expenses: reasonable expenses in the course of duty will be reimbursed. Precise details will be contained in the terms and conditions. No relocation expenses will be paid. Traffic Commissioners are responsible for the licensing and regulation of those who operate heavy goods vehicles, buses and coaches, and the registration of local bus services. They are assisted in this work by deputy Traffic Commissioners, who preside over a number of public inquiries and handle written cases. Work as a commissioner or deputy is recognised by the Judicial Appointments Commission as being equivalent to tribunal experience. The Department for Transport is seeking three Deputy Traffic Commissioners and the likely work locations are in the North East, based in Leeds; Eastern England, based in Cambridge and Scotland, based in Edinburgh though travel to other parts of Scotland will be required. Areas covered by the North East Traffic Area (office in Leeds): the Metropolitan Boroughs within South Yorkshire, Tyne and Wear and West Yorkshire; the Counties of Durham, Northumberland, Nottinghamshire and North Yorkshire; the Districts of Darlington, East Riding of Yorkshire, Hartlepool, Kingston upon Hull, Middlesbrough, North Lincolnshire, North East Lincolnshire, Nottingham, Redcar and Cleveland, Stockton-on-Tees and York. Areas covered by the Eastern Traffic Area (office in Cambridge): the Counties of Bedfordshire; Buckinghamshire; Cambridgeshire; Essex; Hertfordshire; Leicestershire; Lincolnshire (except the Districts of North Lincolnshire and North East Lincolnshire); Norfolk; Northamptonshire and Suffolk; the Districts of: Leicester; Luton; Milton Keynes; Peterborough; Rutland; Southend-on-Sea and Thurrock. Deputy Traffic Commissioners are fee-paid post holders. The role is not full-time. They sit when the full-time Traffic Commissioner for the region is unavailable. They are appointed by the Secretary of State under section 4 of the Public Passenger Vehicles Act 1981 as amended. Their roles and responsibilities are determined by statutory powers in primary and secondary legislation (as well as European legislation). Schedule 2 to the 1981 Act allows for the appointment of Deputy Traffic Commissioners, to whom Traffic Commissioners can and do delegate their work.

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The volume of work is dependent on overall caseload and depending on availability, successful applicants can typically expect to work on average two days a month. However it should be noted that there is no guaranteed workload or level of income. The pay rates (daily or hourly) for Deputy Traffic Commissioners are linked to the Traffic Commissioners' annual salary. Traffic Commissioners' salaries are linked to the public sector pay policy for the judiciary. Deputy Traffic Commissioners are appointed for three years or up to 70 years of age. At the end of the three year appointment, renewal for further periods of three years is automatic, except for limited and specified grounds, and the upper age limit. Deputy Traffic Commissioners for Great Britain are deployed to traffic areas by the Senior Traffic Commissioner, and thus can undertake duties anywhere in Great Britain. In performing their duties Deputy Traffic Commissioners’ will be required to undertake the following: a. hold public inquiries and hearings in place of the Traffic Commissioner; b. prepare for public inquiries and hearings through the examination of case

papers supplied by the Traffic Area Office; c. be familiar with all aspects of relevant legislation; and d. consider evidence and issue reasoned judgement on individual cases either

orally or in writing.

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MAKING AN APPLICATION You must provide clear written supporting evidence, with examples, on how you meet each of the essential criteria and, where you are able, the desirable criteria set out in the Person Specification: Qualifications and Experience section below. You must cover each criterion separately, with clear headings, in no more than 250 words per criterion. You must also supply a one-page CV. For monitoring purposes please will you complete the attached diversity monitoring questionnaire at Annex F. This will be treated in strict confidence and does not form part of your application. Your application, CV and diversity questionnaire should be sent to: Maria Ullah, Department for Transport, Freight Operator Licensing and Roadworthiness Division, Zone 3/28, Great Minister House, 33 Horseferry Road, London, SW1P 4DR or Maria.Ullah@dft.gsi.gov.uk The closing date for applications is 21 October 2016. Following an initial sift selected candidates will be invited to undertake a written case study. Contact Information Should you wish to have an informal, confidential discussion about the post, please email your contact details and the nature of your query to Maria.Ullah@dft.gsi.gov.uk Guaranteed Interview for Disabled Persons Disabled applicants who meet the minimum criteria in the job specification are guaranteed an interview. Selection will be on merit. If you wish to claim a guaranteed interview under the disability commitment, you should attach a statement to this effect to your application. It is not necessary to state the nature of your disability. Equal Opportunities The Department for Transport values equality and diversity and employment and a socially inclusive transport system. We are committed to being an organisation in which fairness and equality of opportunity is central to the approach in business and working relationships and where the organisational culture reflects and supports these values. You have the right to a working environment free from discrimination, harassment, bullying and victimisation regardless of race, ethnic or national origin, age, religion, sex, gender identity, marital status, disability, sexual orientation, working hours, union membership, union office or union activity.

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PERSON SPECIFICATION: Qualifications & Experience Essential Criteria You need to demonstrate and provide evidence, through examples, of the following within your written application:

• Sound understanding or interest in the road transport sector or relevant experience in related areas (e.g. consumer protection, quality assurance or safety management);

• Ability to grasp the principles of administrative law and to conduct legal

proceedings and investigations in public;

• Exceptional analytical skills; able to analyse and work with others’ analysis of complex written and numerical data.

• Sound judgement skills; able to reach clear, reasoned, fair, impartial and

evidence-based decisions, putting complex issues or proceedings into clear and concise language (both verbally and in writing) ;

• Able to engage and communicate effectively with a wide variety of individuals

and audiences at all levels, including within a politically sensitive environment;

• Demonstrable track record of achievement at a senior level. Desirable Criteria It is desirable that you provide evidence, through examples, of the following within your written application:

• Able to work in a collegiate manner;

• Committed to continuous improvement and consistency of service standards; • Legal qualification and knowledge of operator licensing and road transport

law;

• Experience with handling media interest;

• Ability to take on work at short notice. FURTHER INFORMATION - about Traffic Commissioners and the Operator Licensing System This is set out in the following annexes:

• Annex A: Background • Annex B: Key stakeholders • Annex C: Operator licensing system • Annex D: Other Traffic Commissioner functions • Annex E: Framework for the Commissioners • Annex F: Public Appointments Monitoring Form

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Annex A

BACKGROUND Traffic Commissioners are appointed by the Secretary of State for Transport but are independent public post holders. They act both as independent regulators and in a judicial role as single person tribunals when conducting public inquiries in relation to road goods vehicle and road passenger vehicle licence applications and disciplinary matters. In Great Britain there are around 90,000 goods vehicle licences and 9,000 passenger vehicles licences in issue. The Judicial Appointments Commission acknowledges that experience as a Deputy or as a Traffic Commissioner is equivalent to tribunal experience. Although their deployment gives each Traffic Commissioner based in England a regional responsibility (there are eight traffic areas in GB), and a responsibility for regulating operators and drivers based in that area, Traffic Commissioners must work together to deliver a consistent and transparent national system, whilst maintaining localised service and knowledge. Under the amendments to the Public Passenger Vehicles Act 1981 Deputy Traffic Commissioners are appointed for Great Britain and the Senior Traffic Commissioner deploys them. Administrative support to the Traffic Commissioners is provided through the Office of the Traffic Commissioners (OTC) staffed by employees of the Driver and Vehicle Standards Agency (DVSA). Each Traffic commissioner is supported by a team of OTC compliance staff in their own traffic area and centralised OTC teams based in Leeds. The Leeds team deals with the administration of the core licensing systems and carries out routine licensing functions under delegated authority from the Traffic Commissioners. Main Duties & Responsibilities Traffic Commissioners have responsibility in their region or nation for:

• the licensing of the operators of heavy goods vehicles (HGVs) and of buses and coaches (public service vehicles or PSVs)

• the registration of local bus services

• granting vocational licences and taking action against drivers of HGVs and

PSVs

• the environmental suitability of centres designated as parking locations for HGVs

• the Traffic Commissioner for Scotland is also responsible for the registration and regulation of local bus services, taxi fare scale appeals and the appointment of Adjudicators to consider appeals in respect of decriminalised parking offences and bus lane penalties.

Traffic Commissioners’ shared priorities are:

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• to ensure that people operating HGVs and PSVs are reputable, competent, and adequately funded

• to encourage all operators to adopt robust systems, so that there is fair competition and that the operation of goods and public service vehicles is safe

• to consider on behalf of the Secretary of State for Transport the fitness of

drivers or those applying for passenger carrying vehicle or large goods vehicle driving licences based on their conduct

• to consider, and where appropriate impose, traffic regulation conditions to

prevent danger to road users and/or reduce traffic congestion and/or pollution

• to ensure public inquiry proceedings are fair and free from any unjustified interference or bias

• to engage with stakeholders - listening to industry, meeting with local

authorities, trade organisations, passenger groups and operators and presenting seminars

The Traffic Commissioners’ role is important to both the commercial vehicle operators and the wider public. Commissioners operate in an exposed and sensitive position. They must maintain the confidence of a wide range of stakeholders and ensure personal integrity as well as sound judgement and impartiality in all aspects of decision-making.

Deputy Traffic Commissioners support the Traffic Commissioners. Their main areas of responsibility are:

a. holding public inquiries under Goods Vehicles (Licensing of Operators) Act 1995 and the Public Passenger Vehicles Act 1981 in respect of applications for goods vehicle and public service vehicle operator licences respectively and disciplinary matters;

b. holding disciplinary public inquiries under the Transport Act 1985 in

respect of local bus service registration; c. conducting hearings under the Road Traffic Act 1988 in respect of HGV

and PCV driver licence applications and driver conduct, and d. for deputies appointed to the Scotland, conduct hearings under The

Civic Government (Scotland) Act 1982 in respect of taxi fare scale appeals.

In the performance of their duties Traffic Commissioners seek to act in accordance with the standards expected of those in public life as per their agreed terms and conditions and Traffic Commissioners apply to their role the competencies identified for equivalent members of the tribunal judiciary. The following values reflect accepted principles of better regulation and underpin the way in which in which Traffic Commissioners seek to approach their work and those they work with: proportionality; accountability; consistency; transparency and targeting.

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Annex B KEY STAKEHOLDERS Department for Transport The Secretary of State for Transport is ultimately responsible to Parliament for the legislation concerning the HGV and PSV Operator Licensing System. At official level, this function is undertaken by civil servants in two divisions within the Department for Transport (DfT). Freight, Operator Licensing and Roadworthiness Division is responsible for existing and future policy on Goods Vehicle Operator Licensing, Traffic Commissioner recruitment and the role of the Transport Tribunal (along with the Office for Constitutional Affairs). Buses and Taxis Division is responsible for policy on Public Service Vehicle Operator Licensing, Local Bus Service Registration and Voluntary Sector Transport. The Driver and Vehicle Licensing Agency (DVLA), part of DfT, is responsible for policy on driver licensing issues for bus and lorry drivers. Traffic Commissioners work closely with DfT officials to ensure that the operator licensing system works effectively and minimises the burden on the transport industry. Web site: www.gov.uk/traffic-commissioners Scottish Government In Scotland, the Scottish Government is responsible for policy on devolved matters and for agreeing the appointment of the Scottish Traffic Commissioner. The only devolved matter a Deputy Traffic Commissioner on Scottish business is likely to be invited to consider are appeals against taxi fare scale reviews under the Civic Government (Scotland) Act 1982. Web site: www.gov.scot Driver and Vehicle Standards Agency The Driver and Vehicle Standards Services Agency (DVSA) provides a range of licensing, testing and enforcement services with the aim of improving the roadworthiness standards of vehicles ensuring the compliance of operators and drivers with road traffic legislation, and supporting the Traffic Commissioners DVSA provide the administrative staff to support Traffic Commissioners in considering and processing applications for licences to operate lorries, buses and coaches. This ensures that licence holders meet the standards set for entry into the commercial vehicle operator industry and seeks to minimise the environmental and road safety impact around goods vehicle operating centres. More information on the role of DVSA is available at: https://www.gov.uk/government/organisations/driver-and-vehicle-standards-agency

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Appeals against decision of traffic commissioners (or their deputies) Since September 2009, the Administrative Appeals Chamber of the Upper Tribunal has replaced the Transport Tribunal in deciding appeals against decisions of Traffic Commissioners. A right of appeal arises when, for example, a Traffic Commissioner (or their deputy):

• refuses to grant a licence • refuses to vary an existing licence • attaches conditions to the licence, or grants a licence which allows fewer

vehicles than the number applied for • in public service vehicles cases, determines that registered local bus services

have not been operated properly, and imposes financial penalties • revokes, suspends or curtails an existing licence • disqualifies an individual or a company

Driver conduct appeals have a separate appellate jurisdiction. Appeals under the Transport (Scotland) Act 2001 remain under the jurisdiction of the Transport Tribunal but can be made alongside appeals to the Upper Tribunal and using the same appeal forms. There is a President of the Administrative Appeals Chamber of the Upper Tribunal. There are also 31 other full–time Upper Tribunal judges and 23 deputy Upper Tribunal judges who sit part–time. High Court and other court judges can sit in the Upper Tribunal. Upper Tribunal Judges dealing with traffic commissioner appeals normally sit with two specialist lay members and produce written decisions. More information on the Upper Tribunal is available at: https://www.gov.uk/courts-tribunals/upper-tribunal-administrative-appeals-chamber

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Annex C OPERATOR LICENSING SYSTEM This is a high-level summary of how the operator licensing system operates in Great Britain. Further information is available on the Government’s website at www.gov.uk/traffic-commissioners Successful applicants would be expected to become familiar with the detailed legal framework and relevant case law. Overview of Operator Licensing An operators’ licence is needed to carry goods connected with any trade or business if they use a motor vehicle on a road with:

• A gross plated weight of more than 3.5 tonnes; or

• An unladen weight of more than 1525kg. Licences are obtained from the Traffic Commissioner that covers the relevant area. The main purpose of operator licensing is to ensure this part of the freight sector operates safely, whilst minimising the regulatory burden on the industry. The entire operator licensing regime, including the work of traffic commissioners, is funded through fees paid by industry. There are three categories of licence:

• National: this allows the licence holder to operate only within Great Britain;

• International: this allows the licence holder to operate throughout the EU as well as within Great Britain.

• Restricted: For lorries, this only allows the operator to carry their own goods.

For buses, it allows the operation of up to two cars or minibuses. In all cases, licences specify a maximum number of vehicles that can be used under the licence. Holders of the first two types of licence are required to meet (and continue to meet) four mandatory criteria set out in European legislation:

• Good repute;

• Adequate financial standing;

• Professional competence

• Stable establishment In considering whether an operator is of good repute, Traffic Commissioners (TCs) can consider a wide range of matters including, but not limited to, convictions of the

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operator, or the operator’s directors (if a company), servants or agents for road transport or other criminal offences. However, convictions which are “spent” under the provisions of the Rehabilitation of Offenders Act 1974 cannot be taken into account. If an individual is convicted of two or more “serious offences” the TC must determine that the person is not of good repute. The financial standing requirement is intended to ensure that an operator has adequate working capital. This is specified in EU law as 9,000 euros for the first vehicle and 5,000 euros for each additional vehicle. Professional competence must be met by an individual. An individual operator may meet the requirement personally. Otherwise, an operator must have one or more transport managers who meet the requirement and have “continuous and effective responsibility for the management of the transport operations” of the business. The transport manager will normally be an employee but does not have to be. A suitably qualified person may act as transport manager for more than one operator so long as he/she is able to exercise “continuous and effective responsibility”. The qualified person must hold a Certificate of Professional Competence issued by an approved body in any member state. Certain other qualifications issued by professional bodies are also an equivalent standard. There are also “grandfather’s rights” provisions. Stable establishment requires any undertaking engaged in the occupation of road transport operator to have an effective and stable establishment in a Member State. That establishment must be in the Member State in which it is licensed. This is the address where it must keep its core business documents and in particular accounting documents, personnel management documents, documents containing data relating to driving time and rest periods and any other document to which the traffic commissioner or enforcing authorities may require access in order to verify compliance with the requirements of the licence In addition to these mandatory criteria, all operators are also required to satisfy the TC they comply with the legislation covering how long drivers may spend driving and overloading of vehicles, and ensuring that vehicles used under the licence will be maintained in a roadworthy condition. Operators are required to keep vehicles at an operating centre when not in use. TCs may determine the suitability of operating centres, using specified criteria (size, safe access to a public road, environmental effects etc). Holders of restricted licences have to satisfy the TC that they are fit persons to hold a licence and have sufficient resources to ensure that vehicles will be maintained in a roadworthy condition.

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Annex D OTHER TRAFFIC COMMISSIONER FUNCTIONS Driver licensing TCs are responsible for determining on behalf of the Secretary of State for Transport whether lorry and bus licence holders are fit persons to hold vocational licences. Drivers can be refused a licence if they have been convicted of road safety offences (and in the case of bus drivers for other offences). Existing licence holders can have their lorry or bus entitlement withdrawn for a period or indefinitely in the event of convictions. The general policy of both the Driver and Vehicle Licensing Agency and TCs is that professional drivers are expected to set a higher standard than drivers generally and that suspension of the lorry or bus entitlement may be appropriate even if the have not accumulated sufficient penalty points to attract disqualification from driving by the courts. It is worth noting that offences such as drivers’ hours are not endorseable and do not lead to penalty points on a licence. In the case of bus drivers, convictions of a sexual or violent nature may indicate that a person is unsuitable to be in charge of potentially vulnerable members of the public. Impounded vehicles DVSA have powers to impound (and ultimately dispose of) lorries that are operated unlawfully without an operator's licence. Owners of impounded vehicles may appeal to a TC for the return of their vehicle. Local Bus Services TCs are also responsible for local bus service registration. Any bus service carrying fare-paying passengers on short journeys (less than 15 miles) must register, among other things, the route, timetable and stopping arrangements with the TC for their area. TCs can take disciplinary action and impose financial penalties against operators who fail to run registered services on time or at all (in the light of evidence gathered by DVSA Bus Compliance Officers). Voluntary Sector Transport Charities and other non-profit making organisations may run minibuses carrying fare-paying passengers using special permits issued by the TCs and a number of ‘designated bodies’ (e.g. local authorities and national charities). These are used to provide, for example, church and club minibuses, dial-a-ride type services for disabled people, and even local bus services. TCs have the power to revoke permits if they are not used properly. As some operator licensing matters, all relating to Public Service Vehicles, are devolved to Scotland, applicants may wish to read Section 1 of the DVSA guide titled ‘PSV Operator Licensing’ which highlights some of the key differences: https://www.gov.uk/government/publications/psv-operator-licensing-a-guide-for-operators-psv437

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Annex E

FRAMEWORK FOR THE COMMISSIONERS The Local Transport Act 2008 (the ‘2008 Act’) created a statutory post of Senior Traffic Commissioner, with powers to issue directions and guidance to the other Traffic Commissioners (TC), and power to deploy TCs to carry out particular functions in particular places in England and Wales. The Act also introduced flexibility into the Traffic Commissioner system by removing the restriction in current legislation that there must always be one (and only one) Traffic Commissioner in each of the eight existing traffic areas. This will allow Traffic Commissioners to become ‘expert’ in particular functions or initiatives and take their expertise to different areas. Local knowledge is protected by administratively appointing a Traffic Commissioner to each region in England and Wales. There will continue to be a separate statutory Traffic Commissioner for Scotland. The Local Transport Act 2008 introduced changes to the way in which TCs engage with Government. As a tribunal and regulator it is important that the independence and impartiality of TCs which is both require by statute and also valued by industry and Ministers is properly accommodated. A Framework Document, signed by the Minister, summarises the legal environment within which traffic commissioners carry out their functions. It is important in ensuring that, whilst there are moves to improve transparency, accessibility and efficiency, this does not jeopardise the fairness and trust, which lie at the heart of the licensing system. To ensure greater accountability of Traffic Commissioners, the Act amended current provisions to clarify the circumstances in which existing and future Traffic Commissioners that are systematically underperforming could be dismissed. However, nothing was included in the Act that could compromise the independence of the Traffic Commissioners - an important strength of the current system. The Traffic Commissioner Appraisal Scheme covers some of the key qualities, competencies and abilities needed for the roles. It considers:

• knowledge and values as it applies to the work of Traffic Commissioners and Deputy Traffic Commissioners;

• communication;

• conduct of hearings;

• evidence; and

• decision-making

It is published at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/4370/tc-appraisal-scheme.pdf

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Annex F

PUBLIC APPOINTMENTS MONITORING FORM

All Government Departments aim to provide fair and equal access to public appointments and to ensure that all sectors of society are represented. The questions set out in this form help us to monitor the effectiveness of this policy by gaining a picture of all those applying for and obtaining appointments.

The Office of the Commissioner for Public Appointments (OCPA) requires us to collect information on the gender, age, ethnic origin and disability of all those appointed. OCPA also requires information on whether appointees have been politically active in the past five years and whether other public appointments are held.

In addition, we may also be asked to provide information – in summary form only that does not identify individuals – in response to Parliamentary Questions and other public enquiries. In line with Government policy, and in accordance with the provisions of the Data Protection Act, the information you provide will be held confidentially and can only be used if you give us your consent. This form therefore includes a question asking you whether you are happy for this information to be made publicly available.

Your diversity information will be kept separate from your application form and will not be seen by the selection panel. Political activity information will be made available to the panel but only for short listed candidates. Assessment of your suitability for the post is made purely on the information you give on the application form and your performance at the interview should you be invited. Appointments are made strictly on merit. We hope that this encourages you to complete the form.

Guaranteed Interview Scheme

Under the Scheme a disabled candidate will be selected for interview if they meet the minimum criteria for the role. If you consider yourself to have a disability as defined under the Equality Act 2010 and wish to apply for consideration under the scheme, please complete the declaration form and return it with your application.

Should you have any questions, please contact: Maria.Ullah@dft.gsi.gov.uk

Position applied for, or job reference number:

...........................................................

Your name: ........................................................................

GENDER:

Male

Female

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AGE:

DISABILITY:

The Disability Discrimination Act defines a person as disabled if they have a physical or mental impairment which has substantial and long term (i.e. has lasted or is expected to last at least 12 months) adverse effect on their ability to carry out normal day-to-day activities. Adverse effects may arise from external barriers experienced by people with impairments.

When you answer the question, you should not take into account the effect of any medication or treatments used or adjustments made (for example at work or at home) which reduce the effects of impairments. Instead, you should think about the effect the impairment would have if these were not being used or made.

Taking this into account, do you consider yourself to be a disabled person?

Yes

No

ETHNIC ORIGIN:

Which group do you identify with? Please tick one box.

ASIAN OR ASIAN BRITISH

Bangladeshi

Indian

Pakistani

Any Other Asian background (specify if you wish)

CHINESE OR OTHER ETHNIC GROUP

66+

56-65

46-55

36-45

35 & under

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Chinese

Any Other (specify if you wish)

BLACK OR BLACK BRITISH

African

Caribbean

Any Other Black background (specify if you wish)

MIXED

Asian and White

Black African and White

Black Caribbean and White

Any other Mixed Ethnic Background (specify if you wish)

WHITE

British

Any Other White Background (specify if you wish)

Is this be your first regulated appointment?

List number of additional appointments held

Yes No

POLITICAL ACTIVITY QUESTION

All applicants for a public appointment should complete the question below. This question is asked as it enables the monitoring of political activity of candidates for a public appointment in so far as it is already in the public domain. Political activity in itself is neither a bar to appointment, nor is it a criterion for appointment.

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Neither activity nor affiliation is a criterion for appointment (except where statute dictates specific representation). If you are successful, the information provided will be published with the announcement of your appointment.

Please indicate which of the following activities you have undertaken during the past five years by ticking the appropriate box (es) and by providing details of your involvement. Name the party or body for which you have been active. If you have been or are an Independent or have sought or obtained office as a representative of a particular interest group, you should state this.

Obtained office as a Local Councillor, MP, MEP etc

Stood as a candidate for one of the above offices

Spoken on behalf of a party or candidate.

Acted as a political agent

Held office such as Chair, Treasurer or Secretary of a local branch of a

party

Canvassed on behalf of a party or helped at election

Undertaken any political activity which you consider relevant

Made a recordable donation to a political party 1

None of the above activities apply.

Name of Party of which activity undertaken:……………………………………

1 The Political Parties, Elections and Referendums Act 2000 requires the Electoral Commission to publish a register of recordable donations (donations from an individual totalling more than £5000 in any calendar year, or more than £1000 if made to a subsidiary accounting unit such as a constituency association, local branch, women’s or youth organisations). These provisions became effective from 16 February 2001.

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DETAILS OF INVOLVEMENT

Note: this political activity questionnaire is for monitoring purposes only and therefore will be detached from your application. It will be made available to the selection panel but only for short listed candidates. However, it is appreciated that such activities may have given you relevant skills, including experience gained from committee work, collective decision making, resolving conflict and public speaking. If, therefore, you have had such experience and you consider it relevant to your application for this post, you should include it separately in the main body of your application.

DECLARATION

I confirm that the information I have given is, to the best of my knowledge and belief, true and complete. I confirm that I understand the purpose of the form and the reasons for the collection of my personal data and that I agree to my personal data being used as stated.

Yes

No

Name:…………………………………………………………………………………………

Signature:………………………………………………………………………………………

Date:…………………………………………………………………

Guaranteed Interview Scheme Declaration

I consider myself to have a disability as defined under the Equality Act 2010, and I would like to apply under the Guaranteed Interview Scheme.

I do/do not require any special arrangements to be made for me to be able to attend or undertake the assessment centre or interview. (Please state any such reasonable adjustments below if applicable).

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Please indicate “yes” or “no” below if you are content for us to share your CVand contact details with the Centre for Public appointments in the Cabinet Office. They will keep this on file and they, or another Department may contact you about other opportunities that may arise in the future. All information will be handled in accordance with the Data Protection Act 1998."

yes no

Name:__________________________________________

Date:__________________________

Signature:_______________________________________*

*There is no need for a signature if you are submitting the form electronically.