Job Application Form Template
A World Without PrejudicePost Applied for:Support Service ManagerPost Number:African Rainbow Family Job Application FormClosing Date:Interview Date: FILLIN "Text4"?????Please complete this form fully using black ink or type. C.Vs are not accepted. Applications received after the closing date will not normally be considered.THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.Section 1Personal detailsLast Name:First Name:Address: FILLIN "Text7"????? FILLIN "Text8"????? FILLIN "Text9"?????Postcode: FILLIN "Text10"?????LettersNumbersLetterHome Telephone No: FILLIN "Text11"?????National Insurance No: FILLIN "Text12"? FILLIN "Text12"? FILLIN ""? FILLIN "Text12"? FILLIN "Text12"? FILLIN "Text12"? FILLIN "Text12"? FILLIN "Text12"? FILLIN "Text12"?Daytime Telephone No: FILLIN "Text13"?????Mobile Telephone No: FILLIN "Text14"?????E-mail address: FILLIN "Text15"?????Can we contact you at work?Yes FORMCHECKBOX No FORMCHECKBOX Are you free to remain and take up employment in the UK with no current immigration restrictions?Yes FORMCHECKBOX No FORMCHECKBOX Driving Licence – if relevant to post applied for.Do you hold a full, clean driving licence valid in the UK?Yes FORMCHECKBOX No FORMCHECKBOX If you are successful you will be required to provide relevant evidence of the above details prior to your appointment.Section 2Present EmploymentPresent Employment (If now unemployed give details of last employer)Name of Employer: FILLIN "Text16"?????Address: FILLIN "Text17"????? FILLIN "Text18"????? FILLIN "Text19"?????Postcode: FILLIN "Text20"?????Post Title: FILLIN "Text21"?????Date of Appointment: FILLIN "Text22"?????Salary: FILLIN "Text23"?????Department / Section: FILLIN "Text24"?????Brief description of duties: FILLIN "Text25"?????Continue on a separate sheet if necessaryPeriod of Notice: FILLIN "Text26"?????Last day of service(if no longer employed): FILLIN "Text27"?????Reason for leaving(if no longer employed): FILLIN "Text28"?????Section 3Previous EmploymentPrevious Employment (most recent employer first). Please cover the last 10 years and state nature of business - if not public sectorName of Employer: FILLIN "Text29"?????Address: FILLIN "Text30"????? FILLIN "Text31"????? FILLIN "Text32"?????Postcode FILLIN "Text33"?????Position Held: FILLIN "Text36"?????Summary of duties: FILLIN "Text37"?????Reason for leaving: FILLIN "Text38"?????Name of Employer: FILLIN "Text39"?????Address: FILLIN "Text40"????? FILLIN "Text41"????? FILLIN "Text42"?????Postcode FILLIN "Text43"?????Position Held: FILLIN "Text46"?????Summary of duties: FILLIN "Text47"?????Reason for leaving: FILLIN "Text48"?????Name of Employer: FILLIN "Text49"?????Address: FILLIN "Text50"????? FILLIN "Text51"????? FILLIN "Text52"?????Postcode FILLIN "Text53"?????Position Held: FILLIN "Text56"?????Summary of duties: FILLIN "Text57"?????Reason for leaving: FILLIN "Text58"?????Section 4EducationQualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:College or University CourseQualifications and grades obtained FILLIN ""????? FILLIN ""????? FILLIN ""?????SchoolSubjectsQualifications and grades obtained FILLIN ""????? FILLIN ""????? FILLIN ""?????Continue on a separate sheet if necessaryProfessional, Technical or Management QualificationsPlease give details:Professional/Technical/Management QualificationsCourse Details FILLIN ""????? FILLIN ""?????Membership of any Professional / Technical Associations- Please state level of Membership: FILLIN ""?????Continue on a separate sheet if necessarySection 5Training and DevelopmentPlease give details of any training and development courses or non-qualifications courses which support yourapplication. Include any on the job training as well as formal courses.Title of Training Programme or CourseDuration of Course FILLIN ""????? FILLIN ""?????Continue on a separate sheet if necessarySection 6Personal StatementAbilities, skills, knowledge and experience.Please use this section to explain in detail how you meet the requirements of the Person Specification. If you are or have been involved in voluntary/unpaid activities, please also include this information. Attach and label any additional sheets used. FILLIN "Text59"?????Continue on a separate sheet if necessarySection 7Rehabilitation of Offenders Act (1974)Do you have any convictions that are unspent under the rehabilitation of offenders act 1974?Yes FORMCHECKBOX No FORMCHECKBOX If yes, please give details / dates of offence(s) and sentence: FILLIN "Text60"?????Section 8Protecting Children and Vulnerable AdultsThe following information are required as the post you are applying for has a requirement for a Disclosure and Barring Service (DBS) check. Enhanced Checks Only (refer to Job Application Pack)Are you aware of any police enquires undertaken following allegations made against you, which may have a bearing on your suitability for this post?Yes FORMCHECKBOX No FORMCHECKBOX Section 9Disability Discrimination ActThis Act protects people with disabilities from unlawful discrimination. We actively encourage applications from people with disabilities. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long term effect on his or her ability to carry out normal day to day activities. Do you have a disability which is relevant to your application?Yes FORMCHECKBOX No FORMCHECKBOX If yes, please give details: FILLIN "Text61"?????We will try to provide access, equipment or other practical support to ensure that people with disabilities can compete on equal terms with non-disabled people.Do we need to make any specific arrangements in order for you to attend the interview?Yes FORMCHECKBOX No FORMCHECKBOX If yes, please give details: FILLIN "Text62"?????Section 10HealthNumber of days sickness absence in the last 2 years: FILLIN "Text63"?????Please state number of occasions in the last 2 years: FILLIN "Text64"?????Section 11ReferencesPlease give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your references are.Reference 1Reference 2Name: FILLIN "Text65"?????Name: FILLIN "Text66"?????Position (job title): FILLIN "Text67"?????Position (job title): FILLIN "Text68"?????Work Relationship: FILLIN "Text69"?????Work Relationship: FILLIN "Text70"?????Organisation: FILLIN "Text71"?????Organisation: FILLIN "Text72"?????Address: FILLIN "Text73"?????Address: FILLIN "Text74"????? FILLIN "Text75"????? FILLIN "Text76"????? FILLIN "Text77"????? FILLIN "Text78"????? FILLIN "Text79"????? FILLIN "Text80"?????Postcode FILLIN "Text81"?????Postcode FILLIN "Text82"?????Telephone No: FILLIN "Text83"?????Telephone No: FILLIN "Text84"?????E-mail: FILLIN "Text85"?????E-mail: FILLIN "Text86"?????Are you willing for this referee to be approached prior to the interview?Yes FORMCHECKBOX No FORMCHECKBOX Are you willing for this referee to be approached prior to the interview?Yes FORMCHECKBOX No FORMCHECKBOX Section 12Recruitment Monitoring FormThis sheet will be separated from your application form upon receipt and does not form part of the selection process. It will be retained by the Human Resources purely for monitoring purposes.Application for the post of:Support Services ManagerTo help us ensure that our Equal Opportunities Policy is fully and fairly implemented (and for no other reason) please COMPLETE THIS SECTION OF THE APPLICATION FORM.What is your Ethnic Group?Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background.A.WhiteD.Black or Black BritishWhite UK FORMCHECKBOX Black Caribbean FORMCHECKBOX Irish FORMCHECKBOX Black African FORMCHECKBOX White non-UK FORMCHECKBOX Any other Black background(please give details): FORMCHECKBOX Any other White background(please give details): FORMCHECKBOX FILLIN "Text88"????? FILLIN "Text89"?????B.MixedE.Chinese or other ethnic groupWhite & Black Caribbean FORMCHECKBOX Chinese FORMCHECKBOX White & Black African FORMCHECKBOX Vietnamese FORMCHECKBOX White & Asian FORMCHECKBOX Any other ethnic background(please give details): FORMCHECKBOX Any other Mixed background(please give details): FORMCHECKBOX FILLIN "Text90"????? FILLIN "Text91"?????C.Asian or Asian BritishF.I do not wish to provide this information FORMCHECKBOX Indian FORMCHECKBOX Pakistani FORMCHECKBOX Bangladeshi FORMCHECKBOX Any other Asian background(please give details): FORMCHECKBOX FILLIN "Text92"?????Section 12Recruitment Monitoring Form continuedGenderPrefer not to specify FORMCHECKBOX Male FORMCHECKBOX Female FORMCHECKBOX I identify as:SexBisexual FORMCHECKBOX Prefer not to specify FORMCHECKBOX Lesbian FORMCHECKBOX Gay FORMCHECKBOX Transgender FORMCHECKBOX I identify as:DisabilityDisability is defined as “physical or mental impairment, which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities”.Do you consider yourself disabled?Yes FORMCHECKBOX No FORMCHECKBOX If yes, please give details: FILLIN "Text93"?????Present StatusInternal Applicant FORMCHECKBOX External Applicant FORMCHECKBOX Age Group16-25 FORMCHECKBOX 26-35 FORMCHECKBOX 36-45 FORMCHECKBOX 46-55 FORMCHECKBOX 56-65 FORMCHECKBOX 66-70 FORMCHECKBOX Over 70 FORMCHECKBOX MediaPlease state where you saw this post advertised FILLIN "Text94"?????Section 13DeclarationB. Statement to be Signed by the ApplicantPlease complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.I hereby certify that:all the information given by me on this form is correct to the best of my knowledgeall questions relating to me have been accurately and fully answeredI possess all the qualifications which I claim to holdI have read and, if appointed, am prepared to accept the conditions set out in the conditions of employment and the job description.Signed:Date:Thank you for your interest in this post. If you would like to know if we have received your application form please enclose a stamped addressed envelope.If you are returning this form by email, you will be asked to sign your application at interview.R E T U R N I N G T H I S F O R M - USE THE EMAIL?Due to Covid-19, we are not operating from the office. By Hand or Post:African Rainbow FamilyThe Monastery89 Gorton LaneManchesterM12 5WFBy E-Mail:info@Enquiries:Telephone: 077 11 28 55 67? African Rainbow FamilyThe Monastery, Gorton Lane, Manchester, M12 5WF? 07711 285567 │ ? info@ │ ?? African Rainbow Family│ @AfricanRainbow1 │ africanrainbowfamily │Registered in England, Charity No. 1185902 ................
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