Application form - Emerging Futures



Application form Application for employment as: Full time/Part time Network Coach Location West Sussex.First Name:Surname:DOB:Ethnicity:Other names: Address:Postcode:Telephone:Email:Have you completed the Recovery Coach Training?Yes No (please delete as appropriate)Where and when did you do your Recovery Coach training?Who is your Recovery Coach supervisor?What have you learnt from being a Recovery Coach? What is your motivation in applying for this post?What training can you identify that will support your employment whilst with the organisation and required for the roleProvide an example of your previous continued professional developmentList your Strengths & Qualities plus areas for development Employment & Vocation history(Please describe your experience of employment (Paid and unpaid))Benefits – If you are in receipt of benefits, please describe which ones you currently receive and how long you have been claiming it/them.Employment ambitions – What are your goals around work and employment? If there were no restrictions, what work would you most like to be doing 5 years from now?Provide examples of how you meet the criteria for the role.Have you ever been convicted of a criminal offence OR have an outstanding court case? Yes No (delete as appropriate)If yes, please provide details(Declaration subject to the Rehabilitation of Offenders Act 1974)Please describe your personal or family recovery and how you sustain yourself and your wellbeing.Personal Statement – Please provide a full statement as to why you are suited to this position.Signed………………………………Date……………………………… ................
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