Application for Employment

Age UK Sheppey are committed to treating job applicants and employees fairly and consistently. We will act to ensure equality of opportunity during the recruitment and selection process, both for reasons of natural justice and fair treatment and to ensure that the most suitable employees are appointed in order to maximise the Charity’s efficiency. We aim to embrace diversity in all that we do and we recognise the worth of each individual’s experience, expertise and opinion, and we hold respect for one another at the heart of our organisation.

Which post are you applying for?						

Are you related to an employee of Age UK Sheppey?					
(Please give details)

Personal Details:

Surname:	Forenames:
	
Address:

Email Address: 
	Home Number:

Mobile Number:

Work Number:	

Current Employment Details:

Name of current/most recent Employer:

	Address:

Telephone no:
	
Current post:	Brief Description of Duties:

	
Current Pay:  £	Period of Notice required by current employer:

Education:

General Education	Level	Grade	

			
Further Education/Professional Qualifications	Qualification	Grade/Class	

			

Employment History: Please list a full employment history and explain any gaps in employment (in particular, for the last 5 years)

Name and address of employer
(Most recent first)	Position	Key Achievements	Dates of employment and Reason for leaving	

				

Driving: 

Do you drive a car?		
Do you own a car?		
Do you hold a full driving licence		

Disability:

We are using the word “disability” to include people with obvious disabilities and those with invisible disabilities or persistent health problems.  The Equality Act 2010 defines a disability as:

 “a physical or mental impairment which has substantial and long-term (lasting more than 12 months) negative effect on your ability to do normal daily activities”

Have you a disability which requires the provision of specific facilities at interview or for work?

If so, is there anything we could do to assist you? Please give details:

Personal Development:

Please state any courses, membership, voluntary work or public service/duties you consider relevant, with outcomes where applicable.

Supporting Statement: 

This is an opportunity to draw attention to aspects of your career, training courses attended, interests, ambitions, etc., which make you suitable for the post. Also state why you are interested in applying for this post and make particular reference to the Role Description.  Use additional sheets if necessary.

Please give names and address of two referees, one of whom should be your current or most recent employer.

Reference 1
	Reference 2	
Employer:
	Employer/Personal	
Name:
	Name:	
Job Title:	Relationship:
	
Company:	Company:
	
Address:	Address:

	
Telephone No:
	Telephone No:	
E-mail:
	E-Mail:	

Should referees be approached prior to interview?     Yes	  No

Data Protection Statement:
The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.
If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us and to provide you with information about us or third parties via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.
We may check the information collected, with third parties or with other information held by us. We also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.
By signing the application form we will be assuming that you agree to the processing of sensitive personal date, (as described above), in accordance with our registration with the Data Protection Commissioner.
Declaration:
I certify that, to the best of my knowledge, the information given on this form is correct. I understand that my application may be rejected or that I may be dismissed for withholding relevant details or giving false information.  I also understand that the information I have provided may be subject to checking.

Signature of applicant:						Date:

Convictions and spent convictions of a criminal nature:

You will appreciate that this organisation is responsible for the provision of services to vulnerable older people living in the community. It is therefore essential that, in making your application, you disclose whether you may have ever been convicted of a criminal offence, and if so, for what offence(s).

Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders 1974 (exceptions) Order 1975. 

Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act and, in the event of employment, and failure to disclose such convictions could result in dismissal or disciplinary action by the organisation. The fact conviction(s) have been recorded against you will not necessarily debar you from consideration for this appointment.

You are therefore asked to answer the following:

Have you ever been convicted of a criminal offence?    YES / NO

If the answer is ‘YES’ you must give details below, or if you wish, it can be enclosed in a separate sealed letter marked ‘Confidential’. Any information will be treated in the strictest confidence. A copy of this notice will be sent to your referees.

PLEASE NOTE: All posts are subject to a Disclosure and Barring Service (DBS) check under the Care Standards Act 2000 that requires all those whose work involves caring for vulnerable people to undergo a Police Check.

I give details here/ please see attached letter:

Declaration:

I confirm that the information I have given is correct and that I understand the disclosures required under the Rehabilitation of Offenders Act 1974.

Signed: 							Dated: