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Please be aware that this form cannot be saved to return to later and will be reset after a period of inactivity; it is recommended that you set aside at least an hour to complete this form in its entirety.

1. Personal Details

Work permits: a work permit is not required to employ a person who is a national of a country which is a member of the European Union (EU) or a national of another European Economic Area (EEA) country. In certain circumstances it may not be necessary to obtain a work permit for a non EU/EEA national, e.g. where permanent UK resident status has been granted by the Home Office or where the passport has been endorsed with a visa which places no restriction on employment within the UK.

2. Career History

Current/Most Recent Employer

Second Employer

Third Employer

3. Education and Training Details

Please provide details of relevant qualifications you have achieved, including: qualification name, place of study, result and year obtained.

Please provide details of training courses you have attended providing the course title, training provider, duration and year obtained.

4. Other Information in Support of Your Application

The job description for this post details the key areas of responsibility for this post. The person specification sets out key areas of skills and abilities, knowledge, education, training and qualifications that are essential for the post holder to have. Please demonstrate in this section how you meet the person specification requirements.

This is an opportunity to draw attention to aspects of your career, interests or voluntary activities relevant to your post, which may give additional weight to your application.

5. Car Owner/Driver

6. Membership of a Professional Organisation

7. References

Please supply two references, one of whom should normally be your present or most recent employer. The other should normally be a previous employer unless you have no previous employment, in which case a character reference will be needed. All offers of employment are subject to a receipt of two satisfactory references.

Employment Reference 1

Employment Reference 2

8. Confirmation of Details

I confirm that all the information in this application is correct to the best of my knowledge and that all the questions on this form have been accurately and fully answered. I understand that any omission or misrepresentation may render me liable to dismissal should I be employed. I give my consent for Age UK East Sussex to record, process and validate my personal information and sensitive personal data in line with the General Data Protection Regulations (GDPR) and all other legislative provisions. My consent is conditional upon Age UK East Sussex complying with its legal duties and obligations relating to the recording and use of this information.

If you wish to provide any additional information to support your application, please email:

Additional Information

Age UK East Sussex is proud to have been awarded the Disability Confident Employer badge as we have adopted a proactive approach to employing and retaining a diverse workforce. By using the logo we make it clear to everyone that we welcome disabled applicants for all roles.

The Disability Confident scheme is an example of Age UK East Sussex demonstrating our commitment to ensure that disabled people are treated fairly and have access to the same opportunities as everyone else. therefore we will guarantee an interview to anyone who declares a disability provided they meet the minimum requirement for the role.

Under the Equality Act 2010, a disability is defined as a physical or mental condition which has a long-term and substantial effect on your daily life. You are under no obligation to respond to the following statement but any information you give us will assist us tn ensure that interviews are offered to eligible candidates.

Do you consider yourself to have a disability and be eligible to have your application considered in line with the Disability Confident scheme?

Any false declaration of a disability in order to obtain an interview may subsequently result in any offer of employment being withdrawn.

Access Requirement and Facilities

Please give details of any arrangements or facilities you may require to enable you to attend for interview for the post for which you are applying (e.g. sign language interpreter, level access etc).

The Disclosure and Barring Service (DBS) Check is a process run to help organisations make more informed recruitment decisions about the suitability of those seeking to work in positions of trust, particularly for work including regular contact with vulnerable adults. It is the policy of Age UK East Sussex to require successful applicants for certain posts to disclose certain information on any previous criminal record they may hold.

In assessing your suitability for a post Age UK East Sussex complies with the DBS Code of Practice, a copy of which can be obtained on request.

The Job Description supplied will confirm whether a DBS check is required for the post for which you are applying.

Where the post applied for involves working with children or vulnerable adults in a position of trust as outlined by the DBS we are allowed by virtue of the Exceptions Order to the Rehabilitation of Offenders Act to request applicants to reveal their full criminal history (including 'spent' convictions) due to the nature of the duties and responsiblities of the position.

If you have been convicted of a criminal offence in the past (including any convictions in a court of law outside of Great Britain), we may require details from you in the strictest confidence. Please be prepared to give us details of Unspent and Spent Criminal Offences.

Please be aware that if the information you have supplied is false, misleading or incomplete in any way, it may automatically disqualify you from the appointment or render you liable to instant dismissal without notice.

If you have any queries about this form please contact the Recruitment Team on 01273 476704 ext. 612.

Equal Opportunities Monitoring Form

We hope you will assist us by filling in this monitoring form. We are an equal opportunities employer in practice, which is why we want to monitor our recruitment processes. The information will be used for statistical purposes only and for no other purpose. It will be treated in the strictest confidence. The data will not be taken into account in shortlisting because it is detached from the application form before the panel see it. If you prefer not to complete the form it will not affect your application.