Brighton & Hove Food Partnership

Brighton & Hove Food Partnership [email protected] www.bhfood.org.uk 01273 431 700

Employment Application The information provided on this application form will remain private and confidential and will be used for the purpose of selection/recruitment. Where the application is successful the company may, from time to time thereafter, wish to process this information (as updated periodically) for personnel administration and business management purposes. Where this is the case, processing will take place in accordance with the provisions of the Data Protection Acts 1984 and 1998. By signing this form you will be providing the company with your consent to these uses. On completion please return this form to: Brighton & Hove Food Partnership, The Brighthelm Centre, North Road, Brighton BN1 1YD Or [email protected] using the job title as the subject line. Please note we do not accept CVs.

Project Manager Healthy Weight Referral Service Position applied for

Title (Mr, Mrs, Ms, Dr etc) Surname / Family name

Forenames

Address including post code

Email address

Telephone number(s)

Education

1 | P a g e List details of GCSEs, GNVQs, A levels and Degrees, etc. If qualification is gained from a different country please indicate equivalent)

School / College / University Date Subject(s) Qualifications Grade

Work related skills Please detail relevant training and qualifications and membership of professional bodies. Please specify when completed.

Present / last employment details

Name of employer (and location)

2 Nature of business

Your job title

Brief details as to the nature of your work and responsibilities

Full time / part time

Date joined

Date appointed to present (last job)

Salary / wage (current or on leaving)

Notice required

Date left and reason (if applicable)

3 | P a g e Previous employment / voluntary experience

Employers name Your job title and brief outline of duties From – to Reason for leaving / (one – two lines) salary

4 Supporting statement After reading the Job Description and Person Specification carefully, please clearly outline how your knowledge, skills and experience match those in the Person Specification, fully detailing why you feel you are suited to the post. Please address each point in turn setting out examples of your previous experience in this area. The short listing process is based around how you meet the points on the person spec. Your experience need not have been gained in paid employment and may include volunteering / special interests relevant to the post. Please make full use of this section continuing on to additional sheets if necessary but keep your answers clear and concise.

5 | P a g e 6 Other information

YES/ NO Are you currently eligible for employment in the UK?

Please state what documentation you can provide in order to demonstrate this e.g. British passport/birth certificate/European Economic Area identity card/travel document showing an authorisation to reside and work in the UK, etc

Do you have an armed service/public duties commitment (e.g. are you a JP/councillor etc.)? If yes please provide details

Where did you find out about this vacancy?

Have you applied to the Food Partnership before? If yes please give details.

If the job requires it are you happy to

YES / NO Travel?

YES / NO Work at evenings or weekends?

7 | P a g e References All appointments are subject to the receipt of satisfactory references. Please provide details of two appropriate referees to whom confidential enquiries may be made. These should preferably be: 1. Your manager or his/her manager in your current (last) job AND 2. A similar individual from a previous employment. If without two previous jobs (or unable to do this) please provide – as appropriate – the names of two school or personal referees (though not ones who are related to you). Please provide name, job title address, email and telephone. Please indicate how these individuals know you and how they know about your work abilities, etc. (e.g. state whether they are your current supervisor, manager, etc.). We will only take up references after interview and will check with you before contacting your references. Reference one Reference two

Relationship to you Relationship to you

Declaration I declare that to the best of my knowledge and belief, all particulars I have given are complete and true. I understand that any false declaration or misleading statement or any significant omission may disqualify me from employment and render me liable to dismissal. I understand that any job offer is subject to satisfactory references, a probationary period, a health check and, if required by the post, a DBS check.

Signed Date

Disability Information  We welcome applications from people with disabilities. 8  We guarantee that any disabled applicants meeting the essential criteria for the job will be interviewed.  We are happy to talk to you about any aids and adjustments required at interview or if appointed.

The information in this section will only form part of the recruitment process if you indicate that you are eligible for and wish to apply under our guaranteed interview scheme for disable applicants. In this situation the information will be passed to person responsible for short-listing. For all other applications information is being gathered for monitoring purposes only. Disability is defined by the Equality Act 2010 as ‘a physical or mental impairment, which has a substantial and long-term (likely to last for at least 12 months) effect on a person’s ability to carry out normal day-today activities’ DO YOU HAVE A DISABILITY? Please mark with X Are you a disabled person as defined by the Equality Yes Act?

Prefer not to say If yes, do you wish your application to be considered Yes under our guaranteed interview scheme

No Name

ADJUSTMENTS: This question is asked to help ensure that we meet our obligations under the Equality Act 2010.

Please indicate any aid(s)/adjustments required at interview or if appointed:

For more detail on the definition of a disability https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/85010/disability- definition.pdf

9 | P a g e Equal Opportunities Monitoring Form Food Partnership policy is to monitor our selection process and ensure it is fair and free from any bias. The information supplied in this questionnaire will not be used at any stage of the selection process and will be stored according to the Data Protection Act 1998. It will be used for equality monitoring purposes only.

Please type / write answer in this column

Date of birth

What gender are you? Male / Female / Prefer not to say

Do you identify as the gender you were assigned at birth? Yes / No / Prefer not to say For people who are transgender, the gender they were assigned at birth is not the same as their own sense of their gender.

Which of the following best describes your sexual orientation? Heterosexual/ Homosexual / Bisexual Prefer not to say

Are you a Carer? Yes / No/ Prefer not to say A carer provides unpaid support to family or friends who are ill, frail, disabled or have mental health or substance misuse problems.

How would you describe your ethnic origin? Please chose from the list below or write prefer not to say

White: White British, White Irish, Gypsy or Irish Traveller, Any other White back-ground (please list) Asian or Asian British: Bangladeshi, Indian, Pakistani, Chinese, Any other Asian background (please list) Black or Black British: African, Caribbean, Any other Black background (please list) Mixed: Asian & White, Black African & White, Black Caribbean &White, Any other mixed background (please give details) Other Ethnic Group: Arab, Any other ethnic group (please give details) Thank you. This form will be separated from your application and will form no part of the selection process.