How Did You Hear About the Post? Click Here to Enter Text
Total Page：16
File Type：pdf, Size：1020Kb
1 Application number
How did you hear about the post? Click here to enter text.
Do you require any reasonable adjustments to enable you to attend interview?
Yes ☐ No ☐
YOUR DETAILS
Name: Click here to enter text.
Address: Click here to enter text.
Telephone: Click here to enter text.
Email: Click here to enter text.
REFERENCES Please give the names of two referees, one of whom should be your present or most recent employer, or, if appropriate, a tutor. Please indicate how you know your referees. Any offer of employment will be subject to satisfactory references.
1. Name: Click here to enter text.
Address: Click here to enter text.
Telephone: Click here to enter text.
Email: Click here to enter text.
Relationship: Click here to enter text.
2. Name: Click here to enter text.
Address: Click here to enter text.
Telephone: Click here to enter text.
Email: Click here to enter text.
Relationship: Click here to enter text. 2 Application number
Details of Convictions
If you are appointed to the post you will be working with vulnerable adults and young people. Whether you have a conviction or not you must complete this section of the form. This page will be separated from the rest of your application and will not be looked at until after shortlisting has taken place.
The information you provide will be treated as strictly confidential and will be considered only in relation to the job for which you are applying.
Convictions which we think are not relevant to the job will not be taken into consideration, but you are required to disclose convictions which are not spent by virtue of the Rehabilitation of Offenders Act 1974. The offence will only be taken into account if it is considered to be one which would make the applicant unsuitable for the type of work to be done.
1. Have you ever been convicted of a criminal offence?
YES ☐ NO ☐
If YES please give details of date(s) of offence(s), and sentence(s) passed:
Click here to enter text.
2. Are you currently the subject of any criminal proceedings or police investigation?
YES ☐ NO ☐
If YES please give details.
Click here to enter text.
3. Depending on the job you are applying for, you may be required to undergo a check by the Disclosure and Barring Service. Please indicate your consent for a DBS check. If consent is not given we will be unable to offer you the post.
I am willing to comply with a DBS Check if required YES ☐ NO ☐ 3 Application number
1. Current Employment. Please include both paid and voluntary work.
Employer’s name and address Date started Job title, main responsibilities and duties: Click here to enter text. Click here to enter Click here to enter text. text.
2. Relevant Previous Employment. Please include both paid and voluntary work.
Name of employer Dates Employed Job title, main responsibilities and duties: Click here to enter text. Click here to enter Click here to enter text. text.
3. Do you currently hold a full driving licence with 6 points or less? Yes ☐ No ☐
4. Education and Training: Please outline your formal education and qualifications. Include vocational/professional qualifications and other training (including in-service) you have received. 4 Application number
Name of Course/Training Course/Training Provider Qualification Date completed /Grade Click here to enter text. Click here to enter text. Click here to Click here to enter text. enter text.
5. Please tell us about your relevant knowledge, skills and experience using the points from the person specification. Please use examples to support your application. Use extra pages if required but please ensure that the information does not cover more than 3 pages. 5 Application number
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Declaration
By submitting this form, I declare that the information given is correct and complete.
Name: Click here to enter text.
Date: Click here to enter text.
Please return this form to Latch by the closing date given in the letter.
By email: [email protected]