E-Application for the Post Of

Any incomplete or late application forms will not be considered.

When completed, please email this form to:

[email protected]

Wed 22nd February Closing Date Ref PW–2017 CARISCamden 2017, 9am Christian Action and Response in Society

CONFIDENTIAL E-APPLICATION FOR EMPLOYMENT PLEASE TYPE CLEARLY, COMPLETING ALL SECTIONS OF THE APPLICATION.

Post applied for: How did you become aware of this vacancy?

1) PERSONAL DETAILS

Surname: First Name(s): I am aged between 18 and 65 years: Home/Private Address: Postcode: Telephone (home): Email: Telephone (work): May we contact you at work?

2) EDUCATION / QUALIFICATIONS / TRAINING / COURSES SCHOOL (from the age of eleven) / FURTHER/HIGHER EDUCATION/OTHER TRAINING Dates/duration Establishment/Organiser Details / Qualification(s) Obtained Grade/Level

PROFESSIONAL BODIES OF WHICH A MEMBER: Please give full details of: level, when obtained and expiry 3) EMPLOYMENT PRESENT/MOST RECENT POSITION: Employer: Type of Organisation: Job Title: Salary: Start date: Brief description of duties: Are you still employed: If yes, notice required: If no, date ended: Reasons for leaving:

EMPLOYMENT HISTORY (covering the last 5 years, most recent employment first) Please account for all gaps in employment history, including voluntary or community work.

Dates Name & address of employer Salary Reason for Job Title & Main Duties From & to Type of organisation (on leaving) Leaving

4) HEALTH Have you had any major illnesses, operations, back trouble? If yes, please give details on a separate sheet How many days sickness have you had in the past 2 years Do you have a disability? Would you expect any reasonable adjustments to be made to the work place if you were appointed? If yes, please give details:

5) FAITH

CARIS Camden Families is a project of CARIS Camden, a charity founded on a Christian ethos. Whilst this ethos inspires our work supporting vulnerable people, we do not promote any faith or have any faith requirements of our staff, volunteers or service users. We do require, however, that our staff can identify with the intrinsic values that underpin our work.

How are you able to do this?

6) SUPPORTING STATEMENT With close reference to the Job Description please give an account of experience, knowledge, skills and training you have which meet the requirements of the post. Please include any other information you feel is relevant in support of your application, reason for applying, what you can offer to the post / CARIS Camden Families. Please continue on a separate sheet if necessary 7) CONVICTIONS Have you had any criminal convictions? If yes, please give full details on a separate sheet.

Due to the nature of this post and the law relating to it, this role is exempt from the Rehabilitation of Offenders Act. As a result, all prospective employees will need to subject themselves to an enhanced Disclosures and Barring Service (DBS) check, which will be completed and submitted following a provisional offer of employment with CARIS Camden Families. An enhanced DBS disclosure requires you to disclose all criminal convictions, cautions, court orders, reprimands, warnings or pending cases. It is a condition of employment with CARIS Camden Families that you have done so. Failure to disclose any such information could result in the immediate termination of your employment with CARIS Camden Families.

Any information that you supply will be dealt with on a confidential basis. CARIS Camden Families will only take into account when considering your application those convictions, cautions, court orders, reprimands, warnings or pending cases relevant to the nature and purpose of the volunteering role for which you are applying.

DBS certificates are sent directly to the applicant’s home address. CARIS Camden Families will require full sight of the DBS certificate before you are able to take up your post. If appropriate, we will also check your status online via the DBS Update Service.

8) REFERENCES (please note that references are normally obtained before interview) Please submit 3 referees, 2 of which must be from employers covering the last three years

Present/most recent employer: May we approach your employer before interview? Name & title: Organisation Address: Postcode: Telephone No: Fax No: Email address: Previous employer: May we approach your previous employer before interview? Name & title: Address: Postcode: Telephone No: Fax No: Email address: Personal Friend of at least 2/3 years standing: Name & profession: Address: Postcode: Telephone No: Fax No:

9) DECLARATIONS • Are you willing to undergo an Enhanced DBS check? • Are you required to have a work permit? • Are you able to provide a short version of your birth certificate or other documentation accepted by the Asylum and Immigration Act if offered the post? • I authorise CARIS Camden to obtain references to support this application. I accept and release CARIS Camden and referees from liability caused by giving and receiving information. • I give express permission for the personal data, consisting of information in sections 4, 5, 7, 9 & 10, to be held and processed by CARIS Camden • I confirm that the information given on this form is correct and any misleading or falsification of Information may be proper cause for rejection or, if employed, cause for dismissal.

Signature Date CONFIDENTIAL

10) EQUAL OPPORTUNITIES MONITORING FORM

CARIS Camden is actively opposed to discrimination and is working towards equality of opportunity for all who apply to us for employment.

To help monitor our policy of equal opportunities, we would be grateful if you would complete this form and return it with your application. It will be separated from your application when it reaches us.

Your help in this matter is entirely voluntary and will in no way affect your application.

Post applied for: 1. Gender (Male/Female): 2. Date of Birth: 3. I would describe my ethnicity as:

Please tick one box only

Ethnicity White Black Mixed Other Asian

Caribbean

African

SE Asian British European European Non British Irish

4. I am a person with disabilities: If yes, please give details:

Thank you