APPLICATION FORM Business Development Director
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Baca.2016
CONFIDENTIAL
APPLICATION FORM – Business Development Director
Please return completed form, together with a copy of your CV.
The information you provide in this application form will not be available to anyone other than members of the Baca management team and staff who will be involved in the interview process.
Contact Details
Name of Applicant: ......
Address: ......
Postcode: ......
Tel No: ...... E-Mail: ......
Qualifications/Education Please detail the educational instates you have attended and qualifications achieved (expand the box as required): Name of School/ Dates Attended Qualifications Dates Obtained College/University Achieved
Employment History Please list all current and previous employment (expand the box as required): Employer Name Job Title Start Date Leaving Date
1 BFHR18/v2 46 Derby Road, Loughborough. LE11 5BX Tel. 01509 550438 Further Training Please list off additional training you have attended and/or qualifications attained (expand the box as required): Training Provider Date Completed Certificate (Y/N)?
If there are any gaps in your time in Education & Employment, please explain below:
Role Specific Having read the Job Description paper, please answer the following questions. You may expand the boxes or use additional sheets as required to answer the following questions:
What interests you about this role?
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What skills and strengths will you bring to this role?
What relevant experience/qualifications do you have? E.g. work with young people/different cultures, work within housing provision, management experience
Origination Vision & Values How do Baca’s Vision and Values fit into your own personal vision and values?
3 BFHR18/v2 46 Derby Road, Loughborough. LE11 5BX Tel. 01509 550438 Personal
1. Please complete the following table. Strengths Weaknesses 1. 1.
2. 2.
3. 3.
How would you describe your approach to work/life balance?
Where do you see yourself in 2, 5 and 10 years’ time?
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Please comment below if there is anything else you think the interview panel should know that might have a bearing on the applicant’s suitability for the role for which they are applying.
What is the earliest time that you could be available to commence with Baca?
5 BFHR18/v2 46 Derby Road, Loughborough. LE11 5BX Tel. 01509 550438 Please give details of two people we can use as referees (please note we will not contact these individuals until after an offer has been made).
Name: ...... Name: ...... Address: ...... Address: ...... Email: ...... Email: ...... How do you know this person? How do you know this person? ......
Declaration Please be aware that the provision of false information may result in your application not being considered or the termination of your employment. I certify that the information in this application is accurate and complete to the best of my knowledge. I understand that the Charity may decline my application without giving reason.
Signed:...... Date: ......
Please return this application form together with a CV to the Baca office for the attention of Louise Jarvis.
Please either email the form to [email protected]
Alternatively post to the Baca main office at 46 Derby Road Loughborough LE11 5B.
The envelope should be marked ‘Confidential: To be opened by addressee only’.
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EQUAL OPPORTUNITIES MONITORING Baca is committed to ensuring equality of opportunity in its recruitment and employment practices. To help us identify possible inequalities and barriers to employment, we would appreciate your cooperation by completing this form. The information provided will not influence any part of the selection process and will not be shared with the interview panel. All information you disclose will be treated confidentially and will only be used for statistical and monitoring purposes. Should you choose not to provide details for the following questions, the success of your application will not be affected. Baca has a diverse team and we are committed to ensuring that our staff reflect the communities we serve. Please answer the following questions by ticking the appropriate box or writing in the space provided.
1. Post you are applying for: 2. Are you Male or Male Female Female? 3. Are you a Yes No refugee, a former refugee or asylum- seeker? 4. What is your country of origin? 5. How would you describe your ethnic origin?
Asian: Black: White: Asian British ❏ Black British ❏ White British ❏ Indian ❏ Caribbean ❏ Irish ❏ Pakistani ❏ African❏ Any other Bangladeshi ❏ White background S. East Asian ❏ Any other Black (please specify) Any other Asian background (please specify) ...... (please specify) ......
Mixed: Chinese or Middle White & Black other ethnic Eastern: Caribbean ❏ group: Middle Eastern White & Black Chinese ❏ ❏ African ❏ 7 BFHR18/v2 46 Derby Road, Loughborough. LE11 5BX Tel. 01509 550438 White & Asian ❏ Any other Any other Any other (please specify) (please specify) mixed background ...... (please specify)
......
6. Do you Yes No consider yourself to have a disability? 7. How did you find out about the job?
Are you Yes No already a Baca employee Are you a Yes No volunteer at Baca
Thank you for taking the time to complete this form.
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