Applicant No (office use only)
APPLICATION FORM PRIVATE AND CONFIDENTIAL Thank you for applying for a position at The Platform. The information provided on this form will help us to assess your suitability for employment with us. Please answer the questions fully and clearly. All information will be treated in strictest confidence, and will be kept anonymous where appropriate. You are welcome to include extra sheets where there is not enough space to complete a question fully, however any additional information you supply that does not apply directly to a question on this form will be discounted. Please do not send an additional CV.
PERSONAL DETAILS Position applied for Last name First name Address
Email Tel no.
REFERENCES
Please give names, addresses and telephone numbers of two references including your current or most recent employer if applicable. Please state what their relationship to you is. Referees will only be contacted following an offer of employment.
Name Name
Job Title Job Title
Address Address
Tel no. Tel no.
Email Email
Relationship to Relationship to you you
Page 1 of 7 Applicant No (office use only)
EDUCATION AND TRAINING Please list all examinations, qualifications, other training including place of study. Continue on a separate sheet if necessary. Year Course or examination Education provider Results
YOUR CURRENT OR MOST RECENT JOB
Company name
Nature of business
Job title Notice Period
Date you joined Date you left (If appropriate)
Please describe the organisation, the section or department in which you work/worked, and your main responsibilities. Briefly outline what you consider to be your major achievements to date, and your reasons for wishing to leave, or why you left.
Page 2 of 7 Applicant No (office use only)
YOUR PREVIOUS EMPLOYMENT/VOLUNTARY WORK/RELEVANT EXPERIENCE
Dates Employer Position held Brief description of role and reason for From: To: leaving
Page 3 of 7 Applicant No (office use only)
HOW DO YOU MEET THE CRITERIA? Making reference to the person specification, use the space below to tell us about your skills and experience related to the post for which you are applying. Please address each area of the person specification. You may draw on experiences from your work, education, personal life, and voluntary work. Please continue on a separate sheet, if necessary.
WHY DO YOU WANT TO WORK FOR THE PLATFORM AND WHAT DO YOU FEEL YOU CAN BRING TO THIS POST?
Page 4 of 7 Applicant No (office use only)
OTHER INFORMATION Equality Act (2010) – Disability
The Platform uses the ‘Two Tick’ symbol which means we are committed to employing people with disabilities and wish to encourage more applications from people with disabilities. If you are considered to be disabled under the Equality Act definition and have demonstrated that you meet the minimum criteria for the post, you will be guaranteed an interview.
The Equality Act states that “a person has a disability if he or she has a physical or mental impairment and the impairment has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities”. Long term means that the effect of the impairment has lasted or is likely to last for at least 12 months. Do you consider yourself to have a disability? Yes No
If yes, what do you think we need to know about your requirements?
Do you require any assistance to attend and participate in an Yes No interview?
If so, please give details
Rehabilitation of Offenders Act Due to the nature of the work, many posts are exempt from the provisions of the Rehabilitation of Offenders Act 1974, and associated orders. Applicants must declare details of any criminal convictions which for other purposes might be considered “spent”: any failure to disclose previous convictions could lead to disciplinary action. You should be aware that, in accordance with Home Office regulations, we may be required to check police records for convictions before accepting you into employment. Any information you provide here will be treated in confidence as far as possible, but may need to be shared with others for legal reasons.
Have you ever had any convictions or police cautions? Yes No
(Minor Motoring offences are not to be stated)
If Yes, please give details on a separate sheet of paper, which may be attached to the application form in a sealed envelope marked “confidential”, ensuring that you have signed and dated the sheet.
Signed Dated
Page 5 of 7 Applicant No (office use only)
Asylum and Immigration Act 1996 To comply with the provisions of the Asylum and Immigration Act 1996, successful candidates will be asked to provide evidence of their entitlement to work in the UK before an offer of employment can be confirmed.
Can you confirm if you have the right to work in the UK? Yes No
Signed Dated
DECLARATION – regarding entire application
I certify that the facts stated are true, and will form part of my contract of employment, should a job offer be made. I agree to The Platform verifying the information given. I understand that all appointments are subject to satisfactory references.
Signed Dated
Please send the completed form either by email to [email protected] or by post to HR Department, The Platform, 9 Russell Place, Brighton, East Sussex, BN1 2RG.
Page 6 of 7 Applicant No (office use only)
EQUAL OPPORTUNITIES POLICY MONITORING FORM
To help us monitor our recruitment and selection processes in relation to our equalities responsibilities, we ask for your co-operation in completing a recruitment equalities monitoring form. The information contained within this form will be input onto a computerised database and will be used for recruitment and selection purposes only. It is separated from the application form at the time it is received and will not form part of the selection process. Thank you.
Q1 Date of Birth Q2 Gender and Gender Identity D D M M Y Y Y Y Male Female (Optional) Is your gender identity the same as the gender you were assigned at birth? Yes No
Q Ethnicity (Mark one box only) 3 White White British White Irish Other White Black or Black Black African Black Caribbean Other Black British Asian or Asian Bangladeshi Indian Pakistani Other Asian British Mixed parentage or White & Black White & Black White and Other mixed heritage Caribbean African Asian parentage Chinese or other Chinese Other ethnic group ethnic group
Q4 Religion (Mark one box only) Buddhist Christian Hindu Jewish Muslim Sikh None Prefer not to Other say
Q5 Disability: Do you consider yourself to have any disabilities? Yes No
Q6 Sexual Identity (Mark one box only) Bisexual Gay Heterosexual Lesbian Other Prefer not to say
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