Byker Bridge Housing Association Ltd

1 BYKER BRIDGE HOUSING ASSOCIATION LTD.

Please type or write clearly in black ink. APPLICATION FOR THE POST OF: HOSTEL WORKER

PERSONAL DETAILS Name of applicant ……………………………………… Address for correspondence: ......

Telephone number (Day)...... (Evening).………….. Date of birth .…………. Do you have a valid driving licence? Yes/no Do you have a car which could be used for work purposes? Yes/no?

REFEREES:

Please give the names and addresses of two people who will give us references in support of your application. One of these people should normally be your present or last employer. Can these references be taken up prior to interview? YES/NO?

Name ………………………………………………… Name ……………………………………………..

Job Title………………………………………………… Job Title ……………………………………………

Company………………………………………………… Company……………………………………………..

Address ………………………………………………… Address ……………………………………………..

………………………………………………… ……………………………………………..

Tel: ………………………….. Tel: …………………………..

YOUR DECLARATION

Have you ever applied for a position within Byker Bridge Housing Association in the past? Yes/no

If yes, please give job title and date ……………………………………………………………………………………………..

How much notice are you required to give to your current employer? ………………………………………………

Please sign this application form and go on to complete the questions overleaf.

Signed …………………………… Date ………………………

COMPLETED APPLICATIONS SHOULD BE RETURNED TO; JOB APPLICATION BYKER BRIDGE HOUSING ASSOCIATION, 17-19 WILFRED STREET, BYKER, NEWCASTLE UPON TYNE, CLOSING DATE FRIDAY 2nd September 2005 NE6 1JQ. 2

EQUAL OPPORTUNITIES MONITORING

Pages one and two of this form will be coded and removed during the shortlisting process. Page one will be re- attached after the completion of short listing.

Byker Bridge Housing Association Ltd. is an equal opportunities employer and selects staff solely on merit. In order to monitor the effectiveness of our equal opportunities policy we invite all applicants to provide the information requested below (please tick).

Please note the questions are not about nationality, place of birth or citizenship. They are about broad ethnic group. U.K. or European Community citizens can belong to any of the groups indicated.

How did you hear about this job?

Gender (Please tick box)

Male Female

How Would You Describe Your Ethnic Origin?

Black African Black Caribbean Black Other Bangladeshi Indian Pakistani Chinese White European White Other Other

Question Refused ......

Do you suffer from any illness which may affect your ability to carry out the duties outlined in the job description for this post? Yes/no?

If yes please give details.

Are you disabled? Yes/no?

If yes please give details, including any assistance that we as an employer may need to provide to enable you to carry out the duties outlined in the job description? 3

EDUCATION AND TRAINING

Please give details including dates, grades and place of study of any qualifications you have that are relevant to this post.

DATES SCHOOL OR QUALIFICATIONS AND COLLEGE/UNIVERSITY GRADES GAINED

Please give details including dates of any in-service or work related training you have completed which may be relevant to this post

Please outline any other skills, experience or knowledge you may have acquired which may be relevant to this post 4

WORK HISTORY

Please give as much detail as possible, which may be relevant to this position, starting with your current or last employer and accounting for all of the past ten years. (Please photocopy and attach additional sheets if required)

EMPLOYER AND DATES OF JOB TITLE, MAIN DUTIES AND SKILLS ACQUIRED WHICH ARE REASON ADDRESS EMPLOYMENT PERTINENT TO THIS POSITION FOR AND SALARY LEAVING 5

State how and why you meet the person specifications for this post. (Continue on separate sheet if necessary)

Is there anything you would like to add concerning your application for this post? (Continue on separate sheet if necessary) 6

BYKER BRIDGE HOUSING ASSCIATION LTD DISCLOSURE OF CRIMINAL CONVICTIONS

YOU ARE REQUIRED TO DISCLOSE ALL CRIMINAL CONVICTIONS

PLEASE NOTE ALL SUCCESSFUL APPLICANTS WILL BE SUBJECT TO AN ENHANCED CRIMINAL RECORDS BUREAU CHECK

Please list below all criminal convictions and attach this form to your application. If no convictions please enter ‘none’.

Signed ...... Date......

NOTES:

The information you provide will be treated as strictly confidential only in relation to the appointment for which you are applying.

Disclosure of a conviction does not necessarily mean that you will not be appointed. The Association will have regard to the ACAS Code of Guidance and a main consideration will be whether the offence is one which would make an applicant unsuitable for the type of work to be done.

BBHA is committed to carrying out Police checks on all new employees before confirming in post. 7