Job Application Form Template s4

APPLICATION FORM – PROJECT MANAGER

Closing Date: 5pm on the 9th January 2017 Interview Date: w/c 16th January 2017

Please complete this form fully, CVs are not accepted. Applications received after the closing date will not normally be considered.

THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.

Section 1 Personal details

Last Name: First Name: Previous Title: Names (if any):

Address:

Postcode:

Home Telephone No: Mobile No: Email address:

Are you free to remain and take up employment in the UK Yes No with no current immigration restrictions?

You will be asked to provide relevant evidence of the above details if you are short listed for interview. Section 2 Present Employment

Present Employment (If currently unemployed give details of last employer)

Name of Employer:

Address:

Postcode:

Post Title: Date of Appointment: Salary:

Brief description of duties:

Last day of service Period of Notice: (if no longer employed):

Reason for leaving (if no longer employed):

Date of leaving: Section 3 Previous Employment

Previous Employment (most recent employer first). Add further boxes and pages if necessary. There is no need to go back further than 10 years.

Name of Employer: Address:

Postcode

Start date: Leaving date:

Job title: Salary:

Summary of duties:

Reason for leaving:

Postcode

Job title: Salary:

Summary of duties:

Reason for leaving:

Postcode

Job title: Salary:

Summary of duties:

Reason for leaving:

Postcode

Job title: Salary:

Summary of duties:

Reason for leaving:

.....ADD FURTHER TABLES/PAGES AS REQUIRED... Section 4 Education

Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:

School/College A Level or equivalent/Subjects Grades obtained Date

Further Qualification (e.g degree, MSc, Education/Professional Final Result (if graded) Date Diploma) qualifications

Continue on a separate sheet if necessary

Any other relevant qualifications or records of achievement (e.g courses attended) including membership and d status of any Professional or Technical Association. Please give details:

Professional / Technical / Management Qualifications Course Details

Membership of any Professional / Technical Associations - Please state level of Membership:

Continue on a separate sheet if necessary Section 5 Person Specification

Please use this section to tell us how your skills and experience meet the requirements of the Person Specification. Please provide examples to demonstrate the skills, experience and knowledge you have gained. The word limit for this section is 1000 (which is approximately 2 sides of A4). Any applications significantly over the word limit specified may be discounted depending on the volume of applications. Section 6 References

If you are offered the post, it will be subject to satisfactory references. Please provide us with the names of two referees, one of whom should be your current or most recent employer.

Reference 1 Reference 2

Name: Name: Position: Position: Work Work

Relationship: Relationship: Organisation: Organisation:

Address: Address:

Postcode Postcode

Telephone No: Telephone No:

E-mail: E-mail:

Section 7 Where did you see the advertisement for this post?

Section 8 Declaration

I certify that the information provided is correct and should form part of the basis any engagement. I accept that falsification of qualification or information may lead to dismissal without notice.

Signed: Date:

Please return your completed application form to ([email protected]) – no later than 5pm on 9th January 2017. Equality and diversity monitoring form

Midaye wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.

The information you provide will stay confidential, and be stored securely.

What is your ethnicity? Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box

White English  Welsh  Scottish  Northern Irish  Irish  British  Gypsy or Irish Traveller  Prefer not to say  Any other white background, please write in:

Mixed/multiple ethnic groups White and Black Caribbean  White and Black African  White and Asian  Prefer not to say  Any other mixed background, please write in:

Asian/Asian British Indian  Pakistani  Bangladeshi  Chinese  Prefer not to say  Any other Asian background, please write in:

Black/ African/ Caribbean/ Black British African  Caribbean  Prefer not to say  Any other Black/African/Caribbean background, please write in:

Other ethnic group Arab  Prefer not to say  Any other ethnic group, please write in:

Do you consider yourself to have a disability or health condition? Yes  No  Prefer not to say 

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.