Safer Recruitment

Volunteer Application Form Please complete all sections PERSONAL DETAILSTitle: ……………….………… Surname: ……..……………………….…………………………..First Name(s): ……………………………………………………………………………………..… Address.…………………………..……………………………………………………………………………………………………………………………………………………………………………….………………………………………………… Post Code ………….…..…………………………Telephone number ………………………………………………………………………………….Mobile phone number ………………………………………………………………………………E-mail address...... SAFER RECRUITMENT In order to comply with Safer Recruitment Procedures applications for all posts must be made via a fully completed application form. Therefore, please complete all sections and attach any additional information sheets to your form. APPLICATIONS BY CV CANNOT BE ACCEPTED.DATA PROTECTION ACT 1998St. John’s School & College will ensure that the personal and sensitive data provided on this form will be processed fairly and lawfully in accordance with the Data Protection Act (1998). Due the personal and sensitive nature of the information included in the application form it is necessary for you to give your consent for the data to be processed, therefore please read and sign the agreement below.I, the undersigned, give my consent for St John’s School & College to process the personal and sensitive data included in this form for the purpose of application for employment.Signed……………………………………………………….... Date: …………….………………………….DISCLOSURE & BARRING CERTIFICATE * please attach a copyDo you have an existing DBS?: Yes* / No Current disclosure no: ______Level of disclosure: Enhanced / Standard Date of disclosure: ______Is this for Child Workforce □ Adult Workforce □ Child & Adult Workforce □Have you registered online? Yes/No If so, may we carry out a check? Yes/No1 DISCLOSURE OF CRIMINAL CONVICTIONS (Rehabilitation of Offenders Act 1974) All posts at St. John’s are exempt from the Rehabilitation of Offenders Act 1974. This is because all posts involve working with, or contact with, children or vulnerable adults. Failure to disclose any 'unspent' or 'spent' convictions may result in any offer of placement being withdrawn. Having an 'unspent' conviction will not necessarily bar you from placement. We will look at any 'unspent' convictions in relation to the post you have applied for, before making any decision. If you are invited for interview a statement of these details should be sent under separate cover in an envelope marked Private & Confidential to the Human Resources Manager.Please detail all convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) by SI 2013 1198. (http://www.legislation.gov.uk/uksi/2013/1198/pdfs/uksi_20131198_en.pdf)REFERENCES Please give the name, address and telephone number of two contactable references. One of these should be a professional referee. If you have previously worked with children and/or young people you should include this employer as one of your referees.Name: …………………………..………………… Name: …………………………………………….Address:…………………….……………………. Address:…….……………………………………..…………………………..………………………... ………………….….……………………………………………………………….…………………… ………………………..………………………………………………………….……………………… …………………………..…………………………Phone No:……………………………………….. Phone No:……………………….……………...... E-mail: …………………………………………… E-mail:……………………………………………..Occupation: ………….………………………….. Occupation: ………………………………………Capacity known: ………………….…………….. Capacity known: …………………….………….……………………………….……………………. ………………………….…………………………Length of time known: ……………..…………… Length of time known: ……………….…………Reference: Personal / Professional Reference: Personal / Professional Emergency Contact DetailsName...... Mobile...... Name...... Mobile...... 2 SUPPORTING STATEMENT Please state briefly your reasons for applying for the student or volunteer placement. (Please continue on a separate sheet if necessary)………………………………………………………………………………..…………………………………..………………………………………………………………………………..…….……………………………...... ………………………………………………………………………….…..………………………………………………………………………………………………………………..…………………………………………………………………………………………………..…………….……………………………………...... ...... ...... ...... PROFESSIONAL / ACADEMIC QUALIFICATIONS Please list any professional or academic qualifications or courses relevant to your placement:………………………………………...………………………………………...…….……………………………………...………………………………………...……………………………….…………...………………………………………...………………………………………...……………….…………………………...………………………………………...…………………………………………...………………………………………...………………………………………...…………………………………………...…………………SKILLS/CAPABILITIES Please list any skills, hobbies and interests ……………….…………………………………………………………………………………………………………………….…………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….……………………………………………………….………………………………………………………………………………………………………………..………….……………………………………………..………………………...…….……..………………………………....………………………………………...………………………………………………………………………………………………………………………..Completed applications can be emailed to [email protected] or posted for the attention of the HR Department at St John’s School & College, 17 Walpole Road, Brighton, BN2 0AF3 Equal opportunities monitoring informationSt. John’s School & College celebrates diversity amongst its students, staff and visitors and recognises the contribution which individuals with a wide range of backgrounds and experiences can make to the life of the School & College. St. John’s School & College is committed to equality of opportunity and the data collected in this section will be used for the purposes of equal opportunities monitoring only.It will assist the organisation to support and encourage under-represented groups and promote diversity. Please complete all sections, ticking the boxes where appropriate.Date of Birth: …………………………….. Age: ………………. Gender:  Male  FemaleFemaleETHNIC BACKGROUNDPlease note that ethnic background is not about nationality, place of birth or citizenship. It is about colour and broad ethnic grouping. People may belong to any of the groups listed below. Please tick any of these that apply. White British  Caribbean  White Irish  African  White Other  Other Black  Mixed  White and Black Caribbean  Indian  White and Black African  Pakistani  White and Asian  Bangladeshi  Other Mixed  Other Asian Chinese  Other Ethnic GroupDISABILITYWhen answering this question please note that under the Disability Discrimination Act 1995 you are considered to be disabled if you have a mental or physical impairment which has a substantial and long term adverse effect upon your ability to carry out normal day to day activities.Have you a disability that is covered by the Disability Discrimination Act? Yes  No If Yes what is your impairment? Please tick any of the following that apply: Mobility/wheelchair user  Blind/partially sighted  Deaf/hearing impairment  Autism/mental health/learning difficulty  Unseen impairment*  Other impairment * (e.g. diabetes/heart disease/epilepsy/ dyslexia)*Please specify: ……………………………………………………………………………………..………Do you require any special arrangements / equipment to facilitate your placement: ………………..4

Safer Recruitment

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