Job Application Job Ref: Ceajan18

CONFIDENTIAL

JOB APPLICATION JOB REF: CEAJAN18

1.This form can be type written or completed in your own handwritingusing black ink.

2.Attached CVs will not be considered.

3.Pages 1 and 2 will be removed prior to shortlisting and do not form part of the selection criteria.

Post Applied for: Community Engagement Advocate

Office location:

☐Trafford

Full Name: / Click here to enter text. /
Date of Birth: / Click here to enter a date. /
Address line 1 / Click here to enter text. /
Address line 2 / Click here to enter text. /
Address line 3 / Click here to enter text. / Postcode: / Click here to enter text. /
Landline Contact No. / Click here to enter text. /
Mobile Contact No. / Click here to enter text. /
Work Contact No. / Click here to enter text. /
Email Address / Click here to enter text. /
Do you have a valid UK driving licence? / ☐ Yes ☐ No
Do you have any endorsements/disqualifications? / ☐ Yes ☐ No
IF YES PLEASE GIVE DETAILS BELOW
Click here to enter text. /
National Insurance No. / Click here to enter text. /
Date available to start work / Click here to enter a date. /

In line with the prevention of Illegal working, Immigration, Asylum and Nationality Act 2006, we will require proof of your eligibility to work within the UK if you are successful in securing a position at Advocacy Focus.

All appointed applicants will be subject to an enhanced Disclosure and Barring Service check.

REFERENCES

Please give details of two referees, one of which should be your present or most recent employer, though both referees should be able to comment on your abilities and suitability for the post you are applying for:

Name / Click here to enter text. / Name / Click here to enter text.
Address / Click here to enter text. / Address / Click here to enter text.
Line 1 / Click here to enter text. / Line 1 / Click here to enter text.
Line 2 / Click here to enter text. / Line 2 / Click here to enter text.
Postcode / Click here to enter text. / Postcode / Click here to enter text.
Telephone / Click here to enter text. / Telephone / Click here to enter text.
Capacity Known / Click here to enter text. / Capacity Known / Click here to enter text.
How Long Known / From: 13/04/2017
To: 13/04/2017 / How Long Known / From: 13/04/2017
To: 13/04/2017
I do ☐ / do not ☐wish them to be contacted prior to the interview / I do ☐ / do not ☐ wish them to be contacted prior to the interview

CONFIRMATION

I confirm that to the best of my knowledge the information given on this form is a true and correct record and will be treated as part of any subsequent contract of employment.

Signed ______Date Click here to enter a date.

Please tell us how you heard about this position: ______

Completed application forms may be emailed to: or returned in an envelope marked‘Private Confidential' by the closing date to:

ENTER LINE MANAGER NAME: Click here to enter text.

Advocacy Focus,

1st Floor, The Old Tannery,Eastgate, Accrington,Lancashire. BB5 6PW

EMPLOYMENT HISTORY

(Starting with the most recent. If not employed, please state your occupation eg carer, homemaker, student, etc. Please explain any gaps in employment and use a separate sheet if necessary)

From / To / Employers Name
& Address / Job Title and Brief Description of Duties / Salary / Reason for Leaving
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /

EDUCATION AND QUALIFICATIONS (Please continue on separate sheet if necessary)

School/College/
University / From / To / Qualifications Gained
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.

TRAINING

Please give details of any training courses relevant to this post, continuing on a separate sheet if necessary.

Course Title / Date / Duration / Details(course content)
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Previous Community/Voluntary Experience (no more than 1 x A4 page)
Click here to enter text.

Please state why you are interested in this post and what skills and experience you have that makes you a good candidate. Please refer to the person specification. (No more than 2xA4 pages)

Click here to enter text.

Page 1 of 7Office Ref No ______