APPLICATION FOR EMPLOYMENT
Please note:
a)  Parts 1 and 2 must be completed in full.
b)  Use black ink or type as your form may be photocopied.
c)  A Curriculum Vitae will not be accepted.
Part 1:
Post Applied For:
Applicant Reference Number: (office use only)
EDUCATION – Please give a summary of qualifications, courses attended and current studies (successful candidates will be required to provide proof of qualifications).
PLEASE LIST MOST RECENT FIRST
From To
(Month and Year) / Place of Study / Qualification and level achieved
RELEVANT TRAINING UNDERTAKEN: / Date
CURRENT MEMBERSHIP OF PROFESSIONAL ASSOCIATIONS:
Association / Level of Membership / Membership Number / Dates
EMPLOYMENT DETAILS - PRESENT OR MOST RECENT JOB:
Job Title:
Salary:
Date started:
Notice required or date left employment:
Reason for leaving / wishing to leave: / Employer’s Name and Address:
Brief description of duties and responsibilities:

EMPLOYMENT HISTORY – Please give a summary of all employment, voluntary and unpaid work, including childcare. PLEASE LIST MOST RECENT FIRST AND ACCOUNT FOR ANY GAPS

From To
(Month and Year) / Name of Employer / Job title and brief details of main responsibilities / Reason for leaving
OTHER RELEVANT INFORMATION:
The information you provide in this section will be used in assessing your application. Please refer to the job description and person specification and use this space to state your reasons for applying for the post. Relate your skills, experience and personal qualities to the requirements of the job (if you require more space, please attach a separate sheet).
OTHER RELEVANT INFORMATION: CONTINUED
Part 2: Strictly confidential
This part of your application will be detached and will NOT be used in the selection process. The information you provide will be treated in the strictest confidence and only used for statistical monitoring purposes.
Applicant Reference Number: (office use only)
Post Applied for:
To help us monitor our advertising, please state how you heard of this vacancy or in which publication/website it was advertised:
PERSONAL DETAILS
Title: / Forename(s): / Surname:
Any other names used including dates: / Forename(s): / Surname:
Date of Birth:
National Insurance Number:
Permanent Address:
Post Code: / Email:
(Home №:
(Work №:
(Mobile №:
Absence
Please give brief details of any periods of absence (other than authorised annual leave) lasting more than 7 days in the past 3 years:
Permission to work in the UK
Are you permitted to work in the UK in accordance with the Immigration, Asylum and Nationality Act 2006?
YES/NO
Rehabilitation of Offenders Act / Disclosure and Barring Service Checks
Re:dish is a charity that works with children and vulnerable adults, therefore Re:dish needs to assess your suitability for the position you are applying for and is entitled to ask questions about your criminal record.
You are required to disclose certain information concerning your criminal cautions and convictions. You must disclose information about spent and unspent criminal convictions (other than a protected conviction) and spent and unspent cautions (other than a protected caution).
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers by the Disclosure and Barring Service, and cannot be taken into account. Further information on this is available at https://www.gov.uk/disclosure-barring-service-check and at www.unlock.org.uk
1.  Do you have any 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)
YES/NO
2.  Are there any other matters that may be relevant to your suitability to work for the Re:dish? (There is no obligation to disclose a protected caution or conviction as defined by the Exceptions Order 1975,as amended by the 2013 Exceptions Order, or any circumstances ancillary to that protected caution or conviction).
YES/NO
If you have answered YES to either of the above questions you should send details with your application in a sealed envelope for the attention of the Executive Director, marked ‘private and confidential’. A criminal record will not necessarily be a bar to obtaining a position as each case is looked at on its particular circumstances and background.
Disability
Do you consider yourself to have a disability as defined by the YES/NO
Equality Act 2010?
Do you have any access requirements or adaptations (i.e. tools or equipment) YES/NO that Re:dish could provide for you to do this job? (please provide details)
If you are short listed, please describe any special arrangements which you should like to be made for your interview:
Fairness in Employment Monitoring
Ethnicity:
White : r British r Irish r Other please specify ______
Mixed: r White & Black Caribbean r White & Black African
r White & Asian r Other please specify ______
Asian / Asian British: r Indian r Pakistani r Bangladeshi r Other ______
Black / Black British: r Caribbean r African r Other please specify ______
Chinese or other ethnic group: r Chinese r Other please specify ______
Gender: r Female r Male r TransFemale r TransMale
Marital Status: r Married r Civil Partnership r Cohabiting r Single r Separated
r Divorced/Dissolved Civil Partnership r Widowed
Sexual Orientation: r Heterosexual r Gay Man r Lesbian r Bisexual r Prefer not to say
Faith/Religion: r Christian r Muslim r Jewish r Hindu
r Sikh r Buddhist r None r Other – please specify …………………
REFERENCES: Please give the names of two people who know you well and can provide current information about your suitability for this post. Referees must not be family members or friends.
One referee must be your present or most recent employer
Name:
Job Title:
Company:
Address:
Post Code:
Telephone:
Email: / Name:
Job Title:
Company:
Address:
Post Code:
Telephone:
Email:

Can the above referee

be contacted prior to interview? YES/NO / Can the above referee
be contacted prior to interview? YES/NO
DECLARATION
I understand that providing any misleading or false information or canvassing Re:dish Trustees will disqualify me from the appointment. I declare that to the best of my knowledge, the information provided in this application is accurate and truthful. If I am employed and information is revealed to be misleading or false then my contract of employment will be terminated.
I consent to both “personal data” and “sensitive personal data” being held on file and processed under the terms of the Data Protection Act 1998.
I understand that any offer of employment will be subject to a satisfactory medical clearance, DBS clearance, receipt of satisfactory references and sight of original evidence showing qualifications obtained. I undertake to provide Re:dish with sight of my original DBS certificate within 14 days of its issue date. I understand that failure to provide this within this timescale may lead to withdrawl of a conditional offer of employment or if employment has already commenced that it may lead to termination of my employment.
Signed Date ______
Your completed application should be returned to: Angie Stanton (Executive Director), Re:dish, St Elisabeth’s Rectory, 28 Bedford Street, Reddish SK5 6DJ or Emailed to
GUIDANCE NOTES FOR COMPLETING YOUR APPLICATION FORM
Completing the Form
This application form is the standard one for Re:dish and is used for all Re:dish posts. Should you require the application form in an alternative format or any assistance in completing the application please contact Angie Stanton at . Please use black ink or type to complete the form using any continuation sheets as necessary. If a section is not relevant to your application, please leave it blank.
It is important that the information you provide is correct. If you provide false information or deliberately omit any relevant facts, it may result either in disqualification from the selection process or where discovery is made after the appointment, dismissal or other disciplinary action.
The purpose of the "Other relevant information” section is for you to show how your experience, skills and abilities match the requirements for the post advertised. You will have received a comprehensive job description and person specification and you should ensure that your supporting statement reflects the requirements of the job. Provide information to fit the criteria listed in the job description and person specification. Remember that even though your skills and experience may not match the job directly, they may be transferable to the requirements of the job. Include unpaid or voluntary work where appropriate – experience is not confined to paid work.
Sign and date the declaration.
The declaration includes a statement regarding the Data Protection Act 1998. By signing the form you consent to Re:dish processing the data on your application form. Your completed application should be returned to the above postal or email address.
Disability
Disabled candidates who meet the essential criteria in the person specification will automatically be offered an interview. The Equality Act 2010 defines a disability as a “physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities”.
Disclosing information about cautions and convictions
Re:dish is a charity that works with children and vulnerable adults, therefore Re:dish needs to assess your suitability for the position you are applying for and is entitled to ask questions about your criminal record.
You are required to disclose certain information concerning your criminal cautions and convictions. You must disclose information about spent and unspent criminal convictions (other than a protected conviction) and spent and unspent cautions (other than a protected caution).
You are not legally required to disclose information concerning protected cautions and convictions. To determine if your caution or conviction is protected and whether or not you need to disclose it in your application, you need to refer to the relevant legislation, including the offences listed in The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013. Futher guidance on this is available at https://www.gov.uk/disclosure-barring-service-check and at www.unlock.org.uk.
Applicants who were over the age of 18 when the caution or conviction was issued
Do I need to disclose my conviction?
If your answer to any of the following 3 questions is ‘yes’, you will need to disclose your conviction:
1)  Is the conviction for a listed offence?
2)  Did you receive a custodial sentence/sentence of service detention?
3)  Have you been convicted of any other offence at any time?
If you answered ‘no’ to the above 3 questions, have 11 years or more passed since the date of the conviction?
If less than 11 years have passed since the time of the conviction, you will still need to disclose it.
Do I need to disclose my caution?
1)  Is the caution for a listed offence?
If your answer to question 1 above is yes, you will need to disclose your caution.
If your answer to question 1 above is no and you were over age 18 at the time of the caution, have 6 or more years passed since the time of the caution?
If less than 6 years have passed since the time of the caution, you will still need to disclose it.
Applicants who were under the age of 18 when the caution or conviction was issued
Do I need to disclose my conviction?
If your answer to any of the following 3 questions is ‘yes’, you will need to disclose your conviction:
1)  Is the conviction for a listed offence?
2)  Did you receive a custodial sentence/sentence of service detention?
3)  Have you been convicted of any other offence at any time?
If you answered ‘no’ to the above 3 questions, has 5 years and 6 months or more passed since the date of the conviction?
If less than have 5 years and 6 months have passed since the time of the conviction, you will still need to disclose it.
Do I need to disclose my caution?
1)  Is the caution for a listed offence?
If your answer to question 1 above is ‘yes’, you will need to disclose your caution.
If your answer to question 1 above is ‘no’, has 2 or more years passed since the time of the caution?
If less than 2 years have passed since the time of the caution, you will still need to disclose it.
All cautions and convictions for specified serious violent and sexual offences, as well as other offences relating to the safeguarding of children and vulnerable adults will always need to be disclosed. Applicants are strongly encouraged to refer to the extensive list of such offences which is available on the Disclosure and Barring Service website. The list of offences will be kept updated to reflect changes to legislation in the future.
If you have a conviction, further details should be sent in a sealed envelope to the Human Resources Department.
In the event that you are offered employment, any failure to disclose unprotected convictions or cautions could result in disciplinary action which may lead to your dismissal from the Re:dish. For this reason, if you are unsure about how the law applies to you, you are encouraged to seek legal advice before making your application.
All applicants who are offered employment will be subject to a criminal records check from the Disclosure & Barring Service (DBS) and any appointment will be subject to satisfactory clearance of this check and sight of the original Disclosure and Barring certificate.
Disclosing a criminal conviction will not automatically disqualify you from being considered for the post. Re:dish will determine whether your conviction needs to be considered depending on the type of post for which you have applied.
Disclosure information will be kept in accordance with the DBS Code of Practice.