PART 1
For Admin Use Only
App Number
Job Reference / 2012/f&F/BSS

HULL & EAST RIDING CITIZENS ADVICE BUREAU

APPLICATION FOR EMPLOYMENT

2 Charlotte Street MewsHull HU1 3BQ

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CONFIDENTIAL

IMPORTANT – PLEASE READ CAREFULLY

Please complete this form in black ink or type (minimum font size 12) to enable clear photocopying and return it to the above address.

We wish to ensure that comparison between applicants is fair and in line with the CAB’s Equal Opportunities Policies. To this end the application form is divided into two parts.

Part 1 contains your personal information, which is required for administrative purposes only and will not be seen by those involved in the recruitment and selection process prior to short listing and interview.

Part 2 asks for information regarding your skills, experience and qualifications for the job. It will be matched against the Person Specification and is crucial in the short-listing process. This format will ensure that discrimination cannot take place at short-listing.

Please note that both parts and all sections of the application form must be fully completed.

Post Applied For:

Where did you see this post advertised?

CANDIDATE DETAILS

Surname/family name: ______First name: ______

Address: ______Telephone number:

______Home: ______

______Work: ______

______May we contact you at work? YES/NO

Postcode: ______

Date of birth: ______(retirement age is 65 years)

When would you be available to take up the post? ______

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REFERENCES

Please give below the name and address of two referees who can comment on your suitability for the post. These should not include relatives or purely personal friends. If you have been employed we would normally seek a reference from your present or most recent employer.

First Referee Second Referee

Name: ______Name: ______

Position held: ______Position held: ______

Address: ______Address: ______

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______

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Postcode: ______Postcode:______

Telephone number: ______Telephone number: ______

References will only be taken up for the successful applicant.

EQUAL OPPORTUNITIES

STATEMENT OF INTENT

Hull & East RidingCitizens Advice Bureau recognises the existence of widespread prejudice and discrimination in society on many grounds including those of class, sex, marital status, domestic commitments, disability, race, colour, culture, nationality, ethnic or national origin, religion, sexual orientation, trade union activity and political beliefs.

Hull & East Riding Citizens Advice Bureau aims to be an Equal Opportunities organisation. It commits itself to abiding by the law currently in force in respect of sexual discrimination, race relations and the employment of disabled people. It acknowledges that promotion of good practice in the field of equal opportunities imposes greater obligations than the law recognises.

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DATA PROTECTION ACT 1998

As part of the recruitment procedure we may collect and store sensitive personal data about you. We are required by law to obtain your consent to such data being recorded. It is our policy to store data relating to recruitment procedures for 12 months after the date on which it is submitted, for internal auditing purposes. Any information of this nature will be treated confidentially.

Sensitive personal data is defined as information relating to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.

For the purposes of the Act, the Data Controller is Lesley Thornley, Chief Executive, Hull & East Riding Citizens Advice Bureau.

I give my consent to sensitive personal information being recorded and stored.

Signature: ______Date: ______

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Please sign the declaration below:

DECLARATION

The information on forms Part 1 and Part 2 is true and correct to the best of my knowledge.

Signature:______

Date: ______

M:\OLDSERVER\BUREAU ADMINISTRATION\Recruitment New\EAST YORKSHIRE RECRUITMENT\APPLICATION FORM.PART1\Application Form Part 1.doc