Lawyers Eradicating Poverty

Advocates for International Development

Lawyers Eradicating Poverty

Post Applied for:
Closing Date: / Interview Date:

Application Form

THE INFORMATION SUPPLIED ON THIS FORM WILL BE TREATED IN CONFIDENCE.

Section 1 Personal details

Title: / Last Name:
First Names:
Address:
Postcode:
Home Telephone Number:
Mobile Telephone Number:
E-mail address:
National Insurance Number:
Are you eligible to work in the UK? /

Yes

No

Please state current Salary Package including benefits & holidays:
If you are successful you will be required to provide relevant evidence of the above details prior to your appointment.

Section 2 Education

Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:
College or University / Course / Qualifications and grades obtained / Dates to be included
School / Subjects / Qualifications and grades obtained / Dates to be included
Continue on a separate sheet if necessary
Professional, Technical or Management Qualifications
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 3 Employment Record

Previous Employment (most recent employer first). Please state nature of business - if not public sector Dates of all positions needs to be included
Name of Employer:
Address:

Postcode

Position Held:
Period of Employment (years, months):
Summary of duties:
Reason for leaving:
Name of Employer:
Address:

Postcode

Position Held:
Period of Employment (years, months):
Summary of duties:
Reason for leaving:
Name of Employer:
Address:

Postcode

Position Held:
Period of Employment (years, months):
Summary of duties:
Reason for leaving:
Name of Employer:
Address:

Postcode

Position Held:
Period of Employment (years, months):
Summary of duties:
Reason for leaving:
Name of Employer:
Address:

Postcode

Position Held:
Period of Employment (years, months):
Summary of duties:
Reason for leaving:

Continue on a separate sheet if necessary

A4ID is a registered charity in England and Wales no 1118565, and a registered company liminited by guarantee in England and Wales no 5907641, registered address The Broadgate Tower, 20 Primrose Street, London, EC2A 2RS, tel: +44 (0) 20 3116 2798, e:

Advocates for International Development

Lawyers Eradicating Poverty

Section 4 Rehabilitation of Offenders Act

Have you ever been convicted of a criminal offence that is not considered spent under the Rehabilitation of Offenders Act 1974? /

Yes

No

Have you any prosecutions pending? /

Yes

No

If yes, please give details / dates of offence(s) and sentence:

Advocates for International Development

Lawyers Eradicating Poverty

Section 5Skills, Knowledge and Experience

Taking particular account of the essential criteria listed on the Person Specification, please state what knowledge, skills and experience you have which are relevant to this post. Make sure that you give concrete examples to demonstrate your suitability. Please also state your reasons for applying.

Continue on a separate sheet if necessary

Section 6References

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. By providing these details, you confirm that you are happy for us to contact these individuals to tell them that you have applied for this role and to ask them all that we consider relevant to your suitability for it. You agree that the information and opinions obtained by A4ID from your referees will be confidential between them and A4ID.
.
Reference 1 / Reference 2
Name: / Name:
Their Position (job title): / Their Position (job title):
Work Relationship: / Work Relationship:
Organisation: / Organisation:
: / : / : / :
Address: / Address:
Postcode / Postcode
Telephone No: / Telephone No:
E-mail: / E-mail:

Yes

Section 7Declaration

I confirm that the information provided in this application and within my Curriculum Vitae is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references.
Signed: / Date:

Advocates for International Development

Lawyers Eradicating Poverty

Section 8Recruitment Monitoring Form

This sheet will be separated from your application form upon receipt and does not form part of the selection process. It will be retained purely for monitoring purposes and will not be looked at by anyone involved in decisions regarding selection for interview or appointment to the role.
Application for the post of:
To help us ensure that our Equal Opportunities Policy is fully and fairly implemented please COMPLETE THIS SECTION OF THE APPLICATION FORM.

All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information will be treated in the strictest confidence and will not be placed on your personnel file.

What is your Ethnic Group?
Choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background.
A. White /

D. Black or Black British

White UK / Black Caribbean
Irish / Black African
White non-UK / Any other Black background
(please give details):
Any other White background
(please give details):

B.Mixed

/ E. Chinese/Other Ethnic
White & Black Caribbean / Chinese
White & Black African / Vietnamese
White & Asian / Any other ethnic background
(please give details):
Any other Mixed background
(please give details):

C.Asian or Asian British

/ Prefer not to say
Indian
Pakistani
Bangladeshi
Any other Asian background
(please give details):
Gender
Male / Female
Disability
Disability is defined as “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”. An effect is long-term if it has lasted or is likely to last more than 12 months.

Do you consider yourself disabled?

Yes

If yes, please give details:
Age Group
16-25 / 26-35 / 36-45
46-55 / 56-65 / 66-70
Over 70
Media
Please state where you saw this post advertised