The Bridge JOB APPLICATION FORM

The Bridge JOB APPLICATION FORM

81 Southwark Bridge Road

London SE1 0NQ

Application for the post of :

Thank you for your interest in the above position at The Bridge. Please complete all sections of this application form clearly. If you choose to complete manually, please do so in black ink. If there is insufficient space in any section, please continue on a separate sheet of paper. You do not need to submit a CV with this application.

If you are have a disability which requires us to adjust the recruitment and selection process, please contact us on 020 7089 6250. Similarly, please contact us if you require this documentation in a different format.

Declaration
I confirm that the information provided is, to the best of my knowledge, true and complete, and understand that providing false or misleading information could disqualify me from appointment or, if appointed, could lead to dismissal without notice.
In accordance with the Data Protection Act 1998 I understand and agree that the information I provide on this and accompanying forms will, if I am appointed, become part of my employee file. I understand that the information provided on this form may at some point be entered onto a computerised database.
*Signed / Date:
(type name if submitting by email)
* If you are submitting this form by email, please note that that emailing the application constitutes your personal certification that the details you have given on the form are correct.
Your details
Surname: / Forename(s): / Title
Home address:
Home telephone: / Work telephone:
Mobile telephone: / Can we contact you at work? / Yes / No
Email address:
Do you require a work permit to work in the UK? / Yes / No
EDUCATION AND TRAINING
Education and Training (Please list most recent first)
Please include secondary and further education. / name of school/college / qualifications gained
Professional Qualifications
(if relevant) / professional organisation / membership Status
EMPLOYMENT HISTORY
Start with details of your most recent employer and detail any gaps in employment as fully as possible.
If you have never been employed or have been unemployed for some time, give details of other experience or training.
Please also provide details of any unpaid or voluntary work. / EMPLOYER’S NAME AND ADDRESS / POSITION HELD / MAIN DUTIES / LENGTH OF SERVICE
REFERENCES

Please give details of two referees, one of whom must be your current employer or, if not currently employed, your most recent employer. If this is your first job, one of the referees should be one of your lecturers, a head teacher or similar. All appointments offered are subject to receipt of satisfactory references.

REFEREE ONE / REFEREE TWO
Name: / Name:
Occupation: / Occupation:
Address / Address
Postcode: / Postcode:
Telephone: / Telephone:
Email: / Email:
ABOUT YOU: Skills, Knowledge and Experience

Please ensure you make full use of this section by referring closely to the person specification, key competencies and job description.

Please address all points in the person specification and include the reasons you are applying for this post and details of any knowledge, skills and experience gained through work, voluntary or other activities. Please continue on a separate sheet if necessary.

Additional information

Please provide the following information which will be kept separately from your completed job application form. If you are short-listed, we may choose to discuss the information at your interview.

Sickness record

Please state how many days sickness absence you have taken within the past 12 months, indicating the length of each separate period of absence, the reasons for absence and the month the absence occurred in. Information supplied may be confirmed with your current/most recent employer when calling for a reference.

Criminal record
Do you have any unspent criminal convictions? / Yes / No
If Yes, please give details:

A criminal record will not necessarily be a bar to appointment.

TERMINATION OF PREVIOUS EMPLOYMENT
Have you ever left a job for any reason other than resignation or end of a fixed term contract? / Yes / No
If Yes please give details

Please tick to indicate if you:

a) / have been previously employed by the YWCA Central Club
b) / have been a member or studied at the YWCA Central Club
c) / are related to any member of staff of member of the Board of Trustees
Application submission
Please tell us where you saw this post advertised:

Please return you completed application form by midnight on Sunday 28th February 2016 to:

Sarah Hicks

The Bridge
81 Southwark Bridge Road

London SE1 0NQ

Or emailed to:

We do not acknowledge receipt of applications. If you have not been contacted within 2 weeks of the closing date, please assume that your application has been unsuccessful.

Thank you for applying for a post at The Bridge.

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The Bridge is the working name of the YWCA Central Club, a registered charity (No. 1071315) and a company (No. 3606940) limited by guarantee and registered in England. VAT No. GB 135 5256 20. Registered Office: 73 – 81 Southwark Bridge Road, London, SE1 0NQ

Equal Opportunities Monitoring

The YWCA Central Club is committed to equality of opportunity and will consider applications solely on the basis of merit and the ability to do the job.

The information provided on this form is used for Equal Opportunities Monitoring only and will be kept separately from your application form.

Any personal data collected will be held securely and confidentially and only used in accordance with the provisions set out in the Data Protection Act 1998.

Please complete the sections below by ticking the boxes where appropriate.

Date of Birth: / Gender:
Ethnic Background

Please tick the box you consider best describes your ethnicity:

White British / Black or Black British
White Irish / Caribbean
Other White background / African
Other Black background
Asian or Asian British / White and Black Caribbean
Indian / White and Black African
Pakistani / White and Asian
Bangladeshi / Other Mixed background
Other Asian background / Not stated
Chinese / Other ethnic background
Other Chinese background
Country of Birth: / Nationality: / Your postcode:

Thank you for completing this section of the form which will be detached and kept separately from your job application form.

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