Confidential Application Form Please Follow the Guidance at the End of This Form

Confidential Application Form – please follow the guidance at the end of this form.

Application for employment as:

Please use a black pen or typed script / Please return this form by:
To:
or
Depression Alliance, 20 Great Dover Street, London SE1 4LX

TITLE

FIRST NAMES

LAST NAME

FULL ADDRESS

Where you are normally contactable /

E-MAIL ADDRESS

/ WORK TELEPHONE NO.
& times when we may contact you
PRIVATE TELEPHONE NO.
& times when normally available
What is your current occupation?
If appointed, when could you take up the job?

REFERENCES

Please give below details of two people whom we may contact for references. These will not be contacted unless you are offered the post. At least one of them should be a present or most recent employer or, if appropriate, a tutor. Please indicate in what capacity you know the referees.

Referee details / First Referee / Second Referee
NAME
JOB TITLE
FULL ADDRESS
TEL NO. (Home)
(Work)
Capacity in which known to you

EDUCATION

Please state if full or part time

Schools, colleges, universities attended / Dates attended
from until / Qualifications and grades obtained

PAID AND UNPAID EMPLOYMENT

(Including part-time or holiday jobs lasting more than six weeks). Please start with your present or most recent employment and work backwards

Present (or most recent) post:
Job Title:
Name of Employer:
Address of Employer:
Dates From: / To: / Current/ Last Salary
Main Responsibilities
Employment History
Dates
from until / Employer’s name and address / Job title and main responsibilities / Salary / Reason for leaving

APPLICATION

Please use this space to explain why you want to work for Depression Alliance and what you think you have to offer us. This is your opportunity to match your knowledge, skills and experience against the criteria set out in thejob description and person specification you have received. We will pay particular attention to this when short-listing candidates for interview. Please note that CVs will not be considered as a substitute for completion of this section. (up to 2 additional sheets of A4 may be attached if necessary)

ADDITIONAL INFORMATION

PROFESSIONAL QUALIFICATIONS / CAREER DEVELOPMENT

Please give details of any relevant courses or training you have attended. Include training provider, dates of attendance and length of course.

Provider /

From

/ To / Description/Qualification

IT SKILLS

Please give details of your computer skills. Name the operating systems and software packages which you have used.

DISCLOSURE OF CONVICTIONS

The above post is covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Please list all convictions both spent and unspent that apply to you. If none please state none.

If you have detailed a conviction, please use the space below to give circumstances/reasons and lessons learnt. This information is considered good practice in term of the Rehabilitation of Offenders Act 1974.

ELIGIBILITY TO WORK IN THE UK

Are there any restrictions placed on your working activity by the Home Office? YES/NO

If there are, please give details:

DECLARATION

I certify that the information given on this form and any attachments are correct. I understand that should there be any false statements or omissions, Depression Alliance reserves the right of dismissal. I also understand that employment with Depression Alliance will be subject to satisfactory references and verification of eligibility to work in the United Kingdom.

SIGNATURE OF APPLICANTDATE

DEPRESSION ALLIANCE

INFORMATION AND GUIDANCE NOTES FOR JOB APPLICANTS

Depression Alliance is an Equal Opportunities Employer and is committed to ensuring that equal opportunities are operated in practice as well as principle. We have careful procedures for recruitment, selection and appointment to help us make this policy fully effective.

The following guidance is intended to help candidates complete their application form.

Please complete the form in full, preferably using a word processor. If handwriting, please ensure black ink is used as application forms need to be photocopied.
Please do not attach a CV as an alternative or supplement. It is important that we compare candidate’s experience drawing on the same range of information. Statements in support of an application will often need to be longer than the space provided and these should be attached to the application form on a separate sheet(s).
In your supporting statement please refer to the “person specification”. When we prepare the shortlist we always look to see how well candidates meet these requirements. It is helpful if you use the sub-headings within your supporting statement or letter of application.
Please ensure that you address all points requested. Candidates’ responses to these items are an important part of ascertaining whether the applicant meets our criteria.
Short listing is always made on the basis of the experience detailed in the application. If you fail to address any or all of these tasks, it is highly unlikely that your application will be considered.
References. Please give your current or most recent employer as one of your referees: the full address and telephone number would be helpful. Your second referee should be someone who knows your work in a recent professional capacity.
As part of our equal opportunities practice we do not offer informal telephone guidance: it is important that those involved in the short listing stages are not compromised by an informal chat. However, if there are any aspects of the contractual details or the selection process which may not be clear, then you are welcome to discuss these with the Manager.

Equal Opportunities Monitoring

Depression Alliance is working to ensure equal opportunities for all volunteers, employees, customers and service users, the accessibility of our services to all sections of the population and sensitivity to individual needs, characteristics and cultural backgrounds. In light of this, we monitor our recruitment programmes to ensure that wherever possible, they reflect the diversity of British society. Depression Alliance is committed to challenging inequality and social exclusion throughout its day-to-day work.

Any data collected for monitoring purposes remains confidential to Depression Alliance. These forms are kept entirely anonymous. Do not mark them with your name. Under no circumstances will information you give here affect your selection or subsequent treatment as an employee.

This form is about how you define yourself. We’ve tried to give the space here for you to describe in your own words as much as possible. If there are any questions here which you’d rather not answer, please leave them blank.

1.Please tell us here if you believe you have been affected by depression or a related condition:

2.How would how you describe your racial origin. Please feel free to use your own description if none of the below fit.

Black☐Asian☐

White☐African☐

British☐Irish☐

Other European☐

Other (please specify): ………………..……………………………

4.Are you: Male☐Female☐

5.Do you consider yourself to have a disability? Please give more details if applicable.

Yes ………………………………………………No……………………………..

…………………………………………………………………………………..

6.Do you have children or any other caring responsibilities? Please give more details if applicable.

Yes …………………………No.………………………………………………………..