Position Applied For:
Candidate Ref:Section One: Personal Information
Full Name:
Address:
Home Telephone Number:
Mobile Telephone Number:
Email Address:
Please indicate clearly if it would be unacceptable for us to contact you or leave a message at any of these numbers.
Section Two: For applicants with disabilities
Please use this space to let us know about anything you would need to enable you to fully participate in an interview for this post. Any information disclosed here will be treated confidentially and will not be considered in the selection process. If you would prefer to discuss your requirements, please contact Galop on 020 7697 4081.
Section Three: Declaration
I declare that the information given in this form is correct. I understand that giving incorrect, false or misleading information may result in the termination of my contract if I am appointed.
Signed: Date:
Section Four: Employment History
Please give details of your employment history including unpaid or voluntary work. Please start with your current or most recent job.Please do not enclose a CV as it will not be considered.
- Name and Address of Employer
Job Title
Salary (if paid)
Dates Employed
Reason for Leaving
Description of your role
- Name and Address of Employer
Job Title
Salary (if paid)
Dates Employed
Reason for Leaving
Description of your role
- Name and Address of Employer
Job Title
Salary (if paid)
Dates Employed
Reason for Leaving
Description of your role
- Name and Address of Employer
Job Title
Salary (if paid)
Dates Employed
Reason for Leaving
Description of your role
Please continue on separate sheets as necessary.
Section Five: Qualifications and Training
Please give details of any relevant qualifications and training (including dates, duration and grades as appropriate). Please start with the most recent.
Section Six: Person Specification
Please use this section to demonstrate how your skills, knowledge, experience and attitudes match the Person Specification by answering each point in turn. You may continue on separate sheets if necessary.
Guidance:
Please note that when the question asks for experience you should detail when you have done this task, how you did it and show how your experience is relevant to this role.
When a question asks for ability you should explain what makes you able to undertake the task, referring to past experience or transferable skills. For example, you may not have experience of using a particular computer program but your high level of computer literacy may indicate that you will have the ability to use it once trained. Say how you would carry out the task and what would be particularly important.
When a question asks for understanding you should show your understanding in your answer by discussing the topic or task and stressing key issues. For example, it will not be acceptable to simply write, “I understand and adhere to equal opportunities” since this does not demonstrate any understanding.
Please delete this sentence and type your answer here using as much space as you need.
Section Seven: References
Please give details of two people that would be willing to act as referees. One of them should be your current or most recent employer. We will not contact them before the interview without seeking your permission.
Reference One:
Title
Name
Organisation
Address
Telephone Number
Capacity in which you know this person
Reference Two:
Title
Name
Organisation
Address
Telephone Number
Capacity in which you know this person
Section Eight: Criminal Record
In line with safeguarding practice, Galop undertakes enhanced DBS checks for all team members. Please give details of any convictions that are not considered spent under the Rehabilitation of Offenders Act 1974. Please note that Galop recognises the inequality of LGBT+ people before the law. Each situation will be assessed on its individual merits, according to the circumstances of the conviction and the role applied for. Galop invites applicants with concerns to initiate an open and honest conversation with us beforehand.
Thank you for completing this application form. If you have any questions, please do not hesitate to contact Galop on 020 7697 4081. Please return your completed form by email to by post to Galop, 356 Holloway Road, London, N7 6PA
Registered Charity: 1077384. Company Limited by Guarantee: 2969307. Registered as Lesbian, Gay and Bisexual Anti-Violence and Policing Group.