Please complete this form using a computer.
Job position: / Ref No: / Closing Date:
Applications received after the closing date will not normally be considered. Incomplete applications and C.V.’s will be rejected. Completed forms should be submitted to
PERSONAL DETAILS
Surname: / First Name(s): / Title:
Previously known as (if applicable): / NI Number:
Address:
Postcode: / Email:
Telephone Number: / Mobile Number:
GENERAL QUESTIONS
Yes / No
Have you read the guidelines for completing the application form?
Are you committed to the Mission, Vision and Values of Muslim Aid?
Are you free to remain and take up employment in the UK with no current immigration restrictions?
Have you previously worked for Muslim Aid?
Are you related to a staff member or trustee at Muslim Aid?
If yes, please state their name:
Do you have any public service commitments (Cllr/JP)?
Do you hold a full, clean valid driving licence in the UK?
If No, please state why:
Where did you first hear about or see this vacancy advertised?:
Please state your current notice requirements:
Do you have any convictions that are unspent under the Rehabilitation of Offender’s Act 1974?
If yes, please give details / dates of offence(s) and sentence:
EDUCATION, QUALIFICATIONS AND TRAINING
Qualifications obtained from schools, colleges and universities and institutions.
Please list the most recent qualification first:
From
(MM/YY) / To
(MM/YY) / Place of study and course title / Qualifications and grades obtained
Professional Qualifications (if applicable)
Establishment / Membership / Level / Date
PRESENT OR MOST RECENT EMPLOYMENT
Job Title: / Grade/Scale (if applicable):
Name of Employer: / Date of Appointment:
Address of Employer: / Leave Date:
Period of Notice:
Salary/Wage:
Postcode:
Reason for Leaving:
Brief Description of Duties:
Please list previous employment (paid or unpaid) in date order starting with the most recent first, including any relevant unpaid voluntary work.
From
(MM/YY) / To
(MM/YY) / Employer / Job Title and brief description of duties / Reason for Leaving
PERIODS OF UNEMPLOYMENT
Please give information regarding periods of unemployment (e.g. travel, voluntary work)
(Please do not include any absences in relation to sickness)
LANGUAGES
Please list your knowledge of languages, indicating the level of fluency against each of the following:
Fluent = F / Intermediate = I / Basic = B
Language / Read / Write / Speak / Understand
PERSONAL STATEMENT – SKILLS, ABILITIES, KNOWLEDGE, QUALIFICATIONS AND EXPERIENCE
Please use this section to provide clear evidence of how you meet all the essential and any desirable requirements outlined in the Person Specification of the job. Please include any additional skills, abilities and experience that you feel may be relevant to the job you are applying for (1 page maximum).
LEISURE
Please make a note of your leisure interests, sports and hobbies and other pastimes.
REFEREES
Please give the names and addresses of two people who know you well and can provide current information about your suitability for the post you have applied for. One referee must be your present or most recent employer. We reserve the right to take up references from any other previous employer.
If you have not previously worked or have been away from work for some time please give a teacher, lecturer or other person who will be able to supply a reference for you.
Name of Referee One: / Position:
Address: / Telephone:
Email:
Postcode:
Name of Referee Two: / Position:
Address: / Telephone:
Email:
Postcode:
We will contact your referees prior to the interview if you are shortlisted. Please check the box if you do not wish us to contact your referees at this stage.
Reference 1: / Reference 2:
AVAILABILITY FOR INTERVIEW & APPOINTMENT
Please give any dates when you are NOT available for an interview. (We cannot undertake to avoid these dates, but we will try to do so):
When can you start work if appointed:
DECLARATION
Providing any misleading or false information or canvassing managers or trustees of the Organisation will disqualify you from appointment or if appointed will render you liable to dismissal without notice.
Please check the box to agree with the following statement
I hereby declare that the information given in this form is accurate and complete and I have understood and complied with the requirements laid down in the previous paragraph. I agree that the information given on this form may be used for registered purposes under the Data Protection Act of 1998. I consent to the storage of the above information on manual and computerised files.
Applicant’s Signature: / Date:
Please complete our recruitment monitoring form below.
RECRUITMENT MONITORING FORM
Muslim Aid is an accredited Investors in People equal opportunities employer. We aim to promote equality and inclusiveness in all our work. We have created this diversity questionnaire tounderstand the make-up of applicants that apply for our jobs. This information will be used to undertake detailed analysis of our advertising and recruitment strategies, investigating and addressing any potential areas of discrimination or negative impact for different applicant groups. This will enable us to meet our commitment of embedding equality and diversity at the heart of our activities and eliminating discrimination.
This information will be treated as confidential. It will only be used in creating statistics to assist us in analysing recruitment activity from an equality and diversity perspective.
Please answer all the questions. There is a ‘prefer not to answer’ option for some questions.
Position applied for:- Please indicate your gender (please tick one only):
Male / Transgender
Female / Prefer not to answer
- Please indicate your age group:
16-19 / 20-24 / 25-29 / 30-34 / 35-39 / 40-44
45-49 / 50-54 / 55-60 / 60-64 / 65+
- Please indicate your sexual orientation (please tick one only):
Heterosexual / Bisexual / Lesbian
Gay / Prefer not to answer
- Religion:
Atheism / Baha’i / Buddhism / Christianity
Hinduism / Islam / Jainism / Jehovah’s Witnesses
Judaism / Mormonism / Rastafari / Shinto
Sikhism / Spiritualism / Taoism / Unitarianism
Zoroastrianism / No Religion
Prefer not to answer / Other religion (please specify):
- Please self-define your ethnic group:
White / Asian or Asian British / Other
British / Bangladeshi / Arab
Irish / Indian / Chinese
Other (please state): / Pakistani / European (please state):
Other (please state):
Black or Black British / Mixed Ethnicity
African / White and Asian
Caribbean / White and Black African
Other (please state): / White and Black Caribbean
Other (please state):
Other ethnicity (please state): / I do not wish to declare my ethnic group:
- Do you have a disability*?
Yes / No / Prefer not to answer
*The Equality Act 2010 defines disability as “a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do normal daily activities”. Please click the link for more information on disability.
Thank you for completing your application and our recruitment monitoring form. Please submit your completed application to:
We wish you good luck with your application.