AGE UK BRENT

120 Craven Park Road. Harlesden. London. NW10 8QD

JOB APPLICATION FORM

Post title: 2 x Part-time Volunteer Coordinator or 1 x Full-time Volunteer Coordinator

Salary £14/hr

Closing date for completed applications: Friday 6th September 2013

1.Surname:...... Initials:......

Address:......

...... Post code:......

Tel:(day)...... Tel: (evening)......

  1. EDUCATION (from age 11)

School/College/University / From / To / Qualifications

3.TRAINING RELEVANT TO THIS JOB APPLICATION

Training Organisation / From / To / Subject studied/
qualifications obtained

4.EMPLOYMENT HISTORY

Current, or if unemployed, last employment

Name of employer:......

Address......

...... Post code:......

Telephone:......

Your job title:......

Length of service: From...... To......

Current salary:...... Notice required:......

Briefly describe your main duties in this post:

5.PREVIOUS EMPLOYMENT (starting from most recent)

Dates from/to / Employer / Job title/main duties / Reason for leaving

6.SUPPORTING STATEMENT

With reference to the job description and person specification, explain how your skills and experience match those we are seeking. Include an explanation as to why you are interested in the job. (Continue on separate sheet if necessary). Please also add any other additional information that you feel would support your application.

  1. REFERENCES

Please give details of two referees we may approach about your application. They should be able to comment on your experience and suitability for the post you are applying for. One of your referees should be your current, or most recent, employer. You must not use a member of your family as a referee. We normally take up references prior to interview unless, in the case of your current employer, you request otherwise.

A.MOST RECENT EMPLOYERB.OTHER REFEREE

Name:...... Name:......

Address:Address:

......

......

......

Post code:...... Post code:......

Tel:...... Tel:......

Status:...... Status:......

8.HEALTH

Please give details of any serious illness or injury in the last 2 years and the length of time this lasted.

9.CRIMINAL RECORD

Have you been convicted of any criminal offences including spent convictions?

YES/NO

If yes, please give details including the nature of the offence and the sentence imposed.

Please note: When applying for most jobs, the Rehabilitation of Offenders Act 1974 gives people the right not to reveal certain convictions after specified lengths of time. However, because work with Age Concern Brent involves access to people over the age of 65, you must disclose all convictions including spent ones. (Exceptions) Order 1986.

10.PRACTICAL SKILLS

Are you computer literate?YES/NO

Which computer software packages are you able to use?

11.WORK VISA/PERMIT

Are you required to have a UK work visa/permit?YES/NO

If so, do you have a valid visa/permit?YES/NO

Please note:The canvassing, directly or indirectly, of any member of Age Concern Brent Executive Committee or any employer of Age Concern Brent, by any applicant for a post in the organisation’s service, will disqualify the candidate from appointment.

Some information provided by you on this form may be held on a computer system and will subject to the constraints of the Data Protection Act 1984.

12.DECLARATION

I declare that to the best of my knowledge and belief, all statements in this application are correct and I understand that should I conceal any material fact I will if engaged, be liable to the termination of my contract of service, with such notice as may be appropriate.

Signature:......

Date:......

Please send your completed application form to:-

Age UK Brent

Daksha Chauhan-Keys

120 Craven Park Road

Harlesden

London

NW10 8QD

1