NSSAP APPLICATION FORM

GENERAL INFORMATION

Position Applied For:
Surname: / Forenames:
Daytime Tel / Evening Tel / Mobile
Address for correspondence:
E-mail address:
Do you hold a full driving licence?
Do you own a car?
Period of notice required by present employer:
What is your expected salary for this position?
References: Please give names, full postal addresses (including post code) and telephone numbers of two referees. Applicants should include their current or most recent employer. Should the period of employment not exceed three years, the name, full postal address (including post code) and telephone number of prior employer is required
1. Current Employer / 2. Professional /Customer Reference

May referees be approached prior to interview?
Criminal convictions:This post involves working with Vulnerable Adults and Children and is therefore an exception within the definitions of theRehabilitation of Offenders Act 1974.
Have you ever been convicted or cautioned of a criminal offence?
If Yes, Please declare all spent and unspent convictions or cautions.
Do you hold a recent (3 months) EnhancedCriminal Records Bureau (CRB) Certificate for a similar role?
Employment compliance requirements:
Do you require a work permit to take up the post; YES/NO
National Insurance Number:
NSSAP is an Equal Opportunities employer. Please indicate if there are any reasonable adjustments that may be considered to enable you to perform the duties of this post:
Any offer of employment would be subject to employment clearances.

AVAILABILITY FOR INTERVIEWS

Please confirm whether you are available for interview on the following dates:

Initial telephone interview
Interview panel / 17 July 2015

CURRENT OR MOST RECENT POST

Dates
From / To / Length of Service (years) / Gross Annual Salary
On starting / Current or
On leaving
£ / £
Job Title:
Name and address of employer:
Brief description of role and responsibilities:
Reasons for wanting to leave or for leaving:

PREVIOUS POST

Dates
From / To / Length of
Service (years) / Gross Annual Salary
On starting / On leaving
Job title:
Name and address of employer:
Brief description of role and responsibilities:
Reasons for leaving:

EARLIER POSTS

Name and address of employer:
From: To: Length of service:
Brief description of role and responsibilities:
.
Reasons for leaving:
Name and address of employer:
From: To: Length of service:
Brief description of role and responsibilities:
Reasons for leaving:
Name and address of employer:
From: To: Length of service:
Brief description of role and responsibilities:
Reasons for leaving:
Name and address of employer:
From: To: Length of service:
Brief description of role and responsibilities:
Reasons for leaving:

Continue on additional sheets if necessary

EDUCATION

Secondary, Advanced Secondary or Technical Education
Name and address of Establishment / Period of Study
From / To / Total Length / Qualifications obtained. State main subjects and grades.

HIGHER EDUCATION

University or other Establishment / Period of Study From / To / Total Length / Qualifications obtained. State main subjects and grades.

GENERAL, SPECIALIST AND FURTHER TRAINING COURSES

University or other
Establishment / Period of
Study
From / To / Total Length / Subject/Competence Area

SKILLS

How would you describe your skills in the following:
Intermediate / Advanced
Microsoft Word
Microsoft Excel
Microsoft Powerpoint
Microsoft Outlook
Please describe your skills with any other software you use:
Please describe any other skills you have which are relevant to this role.

ADDITIONAL INFORMATION

If you answer yes to any of the following questions on this page, please specify on a separate sheet and email this to us along with your application.
YES / NO
Have you ever been dismissed from employment for a reason other than redundancy?
Are you related to, or a personal friend of, a member of NSSAP or its staff?
Do you require a work permit to take up employment in the UK?
Have you ever been suspended or been subject to disciplinary action in any post you have held?
Please explain why you have applied for this role.
Maximum 500 words
Describe your leadership and management experience.
Maximum 200 words
Describe your experience in the charity/voluntary sector.
Maximum 200 words
Please provide any other information relevant to your application.
Maximum 200 words

DECLARATION

I declare that the information provided above is true and complete.
Date and signature (typing your name into this box indicates your signature):

Please return this form by, with a copy of your CV to:

(email)

Closing Date: 6 July at 5.00 pm

1