Please read the notes on page 6 of this document and then complete this application form in black ink or typescript. Please take care to ensure this form is filled out with reference to the job specification. Applications will be considered on whether the applicant can provide evidence of meeting these requirements.
Application forthe post of: / Administration Assistant - Cypress / Closing Date: / 9.00am, 1st February 2018
Personal Details
Surname: / Maiden name:
Prefix:(Mr./ Mrs./ Miss/ Ms) / Forename(s):
Contact telephone no: / Email address:
Address: / Step One will make contact by email with regards to your application, but if this is not convenient please state how you would prefer to be contacted:
Postcode: / Current driving licence: / YES / NO
National Insurance no: / Car available? / YES / NO
Professional Registration (if applicable to post)
NMC PIN no: / Date of registration:
GSCC Registration no: / Date of registration:
Present Employment (This may include unpaid or voluntary work)
Name of employer:
Address:
Postcode: / Date appointed:
Place of work: / Salary:
Full / Part time: / If part time, hours per week:
Why do you wish to leave your present employment?
Previous Employment in the last 10 years (Please put most recent first)
Employer: / Post held and grade: / Employment dates: / Reasons for leaving:
General Education
Name of school:
Subjects obtained: / Level (GCSE etc.): / Grade: / Year obtained:
Further / Higher Education
College / University: / Qualification name: / Grade: / Year obtained:
Vocational qualifications
Details of courses attended: / Year obtained:
Qualifications currently being studied for: / Level / part: / Exam date:
Supporting information
Please describe what qualities, competencies and experience you would bring to the post. This may include an account of experience gained from previous employment or from your own journey of recovery:
Please continue on a separate sheet if necessary (attached at the end of this application form)
References (Step One cannot offer employment to any applicant without 2 satisfactory, signed references.)Reference 1 / Reference 2
Name of referee: / Name of referee:
Full
Postal Address: / Full
Postal
Address:
Postcode: / Postcode:
Email address: / Email address:
Telephone number: / Telephone number:
Relationship to you: / Relationship to you:
Can we contact this referee prior to interview? / YES / NO / Can we contact this referee prior to interview? / YES / NO
How did you hear about this vacancy?
Criminal Convictions
Do you have any unspent criminal convictions? / YES / NO
If yes, please give details of any unspent criminal convictions that you have:
Eligibility to work in the UK
Under the Asylum & Immigration Act (1996), Step One is required to and will perform identity checks on all new employees before they begin work, to ensure that they are legally allowed to work in the UK
Are you eligible for employment in the United Kingdom? / YES / NO
What documentation can you provide in order to demonstrate this? / Birth certificate YES / NO
British Passport YES / NO
Other …
Declaration
I hereby declare that I have read the notes and the details given above are, to the best of my knowledge, true. I am prepared to undergo a medical examination if required and there are no known health reasons which would prevent me from undertaking the duties of the post. I understand that if I am selected for this post, an application will be made to the Disclosure and Barring Service for the disclosure of any previous criminal convictions.
Signature of applicant: (Initial if sending by email) / Date:
Guidance Notes
Please read these guidance notes before completing the application form:
This application form has been designed to provide the head of department/manager with sufficient basic information to carry out a preliminary assessment of your suitability for the post. The information given will be treated in confidence by the officers involved in the appointment. You should use the Job Description and Person Specification as a guide to the information required.
General education: Please give details of GCSEs, GCE ‘O’ and ‘A’ Levels / CSE standard or equivalent.
References: Please give names and addresses of two persons from whom references may be obtained. It is in your own interests to seek their approval before quoting them as referees. Ideally these should be your present or most recent employer and one other person who would know you in connection with your work. Please state their position within the organisation or relationship to you. Where possible, please include an email address and contact telephone number for both referees.
Disclosure and Barring Service: All applicants should be aware that the Charity will require the disclosure of any previous criminal convictions held by the successful candidate. This will be obtained from the Disclosure and Barring Service and the Charity will abide by the DBS Code of Conduct, a copy of which is obtainable from the Chief Executive Officer. Disclosures will be obtained at the enhanced level and will include checks against the register for the protection of vulnerable adults (POVA) where the post is eligible for such checks. The existence of a criminal record will not necessarily result in the withdrawal of a job offer and will be discussed with the candidate before a decision is made. All disclosure documentation will be destroyed once the recruitment process has been completed.
Probationary Period: All posts are subject to a 26 week probationary period.
Supporting information:
Continued from page 3 of this application form
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