Application Form

CONFIDENTIAL

Please do not enclose a separate CV.

Return the form to Lucy Steiner, SMART CJS, Head Office Building B Slade Farm, Kirtlington Oxfordshire OX5 3JA or email to:

Application for the post of:

Location:

Where did you see the job advertised?

Personal details

Surname: First name(s):

Title:

Address (including post code):

Telephone: day time evening

E-mail address:

Do you have the right to work in the United Kingdom? Yes No

Please note that if successful with this application, you will be asked to provide proof of your right to work in the United Kingdom

Do you hold a full valid driving licence? Yes No


Education & Training

Education

School/College/University attended / Subject (full/part time) / Qualifications obtained
Examinations passed
Grade/Stage (if applicable)


Vocational, professional or other relevant training and qualifications

Please give details of qualifications obtained by examination, membership of professional bodies or other relevant training

Place of study / Subject(s) (full/part time) / Qualification/Membership & Grade


Employment History

Please give an account of your employment history, starting with your current, most recent post.

Include both paid and unpaid (voluntary) work.

If there are any gaps in your employment history please tell us how you used that time.

CURRENT

Name & address of employer / Date from/to / Job title and main responsibilities / Reason for leaving
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PREVIOUS

Name & address of employer / Date from/to / Job title and main responsibilities / Reason for leaving
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Relevant experience and skills

Please give details of any experience and skills which you feel are relevant to this post.

Include if appropriate details of experience and skills gained in previous jobs and in any other areas such as temporary work, voluntary work, studies or spare-time activities.

Please ensure that you refer to all the requirements of the Person Specification Criteria outlined on the job Description. Failure to complete this section correctly may prevent your application from been shortlisted

You may continue on a separate sheet if necessary.

Person Specification Criteria / Evidence of Skills, experience and knowledge required for the role
Relevant training/qualification e.g. DipSW, Counselling, Addictions, Social Care, Criminal Justice. or ability to demonstrate DANOS competences
Willingness to learn and receive training
Ability to engage with clients and develop constructive working relationships
Good Assessment and Recovery Planning Skills
Good Communication Skills based on an empathic approach
Good written skills in relation to case notes, emails and basic reports
Good relationship and liaison skills in working with colleagues and partners
Awareness of and ability to manage boundary issues involved in working with this client group
Good IT skills & Ability to organise tasks and work to deadlines
Good Group Facilitation Skills & Motivational Interviewing Skills
Knowledge of the application of the Cycle of Change
Knowledge of approaches to Recovery for alcohol and drug Misuse
Knowledge of Social Learning Theory and Cognitive Behavioural Theory in relation to Substance Misuse
Knowledge of Structured Intervention models such as ITEP mapping
Understanding of, and commitment to, Diversity practice
Good team player
Work with integrity and respect for others and be prepared to persevere
Self motivated and self aware with the ability to learn
Positive attitude towards working with change both with clients and within the organisation
Experience of working with working with substance misusers (both alcohol and drugs) or vulnerable people
Experience of working within a multi-disciplinary framework


Equal Opportunities Statement

SMART Criminal Justice Services is committed to equality of opportunity in the employment and development of staff and the delivery of client services.

Please state your understanding of Equal Opportunities practice and its relevance to this post.


Previous convictions

By virtue of the Rehabilitation of Offenders Act 1974 (exceptions order 1975), Section 4 (2), you are required to give details of all criminal offences for which you have been convicted.

Applications from ex-offenders/drug users are encouraged and convictions that are irrelevant to the job advertised will not be taken into consideration.

Have you ever been found guilty of a criminal offence? Yes No

If yes, please give details on a separate sheet and place in a sealed envelope.

Successful applicants will be asked to consent to a Police Vetting for some roles. In the event of an offer of employment, your written consent to this check will be required and refusal will prevent further consideration of your application.

References

Please give the name of two referees who can comment on your ability to undertake the post applied for.

One of your referees should be your current/last employer.

May we contact you at your place of employment? Yes No Not applicable

References will be taken up to support your application if you are shortlisted unless you state otherwise.

Referees details:

1) 
Email address: / 2) 
Email address:
Relationship to you: / Relationship to you:
Can this person be approached prior to interview?
Yes No / Can this person be approached prior to interview?
Yes No

If offered employment, when would you be able to start work? Date:

I confirm that to my knowledge the information given in this application is accurate.

Signature of applicant: ______Date: ______

Any false information knowingly given in this application will prevent further consideration of your application and if in employment may result in dismissal.

Please tell us if there are any dates when you will not be available for interview:

In accordance with its policy on equal opportunities in employment, the Employer will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of race, sex, sexual orientation, gender reassignment, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity.

In order to assess how successful this policy is we have set up a system of monitoring all job applications. We would therefore be grateful if you would complete the questions on this form. We have asked for your name to enable us to monitor applications at shortlisting and appointment as well as application stage.

All information will be treated in confidence and will not be seen by staff directly involved in the appointment. The questionnaire will be detached from your application form, stored separately and used only to provide statistics for monitoring purposes. Thank you for your assistance.

Post title:
Location:
Full name:
1. Gender: MALE/FEMALE* *Delete as appropriate
2. Age
3. Marital status: MARRIED/SINGLE/OTHER* *Delete as appropriate
4. Do you have responsibility for dependants? (Dependants relates to children, or elderly or other persons for whom you are the main carer.)
YES/NO* *Delete as appropriate
5. Do you have any disabilities?
YES/NO* *Delete as appropriate
6. Ethnic origin
(Relates to a sense of identity/belonging on the basis of race/culture).
I would describe myself as (choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background):
A White:
British
English
Scottish
Welsh
Irish
Other, please specify:
B Mixed:
White and Black Caribbean
White and Black African
White and Asian
Other, please specify:
C Asian, Asian British, Asian English, Asian Scottish or Asian Welsh:
Indian
Pakistani
Bangladeshi
Other, please specify:
D Black, Black British, Black English, Black Scottish, or Black Welsh:
Caribbean
African
Other, please specify:
E Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh, or other ethnic group:
Chinese
Other, please specify:
7. Where did you see this post advertised?
Data protection: Information from this application may be processed for purposes registered by the Employer under the Data Protection Act 1998. Individuals have, on written request [and on payment of a fee] the right of access to personal data held about them.
I hereby give my consent to SMART CJS processing the data supplied in this form for the purpose of recruitment and selection.
Applicant's signature: / Date:

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