APPLICATION FOR EMPLOYMENT – ST JOSEPH’S CONVENT

CONFIDENTIAL

Please complete this Application Form and return by post or email to:

The Religious Sisters of Charity, 36 Mare Street, Hackney, London E8 4AD

Tel. 020 8525 4232

Registered Charity No. 231323 (England and Wales) and SC039185

1. / Application for the post of:
Closing date for application:
2. / First Name(s): / Surname: (capitals)
Address:
Postcode / Email Address:
Home Tel No: / Work Tel No. / Mobile No.
3. / Please quote your National Insurance No
4. / Do you require a Permit/Visa to work in the UK? Yes No
If yes, what sort of permit do you require?
5. / The Equality Act 2010 describes disability as “a physical or mental impairment which has
a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.”
St Joseph’s Convent welcomes applications from disabled people. Please advise us separately in writing when applyingif you would need any adjustments should you be invited for interview.
6. / Name and address of current or most recent employer:
Tel No: / Email:
Post held:
From: / To:
Band: / Gross annual salary £
Please state notice period
Reason for leaving:
7.
PREVIOUS EMPLOYMENT
Posts held in the last 10 years; most recent first. Agency posts must be marked *
Past Employer / Post Held / From / To / Reason for leaving
8.
EDUCATION & TRAINING
If called for an interview, originals of all examination certificates of any professional qualifications, and registration numbers are required. All details to be completed below:
School, college, University, etc / Qualifications and Subject / Level / Grade / Year
Relevant Training and Non-Qualification Courses attended
Professional Qualifications: / Level / Year / Renewal Date
(if applicable)
Awarding Body / Registration No.
9.
OTHER INFORMATION
Referring tothe Person Specification,please use the space below to let us know why you think you should be considered for this post including relevant details of any voluntary work or leisure activities/interests:
10.
REFERENCES
Please give names and addresses of two referees who, preferably, have knowledge of your work experience, at least one of whom should be your present or last employer or, if appropriate, your last school or college. Please state the reason, if you are unable to give a previous employer’s name.
Name:
Designation:
Address:
Tel No: / Fax No:
Email Address:
/ Name:
Designation:
Address:
Tel No. / Fax No:
Email Address:

(Please inform your referees if you have recently changed your name)

PLEASE NOTE THAT REFERENCES WILL ONLY BE TAKEN UP IF YOU ARE APPOINTED

11. Are you related to any member of St. Joseph’s Convent staff? Yes No
If yes, please give name and relationship:

REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS) ORDER 1975

Because of the nature of the work at St. Joseph’s Convent, posts are exempt from the provision of Section 4(2) of the Act. Having a conviction will not prevent applicants from being considered for posts. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act. If you are employed by the Convent, any information given will be completely confidential. Any failure to disclose such convictions will result in disciplinary action or dismissal.

12. Have you had any convictions? Yes No
If yes, give details on a separate sheet and attach in a sealed envelope marked “Personal and Confidential”

The Convent expects that you have had the work experience and qualifications stated on this application form.

The Convent reserves the right to terminate your employment with or without offence or payment in lieu where

(a) It is discovered you do not have the claimed qualification or expertise;

(b) You become disbarred from the appropriate Regulatory Body or Authority;

I understand that my appointment, if offered, will be subject to satisfactory health clearance.

I confirm that all information on this and any other form is correct and understand that false or misleading information may lead to dismissal. I also understand that the information will be entered onto computer and, under the terms of the Data Protection Act 1984, will be treated in a secure and confidential manner.

13. Signed / Date:
DUE TO THE VOLUME OF APPLICATIONS WE RECEIVE, WE ARE UNABLE TO ACKNOWLEDGE RECEIPT OF YOUR APPLICATION. IF YOU HAVE NOT HEARD FROM US WITHIN TWO WEEKS OF THE CLOSING DATE, PLEASE PRESUME THAT YOU HAVE NOT BEEN SELECTED FOR INTERVIEW.