Application Form for Post Of:Cyp Counsellor

4

CONFIDENTIAL

APPLICATION FORM FOR POST OF:CYP COUNSELLOR

CLOSING DATE:5:30pm on Wednesday 20th, January 2015

Please fill in all sections in black ink for photocopying purposes.

Beacon Counselling is committed to the safeguarding of children, young people, and adults.

All candidates must complete a satisfactory an enhanced DBS check at Beacon prior to being confirmed in post

PERSONAL DETAILS [BLOCK CAPITALS please]

Surname ______Forename(s) ______Date of Birth ______

Address ______

______Postcode ______

Telephone ______Mobile______

Email address ______

Are you prepared to travel for regular Supervision, Group Supervision, and Counsellor training?

YESNO(please tick as appropriate)

PLEASE CONFIRM THAT YOU HAVE THE RIGHT TO WORK IN THE UK: YESNO

(IF THE ANSWER IS NO THEN YOU ARE NOT ELIGIBLE TO APPLY FOR THIS POST)
EDUCATIONAL QUALIFICATIONS & TRAINING

Please include all relevant qualifications obtained and other courses attended, both past and present.

PRESENT OR MOST RECENT OCCUPATION

Please give a brief description of your role:

If applicable, your main reason for leaving this post:

PREVIOUS OCCUPATIONS - please enter most recent first and include any relevant voluntary work, and include explanations for any significant gaps in employment

EXPERIENCE AND SKILLS

Using the requirements listed in the enclosed Person Specification, please demonstrate how you would meet our requirements by giving relevant details of how you have gained your experience, skills and knowledge:

Please continue on a separate sheet if necessary

REHABILITATION OF OFFENDERS ACT 1974

Because of the nature of some aspects of the work for which you are applying, this post is exempt from the provision of Section 4 [ii] of the Rehabilitation of Offenders Act, 1974, by virtue of the Rehabilitation of Offenders Act 1974 [Exemptions] Order 1975, and you are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act and, in the event of appointment, any failure to disclose such convictions could result in the withdrawal of approval to work with BEACON.

Have you ever been convicted of a criminal offence, or are you at present the subject of criminal charges?YES NO

If YES, please give details: ______

______

______

Signature ______Date ______

N.B. If replying on line, you will need to sign here if you are invited to interview

REFERENCES [BLOCK CAPITALS please]

Please give the names of TWO REFEREES who are prepared to give an opinion as to your suitability for this work. ONE REFEREE at least should be your present or most recent employer, if your circumstances permit.

Reference 1

Name

Address

Role/Relationship

Telephone

Email

Reference 1

Name

Address

Role/Relationship

Telephone

Email

IN CONCLUSION

If you are appointed, what date will you be able to start work? ______

How did you learn about this vacancy? ______

I confirm that to the best of my knowledge the information given in this application is correct and true.

Applicant SignatureDate

N.B. If replying on line, you will need to sign if you are invited to interview

Please email your completed application to or post to April Manderson, Children’s Services Manager, Beacon Counselling, 203 Moss Lane, Bramhall, Stockport SK7 1BA

If you have any questions, then please call 0161 440 0055