CAST (The Creative and Supportive Trust) _____ JOB APPLICATION FORM

44 Portland Place

London

W1B 1NE

Application for the post of :

Thank you for your interest in the above position at 44 PortlandPlace. Please complete all sections of this application form clearly and in black ink. If there is insufficient space in any section, please continue on a separate sheet of paper. You do not need to submit a CV with this application

If you are have a disability which requires us to adjust the recruitment and selection process, please contact us on 020 7631 3795. Similarly, please contact us if you require this documentation in a different format.

Declaration
I confirm that the information provided is, to the best of my knowledge, true and complete, and understand that providing false or misleading information could disqualify me from appointment or, if appointed, could lead to dismissal without notice.
In accordance with the Data Protection Act 1998 I understand and agree that the information I provide on this and accompanying forms will, if I am appointed, become part of my employee file. I understand that the information provided on this form may at some point be entered onto a computerised database.
*Signed / Date:
(type name if submitting by email)
* If you are submitting this form by email, please note that that emailing the application constitutes your personal
certification that thedetails you have given on the form are correct.
Your details
Surname: / Forename(s): / Title
Home address: /

Postcode:
Home telephone: / Work telephone:
Mobile telephone: / Can we contact you at work? / Yes / No
Email address:
Do you require a work permit to work in the UK? / Yes / No

1
Declaration

Education and Training

Your detail

Education and Training (Please list most recent first)
Please include secondary and further education / name of school/college / qualifications gained
Professional qualifications / professional organisation / membershipStatus

2

Employment History
Start with details of your most recent employer and detail any gaps in employment as fully as possible.
If you have never been employed or have been unemployed for some time, give details of other experience or training.
Please also provide details of any unpaid or voluntary work. / EMPLOYER’S NAME AND ADDRESS / POSITION HELD / MAIN DUTIES / Length of service

References

Please give details of two referees, one of whom must be your current employer or, if not currently employed, your most recent employer. If this is your first job, one of the referees should beone of your lecturers, a head teacher or similar. All appointments offeredare subject to receipt of satisfactory references.

REFEREE ONE / REFEREE TWO
Name: / Name:
Occupation: / Occupation:
Address / Address
Postcode: / Postcode:
Telephone: / Telephone:
Email: / Email:

3

Skills, Knowledge and Experience

Please ensure you make full use of this section by referring closely to the person specification and job description. Please address all points in the person specification and include:

•the reasons you are applying for this post

• details of any knowledge, skills and experience gained through work, voluntary or other activities

Please continue on a separate sheet if necessary

4

Additional information
Application for the post of :

Please provide the following information which will be kept separately from your completed job application form. If you are short-listed, we may choose to discuss the information at your interview.

Date of Birth:
Sickness record

Please state how many days sickness absence you have taken within the past 12 months, indicating the length of each separate period of absence, the reasons for absence and the month the absence occurred in. Information supplied may be confirmed with your current/most recent employer when calling for a reference and you may be asked to complete a health questionnaire.

Criminal record
Do you have any unspent criminal convictions? / Yes / No
If Yes please give details

A criminal record will not necessarily be a bar to appointment.

Termination of previous employment
Have you ever left a job for any reason other than resignation or end of a fixed term contract? / Yes / No
If Yes please give details

Please tick to indicate if you:

a) / have been previously employed by CAST
b) / have been a member or studied at CAST
c) / are related to any member of staff of member of the Board of Trustees

5

Equal Opportunities Monitoring

CAST (The Creative and Supportive Trust) is committed to equality of opportunity and will consider applications solely on the basis of merit and the ability to do the job. The information provided on this form is used for Equal Opportunities Monitoring only and will be kept separately from your application form

Any personal data collected will be held securely and confidentially and only used in accordance with the provisions set out in the Data Protection Act 1998.

Please complete the sections below by circling the categories or ticking the boxes where appropriate.

Date of Birth: / Gender:
Disability
Have you a disability that is covered by the Disability Discrimination Act? / Yes / No

When answering this question please note that under the Disability Discrimination Act 1995 you are considered to be disabled if you have a mental or physical impairment which has a substantial and long term adverse effect upon your ability to carry out normal day to day activities.

If Yes what is your impairment? Please tick any of the following that apply:

Mobility/wheelchair user / Blind/partially sighted
Deaf/hearing impairment / Autism/mental health/learning difficulty
Unseen impairment
(e.g. diabetes/heart disease/epilepsy/ dyslexia) / Other impairment *
*Please specify:
Ethnic Background

Please tick the box you consider best describes your ethnicity:

White British / Black or Black British
White Irish / Caribbean
Other White background / African
Other Black background
Asian or Asian British / White and Black Caribbean
Indian / White and Black African
Pakistani / White and Asian
Bangladeshi / Other Mixed background
Other Asian background
Chinese / Other ethnic background
Other Chinese background
Country of Birth: / Nationality: / Your postcode:

Thank you for completing this section of the form which will be detached and kept separately from your job application form.

6

Application submission
Please tell us where you saw this post advertised:
By ticking this box I consent to my details being retained for consideration for future, similar vacancies. Please note that applicants will not automatically be contacted should a similar vacancy arise and should continue to apply for vacancies advertised if interested.

Please return you completed application form by the closing date shown on the job advertisement to:

CAST (The Creative and Supportive Trust)

44 Portland Place

London W1B 1NE

Or emailed to:

We do not usually acknowledge receipt of applications – if you require an acknowledgement, please enclose a stamped, self addressed envelope. Otherwise, if you have not been contacted within3 weeks of the closing date, please assume that your application has been unsuccessful.

Thank you for applying for a post at CAST.

CAST (The Creative and Supportive Trust)

A Registered charity (No. 801381) a company (No. 2226947) limited by guarantee and registered in England

44 Portland Place, LondonW1B 1NE