Chief Executive
Application Pack

Closing Date: Sunday, 19th March 2017 at midnight.

Interview Dates:
First Interview, Thursday, 30th March 2017.
Second Interview, Wednesday, 5th April 2017.

Interview Location: RESTORE, Manzil Way, Cowley Road, Oxford, OX4 1YH.

Contents

CEO Job Description

Application form Declaration

Section One: Personal Details

Section Two:Referee Details

Section Three:Other Information

Section Four:Equal Opportunities monitoring form

Section Five:Reasons for application based on the Essential requirements of this role

Section Six:Supporting Information and any Voluntary Experience

Section Seven: Employment and Education History

Section Eight: Qualifications and Courses

RESTORE APPLICATION FORM

Please complete all the sections in this form BY USING A KEYBOARD AND TYPING ONLY and return it to:

RESTORE, Manzil Way, Cowley Road, Oxford, OX4 1YH or email to

Do NOT send a Curriculum Vitae as this will not be used as part of the selection process.

RESTORE believes strongly in equality and equal opportunities. We attempt to treat all applicants equally. In order to do this we do not give people short listing and interviewing access to personal information about applicants that they do not need to know.

People involved in the short listing and interviewing process will only see sections 3, 4, 5, and 6 of this form.

A Criminal Records Bureau Disclosure will be required for the successful applicant.

A criminal record will not necessarily be a bar to employment by RESTORE.

Signature

I certify that all the information given on this form is correct.

Signed / Date

Office Use Only

REFERENCE NUMBER / Interview Date
Interviewers / 1.
Application received on / 2.
Short listed (Yes/No) / 3.
Reference request sent / 1. / Post Offered (Yes/No)
2. / Candidate accepted verbally
Reference received / 1. / Appointment letter sent
2. / Starting Date
Reference Number / This page WILL NOT be seen by
The people shortlisting and interviewing.

Section One: Personal Details

Title (if used)
First Names
Last Name
Address
Post Code
Email address
Telephone (day)
Telephone (eve)

Section Two: Referees

Please give two referees who must not be related to you. You should include your most recent employer (or head teacher if you are a school-leaver). We will not take up references until after interview.

First Referee

/

Second Referee

Name / Name
Address / Address
Post Code / Post Code
Telephone / Telephone
Relationship / Relationship

Section Three: Other Information

Do you need a work permit to take up this post?
If you have a disability do you need any special arrangements to be made for interview?
If yes please give details.

Section Four: Equal Opportunities Monitoring Form

RESTORE is striving to be an equal opportunities employer and is opposed to discrimination on the grounds of gender, marital status, ethnic origin, disability, sexual orientation, or age.

In order to assess the effectiveness of our equal opportunities policy it is necessary to monitor job applicants in relation to ethnic origin, gender, and disability.

Ethnic Origin

Please tick one box only.

Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – Any Other Asian Background
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – Any Other Black Background
Chinese
Mixed - White and Asian
Mixed - White and Black African
Mixed - White and Black Caribbean
Mixed - Any Other Mixed Background
White – British
White – Irish
White - Any Other White Background
Any Other
I do not want to answer

Gender

Male
Female
I do not want to answer

Disabilities

Do you have any disabilities?

Yes
No
I do not want to answer

Section Five: Reasons for application based on the Essential requirements of this role

Please tell us why you want this job, and why you would be good at it.

Continue on separate sheet if necessary

Section Six: Supporting Information and Voluntary Exeperience

Please give details of your experience including Voluntary Experience, skills and knowledge that support your application. You are advised to use the person specification headings in this section.

Continue on separate sheet if necessary

Section Seven: Employment and Education History

The purpose of this section is to provide a complete history.

Please enter, in chronological order, everything you have done since age sixteen. This should include employment, education, travel, caring responsibilities, etc. If you leave gaps you may be asked about them at interview.

From / To / Position
(include salary if paid) / Brief description / Employer / School / College / University (if relevant)

Section Eight: Qualifications and Courses

The purpose of this section is to provide a complete list of all qualifications you have, and all training courses you have attended.

Please list all qualifications obtained by examination, membership of professional bodies, vocational and other training courses attended etc. Please enter information in chronological order, most recent first.

Date / Qualification / School/College/University/etc / Grade/Stage

Additional Information

Do you have a full, valid driving licence?
If appointed, when could you start?

Restore, Manzil Way, Cowley Road, Oxford, OX4 1YH • • 01865 455823

Company 1324318 • Charity 274222 • VAT No. 40832979