NORTH YORKSHIRE

Ref. No Ins.05/12/………………

Application for the post of: INSURANCE SUPERVISOR

Closing date: close of business 18th May 2012

(Note, where possible, please type or use black ink as photocopies are likely to be required)

Personal Details

Surname(Mr/Mrs/Miss/Ms) Forenames
Home Address: Address where you may be contacted:
(if different from your home address)
Telephone No. (Home) (Business)

Education

General Education GCSE Subjects etc / Grade / University of Further/Higher Education (e.g. Degrees, Professional Qualifications) / Level/ Part
Qualifications currently being studied for / Level/Part

Present Employer (or last employer if not in employment)

Please give the following details:

Name and Address of Employer:
Telephone Number:
Position held and brief description of duties (please give serial number if in the Forces)
Present Salary/Wage…………………………………………pa/pw
Reason for Leaving (if no longer employed)
Dates: to: from:

Previous Employers

Please give details of your 3 most recent positions.

(Continue on a separate sheet if necessary).

Name and Address of Employer / Position Held and Brief Description of Duties / Reason for Leaving
Other Work Related Experience/Relevant Volunteering Experience

INFORMATION IN SUPPORT OF YOUR APPLICATION

Please read the job description and job specification carefully, and then explain how your knowledge, skills and experience relate to this post. These could have been gained through paid employment, domestic responsibilities, voluntary/community work, spare time activities and training. Please state the qualities you could bring to this post, highlighting specific skills, knowledge, abilities or other relevant factors in support of you application including any significant achievements. (Continue on no more than 2 additional sheets of A4 paper)
Are you related to a Member or Senior Officer of this Organisation? YES/NO
If so please give details.
Do you hold a current driving licence? YES/NO
If YES is it FULL/PROVISIONAL.
Do you own your own vehicle? or Do you have access to a vehicle?

YES/NO YES/NO

References

The names and addresses of two referees, who have consented to provide a reference on your behalf, should be given below. If you do not wish one, or both referees to be approached prior to interview please place an asterisk(*) in the box(es) provided.
Name and address of a person who will supply an
Employer’s reference.
(Most recent as possible) / Name and address of one other person who can comment on your credibility and capability to do the post.
Notes:
Canvassing of Senior Officers or of Members of the Employing Authority or of any Committee, directly or indirectly, for this appointment will disqualify the candidate for appointment.
A candidate who is offered an appointment but declines the offer or fails to take up duties may not be paid expenses associated with the interview.
The completed application form should be returned to: Age UK North Yorkshire
9,North Park Road
Harrogate
HG1 5PD
Please give details of how you learned of the vacancy applied for (e.g. in which paper/publication or through which one of our departments)
Rehabilitation of Offenders Act 1974
You are asked to note the following paragraph carefully and give any necessary information at interview:
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Order 1975. Applicants 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 employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies.
I have read the above statement and understand it.
Signed………………………………………….. (Applicant) Date……………………………………
The information given in this application form is correct and complete.
Signature of application…………………………………….. Date…………………………………..

Applicants who have not heard from us within 10 working days of the closing date are thanked for their application and are asked to assume that it has been unsuccessful on this occasion – thank you for the interest you have shown in Age UK North Yorkshire.

Please confirm you meet the requirements of the personal specifications.

Yes / No
Organisational and time management skills
Experience of working with older people
Ability to work on own intiative and achieve outcomes/targets
Experience of managing staff/volunteers
Experience of record –keeping and data entry
Experience of marketing/promotion/publicity work
Experience of analysing and interpreting management data
Previous experience of insurance/financial services work
Networking and communication skills
Computer literate
Experience of project delivery and development
Clean driving licence and use of vehicle