Application Form

Applicants are shortlisted for interview on the basis of the information supplied in the application form. It is therefore important that you provide all information relevant to the job.

Post Title: / Reference:
How did you hear about this vacancy: / Date:

PERSONAL DETAILS

Title (eg Mr, Ms, Mrs, Miss): First Name:
Surname/Family Name:
Address:
Post Code:
Tel. (home): / Tel. (mobile):
Tel. (work): / May we contact you at work?
E-mail:
Preferred method of contact: / Letter / Email / Phone

ELIGIBILITY TO WORK IN THE UK

The Asylum, Immigration and Nationality Act 2006 makes it a criminal offence for employers to employ a person who is not entitled to work in the UK. In compliance with this Praxis Community Projects asks prospective employees to produce relevant documentation. Successful applicants must provide relevant documentation before employment commences.
Are you eligible to work in the UK? / Yes / No

EDUCATION

Please tell us about your education and qualifications that are relevant to the post, including qualifications gained overseas. Include courses you are currently undertaking.
Subject
/
Level/Qualification and date gained
/
Institution where gained
Tick box if you are attaching additional sheet/s and write your name clearly on the extra sheet/s.

TRAINING AND OTHER RELEVANT EXPERIENCE

Please give details of any training you have received or courses which did not lead to a qualification but which you feel are relevant to the post. This can include formal and informal, in-house and external training.
Tick box if you are attaching additional sheet/s and write your name clearly on the extra sheet/s.
Please give details of any voluntary work or community activity you have done:
Tick box if you are attaching additional sheet/s and write your name clearly on the extra sheet/s.

EMPLOYMENT HISTORY

Please give details of all your work history starting with your most recent employment. Continue on a separate sheet if necessary. You can include any work experience placements if they are the most recent. Please include reasons for any breaks in employment.
Name of current/most recent employer:
Address:
Job Title:
Salary: / Employed from: / To:
Brief description of duties and purpose of the job:
Reason for leaving/intending to leave:
Name of Employer/Organisation:
Address:
Job Title: / Employed from: / To:
Brief description of duties:
Reason for leaving:
Name of Employer/Organisation:
Address:
Job Title: / Employed from: / To:
Brief description of duties:
Reason for leaving:
Name of Employer/Organisation:
Address:
Job Title: / Employed from: / To:
Brief description of duties:
Reason for leaving:
Name of Employer/Organisation:
Address:
Job Title: / Employed from: / To:
Brief description of duties:
Reason for leaving:

PERSONAL STATEMENT

After reading the job description and person specification please complete this section. By using relevant and specific examples, please demonstrate how you meet the criteria set out in the Person Specification. Invitation to interview for the position will depend on how well you meet the set criteria.
Tick box if you are attaching additional sheets. Write your name clearly on the extra sheet/s.

REHABILITATION OF OFFENDERS ACT

Under the provision of this Act you must give details of any unspent offences.
All successful applicants will be subject to a police check when the provisions of the Act apply, eg when the job entails working with children or other regulated activities (Schedule 4 of the Safeguarding Vulnerable Groups Act 2006, as amended by the Protection of Freedoms Act 2012).
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website.
The disclosure of convictions will not necessarily be a bar to employment and only relevant convictions will be taken into consideration at shortlisting or interview stage.
Have you any unspent criminal convictions or cautions? / Yes / No
If YES please give brief details, (the nature of the offence; place and date of judgement; sentence).

REFERENCES

Please give names, addresses and telephone numbers of two persons who can confirm your suitability for this position. This will usually be your present or most recent employer (paid or voluntary work). Relatives or partners are not acceptable as work references. All appointments are subject to the receipt of references satisfactory to Praxis Community Projects.
First Referee / Second Referee
Name: / Name:
Position: / Position:
Organisation: / Organisation:
Address: / Address:
Telephone: / Telephone:
Email: / Email:
How is referee known to you? / How is referee known to you?
Can we contact them prior to interview? / Can we contact them prior to interview?
If you were offered this position, how soon would you be available to start?
I certify that the information given on this form is correct to the best of my knowledge and I consent to Praxis Community Projects checking any information provided. If a false or misleading statement is found, I understand that my employment may be terminated without notice.
Signed / Date
All posts for Praxis Community Projects require an understanding of the needs of migrants and issues facing ethnic minorities in the U.K. In addition, we require a strong personal commitment to equal opportunities from all our employees.

Please complete the form in black ink or type and return to:

Praxis Community Projects, Pott Street, London, E2 0EF

EQUAL OPPORTUNITIES MONITORING FORM

COMPLETION OF THE FOLLOWING IS OPTIONAL

Praxis Community Projects is committed to ensuring equality of opportunity in our recruitment procedures and employment practices. To help us identify possible inequalities and barriers to employment, we would appreciate your cooperation by completing this form.

The information provided will not be shared with the interview panel and will not influence any part of the selection process. All information you disclose will be treated confidentially and will only be used for statistical and monitoring purposes.

Post: Reference:

Where did you find out about this vacancy?:

GENDER
Female
Male
Transgender
Do not wish to answer
AGE
16 - less than 20
20 - less than 25
25 - less than 30
30 - less than 40
40 - less than 50
50 – 65
65 and over
Do not wish to answer
SEXUAL ORIENTATION –
Do you consider yourself to be:
Heterosexual
Lesbian
Gay man
Bisexual
Do Not wish to answer
REFUGEE STATUS –
Are you or have you ever been:
Refugee
Asylum seeker
Neither
Do not wish to answer
RELIGION
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Other
None
Do not wish to answer
ETHNIC ORIGIN -
These categories enable us to make comparisons with census data.
How would you describe yourself:
White
British
Irish
Other European
Other White background, please specify:
Black / Black British
African
Caribbean
Other black background, please specify:
Asian/Asian British
Bangladeshi
Indian
Pakistani
South East Asian
Other Asian background, please specify:
Mixed
White / Asian
White / Black African
White / Black Caribbean
other mixed background, please specify:
Other
Chinese
Latin American
Middle Eastern
Any other background, please specify:
Do not wish to answer
DISABILITY –
Would you describe yourself as having a disability?
No
Yes
Do not wish to answer

DISABILITY MONITORING FORM

COMPLETION OF THE FOLLOWING IS OPTIONAL

The Disability Discrimination Act defines a person as having a disability if you have a “physical” or “mental” impairment, which has a substantial and long-term effect on your ability to carry out normal day to day activities.

An employer is required under law to make “reasonable adjustments” to working conditions in order to enable disabled applicants to have Equal Access to employment.

Do you consider yourself to have a disability?

Yes

No

If you answered YES, are there any information Praxis Community Projects should know in order to offer you a fair selection/interview process should you be shortlisted for interview? (e.g. sign language, interpreter, ground floor venue etc.)

Please highlight your preferred method of contact:

Telephone / E Mail / Letter

If appointed, Praxis Community Projects will work with you to make reasonable adjustments in order to accommodate you in the role.

Thank you for providing us with this information. Please return this form with your completed application.

DATA PROTECTION ACT:

Information on this form may be held on manual files and on computer. Strict confidentiality will be observed and disclosures will only be made for personnel administration purposes.