Balance Mission
“Through delivering excellent services, leading by example and influencing policy decisions, Balance will break down
the barriers that prevent vulnerable people achieving their life goals.”
Application Form
Please use black font colour as this form
will be photocopied
PersonalDetails
Qualifications
Qualifications
Please give details of all your qualifications, including professional qualifications. Proof of relevant professional qualifications/ status will be required before an appointment is made.
Other relevant training courses completed
Organising body and title / Brief description of course content / YearDetails of last or current employment
Briefly describe your current/most recent position, highlighting skills, duties and responsibilities, or experience relevant to the post which you are applying.
Details of all previous employment (including voluntary, holiday, home-based, part time work). Please provide full contact details of previous employment in the care or education sectors.
Please detail any gaps inemployment that are longer than two months in this section.
Dates of employment (Month & Year) / Employer’s full name and address / Job Title, Salary & brief description / Reason for Leaving
Supporting Statement
Using the job description as a guide, please summarise how you meet the requirements for the post. Please use examples to illustrate how you meet the person specification and why you are best suited to this position. Continue on a separate sheet if required
References – one reference must be from your previous employer.
The Rehabilitation of Offenders Act (Exemptions) Order 1975 applies to this post.
This means that you must disclose ALL criminal convictions (including those defined as spent under the Rehabilitation of Offenders Act), cautions, reprimands, final warnings, motor offences and any other information that may have a bearing on your suitability for the post, such as if your suitability to work with children or vulnerable adults has ever been questioned.
Failure to disclose any convictions / reprimands / cautions / final warnings or any other relevant information, may disqualify you from employment or result in your later dismissal. The Act does not provide any means of enforcing a person’s right not to be refused employment.
Date / Nature of convictions / reprimands / cautions / final warnings / other relevant information: (Please include dates)Do you have any outstanding cases waiting to be heard?
No Yes – give date (if known) and details:
Have you ever been barred from working with children/young people/vulnerable adults
YesNo
Have you ever been dismissed from any previous employment?
Yes No
If yes, please give details ______
______
Equal opportunities monitoring information
Our policy is to ensure that no job applicant or employee receives less favourable treatment because of, or is disadvantaged by, any conditions or requirements that cannot be shown to be justifiable. To assist us in checking that this policy is carried out and for that purpose only, it would be help if you could complete the following. You are under no obligation to complete this section. It will not affect your application in any way.
Male / Female Date of Birth
The following definition may provide a useful framework for candidates to consider whether their condition would be considered as a disability. The Equality Act 2010 defines disability as a physical or mental impairment, which has substantial and long tem adverse effect on a person’s ability to carry out normal day-to-day activities
Do you consider yourself to have disability?
YesNo
Please let us know if you require additional support during the application or interview process. We will always try to accommodate reasonable adjustment throughout our recruitment process.
Ethnic Origin
To which ethnic group do you belong? Put a circle against one of the groups below:
White (UK) / Black Caribbean / BangladeshiWhite (other) / Black African / Indian
White (European) / Black (other) / Asian (other)
Irish / Pakistani / Turkish Cypriot
Other, please specify
Please state where you heard about job opportunities at Balance
______
Under the Immigration Asylum and Nationality Act 2006 – it is a criminal offence to knowingly engage a person aged 16 or over who is subject to immigration control and who has no permit to undertake work in the UK or who is working in breech of conditions to work in the UK.
Please confirm your nationality ______
Are eligible to undertake work in the UK? YES NO
The information on this form is correct. I understand that if I tell you something which I know is wrong or misleading, or I do not give you information which is relevant to my application, you may reject my application or, if I get the job, take disciplinary action, including dismissal.
Your signature: ______Date: ____ / ___ /____
PLEASE E-MAIL THIS COMPLETED APPLICATION FORM TO BALANCE AT
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