AGEUK HARROW
Application Form for Employment
Please complete all sections clearly in black ink or type, using additional sheets if required
All information will be treated as strictly confidential.
1. Personal Information
a. Post applied for ......
b. Surname ...... First Name ......
Title ......
Home address ......
......
Postcode: ………………………………….
Tel Nos: Home ...... Mobile …………………….
Work ......
May we contact you at work? YES/NO
c. Are you required to hold a work permit? YES/NO
d. Do you have a disability? YES/NO
If ‘yes’, is this relevant to your application? YES/NO
If ‘yes’, please describe the disability. (Note: Age UK Harrow will attempt to make appropriate adaptations.)
2. Education and Training
a Please list any education and/or training that you have undertaken, including part-time and in-service training.
Dates Secondary School/College Name of Course and From-To Training Organisation Qualifications where appropriate
b. Work Experience - Present or most recent work:
Name and address of Employer
......
......
...... Tel No......
Date of Employment From ...... To ......
Reason for Leaving ………………………………………………....
If applicable, what period of notice are you required to give? ......
Present position ...... Salary ......
Description of duties:
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c. Previous Employment (including long term voluntary work). Please complete in chronological order starting with the most recent job.
DatesFrom – To / Name and Address of Employer / Title of Post / Reason for Leaving / Brief Description of Duties
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3. With reference to the job description and person specification, explain how your skills and experience match those we are seeking. Include an explanation as to why you are interested in the job. (Continue on separate sheet if necessary).
4. This is an opportunity for you to draw attention to any other information about yourself which is relevant to the position applied for and which is not covered elsewhere on this form.
5. References
Please give the names and addresses of two referees, indicating in what capacity you know them. Wherever possible one of these should be your present or most recent employer.
May we contact your referees prior to interview? YES/NO
We shall only ask for references if you are shortlisted.
1. Name ......
Address ......
......
Tel Nos: Work...... Home ......
In what capacity is the referee known to you?
......
2. Name ......
Address ......
......
Tel Nos: Work ...... Home ......
In what capacity is the referee known to you?
......
3. Do you have a driving licence? YES/NO
Do you have access to a car? YES/NO
6. Are you known to any member of staff or trustee of AgeUK Harrow? YES/NO
If yes, who …………………………………………………
Capacity known to you: ………………………………..…..
7. REHABILITATION OF OFFENDERS ACT
As an agency working with vulnerable people, workers roles are considered exempt from the provisions of the Rehabilitation of ‘Offenders Act 1974 and any convictions must be declared. You must disclose all previous convictions, none of these may be considered spent.
Have you ever been convicted, warned, reprimanded or cautioned for a criminal offence, or liable in a civil case? YES/NO
If yes, please provide details on a separate sheet (in strict confidence) as mentioned in paragraph 6 of the attached policy statement
We will require a criminal records check. Do you give permission for us to apply for an enhanced CRB disclosure and POVA (Protection of Vulnerable Adults) check on your behalf? YES/NO
Checks will only be carried out for the successful candidate.
8. Where did you see this job advertised or how did you hear about it?
......
Declaration
I declare that the information on this form is true and correct to the best of my knowledge
Signature of Applicant ...... Date …………………
EQUAL OPPORTUNITIES MONITORING FORM
Age UK Harrow is an equal opportunities employer which aims to ensure that no worker or prospective worker shall be directly or indirectly discriminated against on the grounds of age, race, colour, nationality, religion, gender, disability, sexual orientation or marital status.
We would appreciate your co-operation in assisting us to monitor our equal opportunities policy by responding to the questions below. This information will be treated as confidential and to ensure anonymity this form will not be held with your application form.
It is not compulsory to complete this form. Your application will not be affected by the information provided nor will you be penalised for choosing not to complete it.
1. Application for the post of:
2. Age of applicant………………………… 3. Male Female
4. How did you learn of this post:
Newspaper (which?)………………… Newsletter (which?)……………….
Job Centre……………………. Other (specify)…………………….
5. I would describe my ethnic origin as: (Please tick appropriate box)
Asian or Asian British Black or Black British
Bangladeshi African
Indian Caribbean
Pakistani Other
Other
Mixed Race White
White and Black African British
White and Asian Irish
White and Black Caribbean Other
Chinese/other ethnic group
Chinese
Japanese
Other ethnic group
Please specify………………
6. Employment status
Employed or self employed full timeEmployed or self employed part time
Unemployed
Student/training scheme
Primary Carer
Sick/incapacitated
Retired
Never worked
Other
Do not wish to disclose
7. Do you consider yourself to be disabled or to have any specific support needs?
Yes
No
For office use only
Date received:
AGE UK HARROW
JOB DESCRIPTION
Title: Customer Satisfaction Survey Officer
Salary: £10,400 per annum
Hours: 20 hrs per week
Accountable to: Chief Executive of Age UK Harrow
Job Purpose:
· The post holder will be responsible for assessing the satisfaction of service users with the care packages/reablement service they receive in their own homes by arrangement with the London Borough of Harrow.
· The project holder will also be responsible to do annual satisfaction surveys for the organisation services and volunteers.
· The work of undertaking face-to-face surveys will mainly be undertaken by volunteers whom the Project officer will help recruit, train, support and supervise.
Duties:
1. Develop project plan and work programme
2. Develop training programme for volunteers
3. Recruit, train, supervise and support a team of 10 volunteers in interviewing/consumer surveying skills
4. Ensure that the team of volunteers adequately reflects local demography, that some volunteers are fluent in Gujerati, and link with our MEEP Advice service/Borough interpretation services if access to other languages is required
5. Liaise with LB Harrow Contracts Unit to develop interview questions and redesign questionnaires as changes in contracts occur.
6. Liaise with line manager to develop survey questions for the organisation surveys.
7. With the support of volunteers, test the interview questions on a 1% sample of service users for the LB Harrow.
8. Develop methodology to select a 10% sample of clients (or % required by Harrow Council)
9. Develop methodology to select an annual 10% sample of clients/volunteers (or % required by Age UK Harrow)
10. Collate results of interviews and analyse these
11. Compile report from interview results of the Council Survey focusing on:
· Identifying areas of dissatisfaction
· Monitoring changes in service delivery
· If dissatisfaction is identified, investigate whether service users have complained. If they have, confirm whether they are happy with the outcome of the resultant investigation. If they have not complained, ascertain why not and get it reported to the Council.
12. Complete monitoring information and present results as required.
13. Highlight key issues to the Chief Executive by email on council surveys.
14. Collaborate with Borough staff and support any plans they may have to expand the project to cover other contracted services for older people and/or to transfer the model to other service user groups
15. To attend training courses relevant to the post as agreed with the Chief Executive.
16. To work with other members of staff on an exception basis to cover general office duties as necessary particularly during holiday times
17. Attend meetings as and when required by the Funder.
18. Attend and help with events/funding raising as and when required.
19. Complete any monitoring or evaluation forms as required by the funders.
Other
1. To comply with Age UK Harrow’s policies and procedures in standards of good practice including equal opportunities, data protection and health and safety.
2. Attend and contribute to staff meetings, AGM, Volunteer Parties and Induction Courses
3. Have regular supervision and annual appraisals
4. Any other task or duty reasonably required by the Chief Executive
AM
May 13
AGE UK Harrow
Person Specification for Customer Satisfaction Surveys Officer
1. Knowledge and Relevant Experience
1.1 Understanding of the needs and expectations of older people in a diverse population
1.2 Understanding of local authority’s responsibilities in terms of providing care to older people
1.3 Understanding of the concept of client-focused care
1.4 Experience of assessing client satisfaction
1.5 Experience of assessing volunteers satisfaction
1.6 Understanding of sampling and surveying techniques
1.7 Experience of developing and operating a database, analysing data and producing/presenting working reports therefrom
1.8 Record keeping and basic financial management skills
1.9 Good basic computing skills
2. Management and Organisational
2.1 Ability to plan, implement and develop an entirely new project
2.2 Experience of project management
2.3 An understanding of the role of volunteers as ‘workers’
2.4 Evidence of ability to help recruit, motivate, supervise and support volunteers
2.5 Evidence of ability to identify training needs and develop training programmes
2.6 Ability to work under pressure and prioritise work
2.7 Experience of inter-organisational working
3. Interpersonal and Communications Skills
3.1 Experience of working with people at all levels
3.2 Empathy with older people and their needs
3.3 Evidence of ability to work as part of a ‘team’
3.4 Good interpersonal and verbal communication skills
3.5 Evidence of the ability to communicate effectively in writing and to produce good quality reports
4.1 Ability to make presentations
5. Personal
5.1 Commitment to equal opportunities
5.2 A flexible approach to work
5.3 Ability to work on own initiative
AM/13
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