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 / DateOffice Use Only
REFERENCE NUMBER / Interview DateInterviewers / 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 / NameAddress / 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 – BangladeshiAsian 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
MaleFemale
I do not want to answer
Disabilities
Do you have any disabilities?
YesNo
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 necessarySection 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 necessarySection 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/StageAdditional 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