APPLICATION FOR EMPLOYMENT

Secret World Wildlife Rescue is committed to equality of opportunity in employment

This application form may be photocopied. Please use black ink or type if possible.

PLEASE NOTE CV’s ARE NOT ACCEPTED

Post applied for: / Job Ref:

PERSONAL DETAILS

Surname:
Preferred Title: / Forename(s)
Address:
Postcode:Email:
Telephone Number: / Daytime:
Work:
Mobile:
Can we contact you at work? Yes No
National Insurance Number:
Where did you see this vacancy advertised?

Disability

This information will enable us to comply with our duties under the Equality Act 2010

Please identify any special requirements which would assist you in the recruitment process:

EDUCATION AND QUALIFICATIONS

General/Further/Higher Education: (Please list your educational qualifications in order of seniority)

Schools/Institution: / Course/Subject Studied: / Qualifications & Grade: / Full or Part Time:

If appointed you may be required to provide documentary evidence of your qualifications.

Training/Professional Development/Other Courses

Course/Training Undertaken / Course Organiser: / Detail of any qualification or grade awarded:

EMPLOYMENT HISTORY

Present/Most Recent Employment:

Job Title: / Salary:
Nameand Addressof Employer:
Brief description of main duties:
Type of Contract: / Permanent Fixed Temp
Start Date:
Reason for Leaving:
Period of Notice:

Previous Employment:(most recent first)

Employer / Post held/nature of duties / Dates (month and year)
From:To: / Reason for leaving

Membership of Professional Bodies:

Body:
Membership details:
Date Obtained Membership:
Further Details:

SUPPORTING STATEMENT

This is your opportunity to tell us how your skills, knowledge, training and previous experience, whether paid or unpaid, are relevant to this post. It is important that you provide evidence against the requirements of the person specification.
You may also wish to outline personal achievements, whether in paid employment or elsewhere to demonstrate your personal qualities. Please continue on a separate sheet, if necessary.

REFERENCES:

Employment is subject to the receipt of two satisfactory references. Please give the name and address of two referees from whom the charity may seek information regarding your suitability for employment.

The following people may not be used:

-Relatives

-Current Employees, Trustees, or Volunteers of Secret World

References will not be taken up without prior permission. Failure to complete all details may invalidate your application.

ONE OF THE REFEREES MUST BE YOUR CURRENT OR MOST RECENT EMPLOYER.

Name: / Name:
Address: / Address:
Email: / Email:
Phone No: / Phone No:
Occupation: / Occupation:
Relationship to you: / Relationship to you:

DISCLOSURE:

Criminal records will be taken into account for recruitment purposes if the conviction is relevant to the post applied for. Applicants for this post should note that it is covered by the Rehabilitation of Offenders Act 1974 (Exception) (Amendment) Order 1986 and therefore any bind over orders, cautions or convictions current or spent must be disclosed. You will be required to give details of these if you are shortlisted for interview. Should you be offered this post, failure to provide this information will be regarded as grounds for dismissal.
Do you have any bind over orders, cautions or convictions?
YesNo
Do you have any prosecutions pending?
YesNo
Do you, or have you had, any investigations or proceedings undertaken against you by your professional or regulatory body (if applicable)?
YesNo

DATA PROTECTION: The processing of your application may involve us in holding sensitive personal information and data about you. In order to comply with the Data Protection Act we need your specific consent to do this. To signify your consent please tick the appropriate box.

Consent Given:Consent withheld:

DECLARATION:

I declare that the information contained in this application is true and complete. I understand that canvassing anyone connected with Secret World Wildlife Rescue, or approaching a member of the interview panel will disqualify me. I understand that if it is subsequently discovered that any statement is false or misleading, Secret World Wildlife Rescue has the right to dismiss me from my employment. I also understand that the post is subject to a satisfactory medical examination, 2 satisfactory references, any necessary Disclosure and Barring Service clearance and conditional on receiving confirmation of my eligibility to work in the UK.
Signature of Applicant:
Date:
Applying Electronically? Please tick this box to confirm your understanding of this declaration

Please return your completed application form by email to or by post to HR Department, Secret World Wildlife Rescue, New Road, East Huntspill, Highbridge, Somerset TA9 3PZ: (please mark your envelope ‘Private & Confidential’)

FOR OFFICE USE ONLY

Shortlisted YES/NO
Interview / Date / Time / Refs. Requested
Refs.Received

Registered Charity No: 1097119

Equal Opportunities Monitoring Form

This information is for monitoring purposes only.

Completion of this form is optional but we would be grateful if you could consider completing it.

Secret World Wildlife Rescue is committed equality of opportunity. We can only judge our success in this area if we have full information regarding the gender, ethnicity and disability of all applicants.

The information disclosed below will be separated from your application. It will be treated in the strictest confidence and will not be used in the selection decision or to assess suitability for the job.

How would you describe your ethnic origin? (If you do not identify with any of the categories listed, please use one of the “other” categories.) Please tick one box.

White / WU / White British
WI / White Irish
WO / Other white
Mixed / MC / White and black Caribbean
MA / White and black African
MS / White and Asian
MO / Other mixed
Asian or Asian British / AI / Indian
AP / Pakistani
AB / Bangladeshi
AS / Other Asian
Black or Black British / AC / Caribbean
AA / African
BS / Black Somali
AO / Other black
Chinese or other / AH / Chinese
OE / Other ethnic group
UU / Don’t know/not sure
RF / Would rather not state
Religion/belief
/
Sexual orientation
How would you describe your religion/belief? / How would you describe your sexual orientation?
C / Christian / H / Heterosexual
B / Buddhist / G / Gay/lesbian
H / Hindu / B / Bisexual
J / Jewish / U / Don’t know/not sure
M / Muslim / R / Would rather not state
S / Sikh
O / Other
N / None
U / Don’t know/not sure
R / Would rather not state

1