Safe Haven Outreach Application Form

Safe Haven Outreach Application Form

Please print or write in black ink as this form may be photocopied

1) DETAILS OF POSITION APPLIED FOR

2) PERSONAL DETAILS

Do you require a work permit to work within the UK? Yes /No

Do you have a full current driving licence? Yes/No

Do you have regular use of a car? Yes/No

3)HISTORY OF EMPLOYMENT

Previous employment over the last ten years if possible (most recent first - including any voluntary work - please use continuation sheet if necessary and ensure that all periods are accounted for)

From / To / Employer’s Name and Address / Position Held / Reason For Leaving

4)EDUCATION & TRAINING

Schools (secondary) / Examinations and results / Grade/ Level
Further Education College/ University / Courses and results / Grade/ Level

Further Training:Include any short courses you have undertaken/skills/certificates e.g. I.T. skills, first aid, D.I.Y. skills etc.

Course/ Subject Title / Organised by / Date(s)

5) REFERENCES

Please give details of TWO persons who should not be related to you and who have consented to act as a referee; one of which must be your employer (if currently unemployed, your last employer). If you have just completed full-time education, the Head/Principle and/or Tutor should be given.

1)1)
Telephone Number:
Can this referee be approached prior to the interview? Yes/ No / 2)
Telephone Number:
Can this referee be approached prior to the interview? Yes/ No
Please state the capacity in which the referee knows you:
1 ______2 ______
If either referee knows you by another name. Please state that name:

6) SUPPORTING INFORMATION

With your application pack we enclosed a Person Specificationform

It is essential that you complete this as fully as possible as itlists the essential and desirable requirements necessary for the job. The panel will be using the information you provide to look for evidence that you meet these particular requirements for the post you have applied for.

Remember if you do not show you meet these requirements, it will not be possible to shortlist you for an interview. Give lots of evidence and real examples.

Please give all the information you can to show how your skills and experience are relevant to this post and howyou meet each of the requirements.

Please continue on separate sheets headed with your full name

APPLICANTS INFORMATION

1. Please use the application form provided, continue if necessary on an additional sheet of paper headed with your full name. Please do not send standard details of your own, i.e. curriculum vitae.
2. You will receive no further information unless selected for interview.

Thank you for your interest in the Endeavour Project and this appointment.

To the best of my knowledge all particulars I have given are true.

Signed______

Date______

Closing Date13th October 2017

Interviews will take place Thursday 19thOctober 2017

If you have not been contacted by the17th October you must conclude you have not been successful.

EQUAL OPPERTUNITIES MONITORING FORM

Paws for Kids Endeavour Projectis committed to ensuring that its services and opportunities for employment and volunteering are open to all sections of society, and that no-one is discriminated against on the grounds of their race, ethnic origin, sexuality, colour, religious or political beliefs, age, physical or mental ability, class, responsibility for dependants, HIV or AIDs status or unrelated criminal conviction.

In order to ensure that these services and opportunities are open to all, we ask all users of the services, people applying for jobs and volunteering to fill in a monitoring form. This is entirely voluntary and your name and other details will be kept separate from this form. It will providePaws for Kids the information we need to ensurewe are not excluding any groups in our work.

Thank you for taking the time to fill it in.

Please circle your answers.

Disability:Do you consider yourself to have a disability?Yes/No Are you registered disabled? Yes / No

Ethnic Origin I would describe my ethnic origin as:-

Black BritishWhite British

CaribbeanIndian

PakistaniOther Asian

Irish Chinese

European Mixed origin

Other (please state) ………………………….

Sexuality

How do you regard yourself?

HeterosexualGay

LesbianBisexual

Other (please state) ………………………………