Application Form

Post Reference / Applicant Reference
(YWCA Use) / (YWCA Use)
Post applied for
PART ONE – Personal Details
First Name
Surname / Title
Address
Telephone / Home / Mobile
May we telephone you at work / YES / NO
Email address
NI Number
Date of Birth / Nationality
If currently employed, how much notice are you required to give? / (weeks)
Where did you see this post advertised?
Are you related to any staff or Board member of YWCA Scotland? Please explain.
Have you previously been an employee, Board member or volunteer of YWCA Scotland? Please explain and give relevant dates.

YWCA SCOTLAND EQUAL OPPORTUNITIES STATEMENT OF INTENT

YWCA Scotland acknowledges that women face discrimination on an individual and structural level, because of their gender, and because of other factors. YWCA Scotland aims to promote equality of opportunity for all parts of the community, including young women, women, people from Black and Ethnic Minorities (BME), people with disabilities, lesbian and gay people and those who hold different beliefs. YWCA Scotland will combat all direct and indirect discrimination in its provision of services, employment practices, in its membership movement and will campaign with relevant groups working to achieve these ends.

PART TWO – Criminal Offences

Have you ever been convicted of a criminal offence?
(Declaration subject to the provision of the Rehabilitation of Offenders Act 1974) / YES / NO
If yes, please explain below

PART THREE – Additional Information

  1. Are you a member of the Protection of Vulnerable Groups (PVG) Scheme in Scotland?
/ YES / NO
  1. If you are not a member of PVG, are you willing to join PVG?
/ YES / NO
  1. Are you willing to work outside normal office hours on occasion, for which time off in lieu would be granted?
/ YES / NO
  1. Do you have a full driving licence and own vehicle for use in the role? If not, please explain below alternative arrangements you would make for travelling between YWCA Centres.
/ YES / NO

PART FOUR – References

Please give names and addresses of two referees whom we may contact for a reference. One should be your current or most recent employer and where applicable the second referee should also have been your employer. These referees must be able to comment on your ability to meet the requirements of the job for which you are applying.

Referee 1 (Should be current or last employer) / Referee 2
Tel No: / Tel No:
Position: / Position:
May we take up references before interview? / YES / NO / May we take up references before interview? / YES / NO
DECLARATION: I declare that to the best of my knowledge the information provided on this form is true and complete. I understand that any wilful mis-statement may render an offer of employment invalid and lead to termination of employment.
Signature / Date

PART FIVE – Work Experience(This includes paid and voluntary work)

Job Title / From / To
Name & Address of Employer
Main Duties and Responsibilities
Salary
Reason for leaving

Previous Employment – 1

Job Title / From / To
Name & Address of Employer
Main Duties and Responsibilities
Salary
Reason for leaving

PART FIVE – Work Experience (continued)

Previous Employment – 2

Job Title / From / To
Name & Address of Employer
Main Duties and Responsibilities
Salary
Reason for leaving

Please give details of any paid and voluntary work experience NOT listed above over the last TEN years, (please continue onto another page or staple an additional page to the end of the form if further space is required.)

Job Title &
brief outline of duties / Employer’s name and address / From / To / Reason for leaving

PART SIX – Education

General Education

Subject / Qualification / Grade / Year Obtained

Further and Higher Education

Details / Year Obtained

Qualifications currently being studied for

Details / Exam Date

Training – If you have undertaken any kind of training to improve your employment prospects, please give details if you think they may be relevant to this application.

Details / Year Obtained

PART SEVEN - Job Suitability

Please use this part of the application form to describe how you meet criteria for the job that are set out in the Person Specification. In your statement, we are interested to know:

1.What appeals to you in this role; how does it fit with your own values?

2.What you can bring to this particular role; what qualifications, skills, experience and qualities make you an ideal fit with this post?

3.What else can you contribute to the team and organisation?

YWCA Scotland – The Young Women’s Movement
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