DEVELOPMENT WORKER (Redcar and Cleveland)

Application form

Please type or write clearly using black pen in order that this form can be photocopied.

Your name
Your address
Telephone number
NI Number
Email address

Your education and professional qualifications

Beginning with your current or most recent educational establishment and working backwards in chronological order, please give details of your education to date. Tab from the last cell to add more lines if needed

Date / Qualification (with grade / class) / Awarding institution

Your employment history

Beginning with your current or most recent employer and working backwards in chronological order, please give details of your career to date. Tab from the last cell to add more lines if needed

Dates / Employer / Role / Main duties / Reason for leaving

Please outline the reasons why you are applying for this post, and why we should consider appointing you.

It is a requirement that the appointee will sympathise with, and uphold, the Christian ethos of Together Middlesbrough & Cleveland. How will you fulfil this requirement?

Do you have the unrestricted right to work in the UK?
Are you able to travel independently for the purposes of work?
Do you consider that you require any special arrangements (at interview or at work) on account of a disability?

Rehabilitation of Offenders Act

Under the provisions of the Rehabilitation of Offenders Act, you do not have to disclose information on certain convictions after a set period of time, as they become ‘spent’. However, this post is exempt from the above Act, therefore ALL convictions and cautions or bind-overs must be declared and cannot be regarded as ‘spent’. Please give details of any convictions that you have including any criminal charges or summonses pending against you.

Having a criminal record will not necessarily bar you from working with us.

Please give the names of three referees.

Name / Contact details / How does this person know you? / May we contact this person now?

Appointment is subject to a satisfactory DBS.

Declaration

  • I give my consent to the employer processing data supplied in this application form for the purposes of recruitment and selection.
  • I declare that the information given in this application is to the best of my knowledge complete and accurate. I authorise the employer to verify them. I understand that any false, incomplete or misleading statements may lead to dismissal.

Signed......

Date......

Please send this form by 0900hrs Monday 18th September 2017 to Mrs Mandy Robinson (Bishop of Whitby’s PA), 21 Thornton Road, Stainton, Middlesbrough TS8 9DS | Tel: 01642 593 273 |