EMPLOYEE APPLICATION FORM

(PLEASE FILL IN THIS APPLICATION FORM TO THE BEST OF YOUR ABILITY INSHALLAH USING BLACK INK & EITHER FILLING IN SECTIONS/BOXES AND CORRECTLY CIRCLING/TICKING YOUR OPTIONS)

PERSONAL DETAILS

Title (Mr/Ms/Mrs/Miss etc.)______

Full Name: ______

Any previous names: ______

Address: ______

______

______Post Code: ______

Contact NO.: Day: ______Evening:______

Contact Email Address: ______

Date of Birth:NI NO.:

Marital Status: SINGLE/MARRIED/DIVORCEE

What Madhab (school of thought) do you follow, if any? ______

Name and contact details of Mahram (if applicable)

EMPLOYMENT HISTORYRELEVANT EXPERIENCE

What is your current Occupation/Profession? ______

(If you are unemployed or a housewife/husband please either write U/E, H/W or H/H)

Please give details of your employment history, either paid or voluntary with the most recent listed first:

(PLEASE CONTINUE ON SEPARATE PAPER IF NECESSARY)

Employer / organisation & Address

/ Job Title and Brief Description /

DATES

From To

EDUCATION, TRAINING & QUALIFICATIONS:

Please Give Details Of Your Education, Training And Qualification With The Most Recent Listed First:

(Please Include Any Islamic Courses You May Have Studied & Gained A Qualification From)

(PLEASE CONTINUE ON SEPARATE PAPER IF NECESSARY)

DATE(S)

/

EDUCATION/TRAINING

/

QUALIFICATION

OTHER INFORMATION

Availability:

Please Fill In Times That You Are Available To Volunteer.

MON / TUE / WED / THU / FRI / SAT / SUN

Overtime In The Mornings/Evenings May Be Required On Occasions.

Would You Be Available To Work Overtime If Given ** Days’ Notice?

YES____NO____

If So How Many Days’ Notice Would You Need? ______

ADDITIONAL INFORMATION:

Do You Require Any Additional Support?

YES____NO____

If So Please State What These May Be, So We Can Try To Assist Your Needs Before You Have Started Volunteering.

What Can You Volunteer To Help With Or Would Like To Work In?

(PLEASE TICK THE BOXES ON THE LEFT; YOU CAN TICK MORE THAN ONE)

HMA ADMIN

NUA ADMIN

ADMINISTRATION (IN GENERAL)
HMA MATCH-MAKING
NUA TEACHING
ONLINE TRAINING
WEBSITE DESIGN/MAINTENANCE
MONITORING ONLINE TALKS/GATHERINGS SPEAKERS
ONLINE HELP (FACEBOOK/TWITTER/YOUTUBE VIDEOS)
FACEBOOK ADMIN
MANAGING OR RUNNING A PROJECT OR SERVICE AS A CO-ORDINATOR
ADVERTISEMENT
FUNDRAISING
PA

If There Is Anything Else You Would Like To Volunteer With Or Help Manage/Set Up Which Is Not Mentioned Or Not Established Then Please Specify?

Do You Have Experience In:

(PLEASE TICK THE BOXES ON THE LEFT; YOU CAN TICK MORE THAN ONE)

TEACHING
MANAGING/ADMINISTRATION
MARRIAGE
DIVORCE
COUNSELLING
LONELINESS
CO WIFE EXPERIENCE/KNOWLEDGE
DRUGS

Are You A Volunteer For Any Other Islamic Organisation?

YES____NO____

If So, Where & What Is Your Role?

______

What Qualities Are You Able To Offer With Regards To Your Application?

(PLEASE CONTINUE ON SEPARATE PAPER IF NECESSARY)

REFERENCES

Please can you give the names and contact details of two people who are willing to supply references for you. One must be your current or most recent employer, or your educational establishment. Your referee must have known you for more than 12 months.

Title (Mr/Mrs/Ms, etc.):

Full name:

Job Title:
Address:
Post Code:
Telephone Number:
How long have you know this person?
In what capacity do you know them?

CRIMINAL CONVICTIONS

Have you ever been convicted of an offence?YES_____NO____

If yes can please give me further details.

(A criminal record will not necessarily exclude you from possible employment)

Where Did You Hear About Us?______

DECLARATION

Signature: ______Date: ______

I declare that the information given above is to the best of my knowledge a true statement and I sincerely intend to contribute as much as possible by fulfilling my roles and responsibilities with the Jamaat and Ameer with consultation, co-operation and without any conflict Inshallah.

I also agree to participate and undergo any relevant training/courses provided if necessary.

I understand that failure to disclose relevant information may lead to instant dismissal if I was to be offered employment.

Please return completed form to:

MHA/NUA

PLEASE MARK THE ENVELOPE PRIVATE & CONFIDENTIAL

OFFICE USE ONLY

Date Received ……………………………………….…

Persons Recruiting …………………………………

Sign …………………………………………………………

Date………………………………………………………...

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