Exeter Community Initiatives

APPLICATION FORM

Return this form to: or

Exeter Community Initiatives, 148-149 Fore Street, Exeter EX4 3AN

NOTES TO ASSIST YOUR APPLICATION

The following notes are designed to assist you in completing this application:

1. You will notice that your personal details are requested on a separate sheet. Before short-listing, these details are separated to ensure you are assessed solely on your ability to perform the job for which you have applied.

1. Application Forms and Personal Details are confidential to members of the selection panel and the member of staff receiving the applications. If your application is successful, they will also be made available to the Director (if not already on the panel) to keep in your personnel file.

1. Please take this opportunity to give us as full a picture about yourself as possible. We are interested in anything you can bring to the job from your whole life experience, not solely from your paid employment history. In the last section of the application, please show how your previous experience, skills and knowledge enable you to meet the requirements of the person specification, as short-listing will be based on how well you meet these requirements.

1. Please complete all sections of the form and do not refer to a separate CV. CVs will not be considered.

1. If you are applying for the post as a job share you will need to indicate this in the Personal Details section of the application form. We will accept applications either with or without a job share partner. If you are applying with a job share partner you will both need to complete separate application forms and ensure that you name each other in the Personal Details section of the application form.

1. We ask for any previous convictions to be disclosed - this is because the nature of the work involves potentially vulnerable people. However, any disclosures you make will only be considered after the short-listing process and will then be assessed according to the individual conviction and job concerned. Please take the opportunity to say anything you need in support of your application - it will be treated as confidential.

1. Applications can be submitted electronically. If you are shortlisted you will be asked to sign your application form. If you wish to submit your application form in hard copy, please complete in black type or black ink and do not staple together completed applications forms. All forms must be emailed/sent in by post/delivered by hand before the closing date.

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CONFIDENTIAL

PERSONAL DETAILS

NOTE:The information you provide will be treated as confidential and will only be seen by the relevant member of staff who separates these forms from the application form before short-listing. If you are short-listed for interview, then this form will be circulated to members of the selection panel.

HEALTH

Please state if you have any health condition you feel we should know about, including any recurrent or regular treatment you may receive.

DISABILITY

Please indicate if you consider yourself to be disabled: - Choose an item.

Exeter Community Initiatives tries to take a flexible approach towards its employees. Please advise us of any equipment, special facilities or arrangements you may require.

REHABILITATION OF OFFENDERS ACT 1974 (Exceptions Order) 1975

If the ‘Terms and Conditions’ section of the job description/person specification for the post for which you are applying specifies that you need a check completed with the Disclosure & BarringService, please read and complete this section of the form below. Otherwise, go straight to the ‘Referees’ section.

As this post/role involves work with children or vulnerable adults, it meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974. This means that we need to ask you to disclose details of any previous convictions in this section of the application form. All applicants who are offered employment will be subject to a criminal record check from the Disclosure & Barring Service before the appointment is confirmed. This will include details of cautions, reprimands or final warnings as well as convictions. Please note that a criminal record will not necessarily bar you from being offered this post/role.

However, failure to disclose any previous criminal convictions against you could result in dismissal or other disciplinary action. Any information given, either when returning your application form, or at interview, will be entirely confidential and will be considered only in relation to this application.

If this post requires working with children then you must also disclose if any of your household members have been disqualified from working with children. Please detail this information below if applicable.

Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).

The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers , and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.

REHABILITATION OF OFFENDERS ACT 1974 (Exceptions Order) 1975

Please provide details – if relevant: -

ECI is a MINDFUL EMPLOYER and positive about mental health

REFEREES

Please supply the names and contact details of at least 2 referees who can comment on your suitability for this position. One should be your current or most recent employer.

Please Note: if you are not currently working with children but have done so in the past the second referee should be the employer by whom you were most recently employed in work with children. References will not be accepted from relatives or persons who only know you as a friend.

Referee 1:

Referee 2:

If you are short-listed, please can we approach your current employer before interview? Choose an item.

Please Note: in relation to work with children, we will seek information about any past disciplinary issues relating to children and/or child protection concerns you may have been subject to. If you have any concerns about this please contact the Chief Executive, Steven Chown on 01392 205 800 to discuss the issues.

I confirm that to the best of my knowledge the details given in this application are correct and I am eligible to work in the UK for this advertised position (refer to guidance notes provided).

SIGNED - Click here to enter text. DATE – Click here to enter a date.

We are sorry that we cannot acknowledge your application. If you do not hear from us within two weeks from the closing date, your application has been unsuccessful.

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EDUCATION AND QUALIFICATIONS:

Please give details of secondary and further education including any A Levels or equivalent vocational courses

Please give details of higher education and equivalent courses

Please give details of any other professional or vocational qualifications you hold that are relevant to your application

OTHER FORMAL OR NON-FORMAL TRAINING

e.g. Training Courses, Evening classes, Workshops, etc... (with dates)

EMPLOYMENT HISTORY(if you are not currently employed go on to previous employment and/or voluntary work sections)

Please give details of current paid employment

Please give a brief description of current duties, responsibilities and achievements:

Please give details of previous paid employment

GAPS IN EMPLOYMENT/EDUCATION HISTORY

If there are there any gaps in your employment or education history please explain them here.

VOLUNTARY WORK

We are interested in any unpaid work experience you feel is relevant. Please give dates and explain what skills and/or experience you gained. Remember that membership of management committees, local groups, etc., is unpaid work.

INTERVIEW

Please confirm that you are available on the interview date stated Choose an item.

Please give any times when you would not be available on this day

If appointed, when could you start?

IT SKILLS

Training will be provided where required. Information given here will help us to plan training schemes:

Microsoft Office:

MEETING THE REQUIREMENTS OF THE PERSON SPECIFICATION

Please describe any life or work experience, skills or knowledge you have relevant to this post. In particular, please show how this helps you meet each aspect of the person specification, as short-listing will be carried out on this basis. Please also include your reasons for applying and interest in this position.

Please continue on a separate sheet if needed.

NOTE: Please ensure that your Personal Details and Equality and Diversity Monitoring Forms are returned with this application form

Registered Charity No: 1026229

Registered Office: 148-149 Fore Street, Exeter EX4 3AN

Company Number: 2844870

Equality and Diversity Monitoring Form

Exeter Community Initiatives (ECI) is committed to being an Equal Opportunities employer. In relation to employment, the aim of its policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, nationality or ethnic origin, gender, marital status or caring responsibility, sexuality, age, physical, sensory or learning disability or mental health, political or religious belief, class, HIV status, employment status, unrelated criminal conviction.

In order to help us implement this policy and monitor its effectiveness, it would be helpful if you could answer the following questions. You are not obliged to fill in this form, and it will not affect your application if you do not. The form will be separated from the rest of the application form on receipt and used solely for monitoring purposes. Thank you.

Personal Details:

Ethnic origin: Please tick against one of the following:

Disability: Please tick against one of the following:

Religion or belief: Please tick against one of the following

Sexual Orientation: Please tick against one of the following

Thank you for completing this form

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