General Guidance Notes

At Milestones Trust the application form plays an essential part in choosing the right person for a job. The decision to shortlist you for interview is based on the information you provide on this form. The following information will help you complete the form:

·  Read through the application form and study the information we have given you, including the job profile before you start writing.

·  Think carefully about how you set out your experience, skills, knowledge and abilities. We will assess your application to see if you give evidence that you meet the requirements of the role.

·  Please complete all questions and tick appropriate boxes.

·  Incomplete Application Forms will not be shortlisted.

If you have any questions or require assistance in completing the application form please contact the Recruitment Department on 0117 970 9300 or email: recruitment@milestonestrust.org.uk

Please email your completed form to: recruitment@milestonestrust.org.uk

Or send to:

Milestones Trust, Recruitment Department

Unit 10, Eclipse Office Park

Staple Hill

Bristol

BS16 5EL

Post Applied for:
Location: / Candidate No:
[Office Use only]
Vacancy Ref No: / Closing Date:
[Office Use only]
Do you currently work for Milestones Trust? / If so, are you a Permanent or Casual Worker?

Personal Details [This section will be separated from the rest of the form for shortlisting].

Please answer all questions. Telephone number & email address are important as we may need to contact you.

First Name (s): / Surname:
Home Tel: / Mobile Tel:
Address: / Postcode:
Email Address:
Do you have a full UK/ EU driving licence? / Yes/No / Do you have a car to travel to work/use at work if necessary? / Yes/No
Do you have any points on your licence? / Yes/No / If yes, please give details

Right to Work

Under the requirements of the Immigration and Asylum and Nationality Act 2006 we need to ensure that you are eligible to work in the UK before we can employ you.

Do you require a work permit to work in the UK?
/ Yes/No
Do you have evidence of your entitlement to work in the UK? / Yes/No

Recruit a Friend Policy

Milestones Trust operates a recruit a friend scheme that rewards staff who recommends new staff

Did a member of Milestones Trust staff tell you about this job? / Yes/No
If yes, please give their name

Where did you learn about this job? Please tick or highlight all that apply

Milestones Trust Website / Gumtree / Indeed.co.uk
Job Centre / Word of Mouth / Radio Advertisement
Recruitment Hotline / Jobs Fair / Poster/Billboard
Advertisement
If other, please state here:

Your Statement – Guidance Notes

Please tell us about how your skills and experience will assist you in this role. When you write your statement please refer to your personal attributes, skills, knowledge and experience. You may wish to include examples of life experience, paid employment, voluntary work and personal achievements to help illustrate your answer.

Take time to read the job profile and think about how you can match your experience to what Milestones Trust is looking for.


Current Employer -

Please give details of your current or most recent employer

Job title
Organisation
Dates from/to
Summary of achievements and responsibilities [150 words max]
Notice period
Reason for Leaving

Previous Employment -

Please give details of your complete work history; please include details of any gaps in employment.

Job title
Organisation
Dates from/to
Summary of achievements and responsibilities [50 words max]
Reason for Leaving
Job title
Organisation
Dates from/to
Summary of achievements and responsibilities [50 words max]
Reason for Leaving
Job title
Organisation
Dates from/to
Summary of achievements and responsibilities [50 words max]
Reason for Leaving

Please note: To fulfil CQC requirements, all applicants will be required to provide their full employment history, including an explanation of any gaps between periods of employment.

Education and Qualifications

Please give information on all levels of education

School/ College/ University name / Examinations/ Subjects studied: / Dates to/from / Results/Grades:

Professional Organisations

Please give details of membership to relevant organisations

Name / Level of Membership / Year obtained / NMC PIN/ expiry (where applicable)

References

Please provide the details of your current/most recent employer and the details of any other past employer. If you have recently left college or university or have been self-employed, then please give appropriate professional references. All references will be taken up in a confidential manner.

References will not be taken unless a conditional offer of employment has been made. Please be aware that once a conditional offer of employment has been made, we will contact your referees. By submitting this application you are agreeing to Milestones Trust doing this on your behalf. No appointment will be confirmed until satisfactory references have been received.

Present Employer / Previous Employer
Referee Name / Referee Name
Referee Position / Referee Position
Referee Email Address / Referee Email Address
Referee Telephone Number / Referee Telephone Number
Company
Name / Company
Name
Company Address / Company Address
Employment dates / Employment dates

Rehabilitation of Offenders Act 1975

Under the terms of the Rehabilitation of Offenders Act (Exceptions) Order 1975, this is a post where the exemption may apply and all criminal convictions (including ‘spent’ convictions) and cautions must be declared. Having a criminal record will not necessarily bar you from employment, but this will depend on the circumstances and background of your offence(s).

Have you been convicted of a criminal offence, including spent and unspent convictions? / Yes/No
If yes please give details

Disability

A person has a disability if he/she has a physical or mental impairment which has a substantial or long-term adverse effect on his/her ability to carry out normal day-to-day activities.

Do you consider yourself to be disabled under the Disability Discrimination Act? / Yes/No
If yes, please provide further details
Do you consider yourself to have a specific learning difference e.g. dyslexia or dyspraxia? / Yes/No
If yes, please provide further details
Please detail any aids or equipment you require (this information will be used to make any reasonable adjustments in line with DDA (1995) and will assist you in undertaking this role and interview).

Additional Information

Are you related to, or are you a friend of, any employee or Trust member? / Yes/No
If yes, please specify the name of the employee/Trust member and your relationship to them.

Declaration

I confirm that the information I have given in this application form is true to the best of my knowledge and that false or misleading statements may be sufficient grounds for the withdrawal of an offer of employment.

I also understand that the offer of employment is subject to satisfactory full employment history, references, occupational health check, DBS check and proof of right to work in the UK.

Data Protection Act 1998

Information provided by you in this form will be kept for the purposes of monitoring. It will be copied for use during the recruitment process. Once the recruitment process is completed, the data will be stored for a maximum of 6 months and then destroyed. If you are the successful candidate, relevant information will be taken from this form and used as part of your Human Resources record. I consent to the use of this information as outlined above.

If you are completing this form on line, please check this box to denote your consent to the use of this information as outlined above

Signature
Date


Equality and Diversity Monitoring

As part of our commitment to Equality and Diversity and, in order that the implementation of our Equality and Diversity Policy can be assessed, we ask that you complete this section. The equal opportunities section will be removed before your application is considered. All information will be kept strictly confidential. The collection of equalities information confirms with employment provisions set out within the Equality Act 2010.

Name
Post

Are you – please tick

Male
Female

Are you – please tick

Under 21
21-30
31-45
46-59
60+

Ethnic Group

Please indicate to which ethnic group you belong. (These categories are recommended by the Commission for racial equality).

Ethnic Group / Please tick
Asian or Asian British - Bangladeshi
Asian or Asian British - Other
Asian or Asian British - Pakistani
Asian or Asian British- Indian
Black or Black British - African
Black or Black British - Caribbean
Black or black British - Other
Chinese
If you have indicated other, please specify
Mixed - White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Mixed Other
Other Ethnic Group
White – British
White – Irish
White -other

Religion

Religion / Please tick
Christian
Buddhist
Hindu
Jewish
Muslim
Sikh
None
Prefer not to answer
Any other religion