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JOB APPLICATION FORM

Completed application forms should be returned to:-
Down’s Syndrome Association, Langdon Down Centre, 2a Langdon Park, Teddington, Middx TW11 9PS

0333 1212 300

Please complete all sections of this form.

POSITION APPLIED FOR: ………………………………………………………………………………………………...
PERSONAL DETAILS
Mr/Mrs/Miss/Ms/other: / (please state) ……………….…. / First Names: / …………………….…
Surname: / …………………….………..… / Maiden name
or Previous names: / …………………….…
Address: / …………………………………
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………………………………… / Correspondence Address
(if different from first): / …………………..…….…………………………...…………………………..……………………..………
Telephone number: / (home) ……………….. / (mobile) …………….…..
Email …………………………… / ………………………………………………………... / NI Number / …………………………………………..
PRESENT/MOST RECENT EMPLOYMENT
Name and Address of Employer: / Job Title: / …………………………….…
……………………..…………………………….… / Date started in post: / …………………………….…
……………………..…………………………….… / Salary/Wage: / …………………………….…
……………………..…………………………….… / Notice required: / …………………………….…
Briefly describe your present job, its main purpose, who you report to and your responsibilities:
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PREVIOUS EMPLOYMENT

Please list all previous employment in chronological order.

Name and Address of Employer: / From / To: / Position and Salary / Reason for leaving
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Please summarise your previous work experience

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EDUCATION AND QUALIFICATIONS
Secondary Education – Schools attended / Date –
From: To: / Subjects studies –
Level and Qualifications obtained
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Further/Higher Education – Colleges/Universities attended / Date –
From: To: / Subjects studied –
Level and Qualifications Obtained
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TRAINING

This includes Government training schemes, short courses, projects and secondments.

(Please also include any professional training and give date of completion)

Course Title / Date –
From: To: /
Organisation
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MEMBERSHIP OF PROFESSIONAL INSTITUTES

Please indicate whether membership is by examination.

Institute: / Level of Membership: /
Year of Award:
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OTHER EXPERIENCE

Full details should be given for any period not accounted for by full-time employment, education and training. This would include eg. unemployment or voluntary work.

Experience: / Date –
From: To:
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WHY ARE YOU APPLYING FOR THE JOB? (refer to “Guidance Notes” for Job Applicants)
Please mention any specific skills or experience you can offer which meets the requirements of the job. These skills may have been gained in relation to your current or previous employment, education, training, domestic activities, voluntary work or leisure interests. Add any details or information why you think you would be suited for the post. (use a separate sheet if necessary)
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ADDITIONAL INFORMATION
Do you have the legal right to work in the UK? / YES / NO
If YES, are there any conditions attached, for example start or finish dates. Please specify:
……………………………………………………………………………………………………….………………………………………………………………………………………………………………………….…………………If NO, what type of work permit do you require? ………………………………………………………………………….………………………………………………

Please note that documentary evidence will be sought to confirm your answers and that you will be required to produce poof of personal identification before an offer of employment can be made.

REFERENCES

Please give names and addresses of two Referees, one of which must be your present or most recent employer. We will only approach your referees with your permission.

Name and Position: /
Address and Telephone number:
………………………………..…………………………………..………………………………….. / ……..………………..……………………….……..……..………….……..…………………..……………………….……..…………………..…………………..…………………………………………………………………………..
………………………………..…………………………………..………………………………….. / ……..………………..……………………….……..……..………….……..…………………..……………………….……..…………………..…………………..…………………………………………………………………………..
DECLARATION

I certify that the statements contained in this application are to the best of my knowledge correct and that knowingly making a false statement may lead to my application being rejected, or if I have already been appointed, to my dismissal. I understand that in the event of being short-listed for interview, I will be required to complete a confidential declaration regarding any criminal convictions deemed as unspent and spent. .

Name (in capitals):
Signed: / ……..………………..……………………….……..……..………….……..…………………..……………………….……..……… Date: ……...………………………………
GENERAL GUIDANCE NOTES FOR JOB APPLICATIONS

The information that you provide in your Application Form and other supporting information is the only information we will use in deciding whether or not you will be shortlisted for an interview. Whether you are an internal or external candidate, you need to explain clearly how you meet the criteria of the post, as the shortlisting panel cannot guess or make assumptions about your skills and experience. Your Application Form is therefore very important.

As part of our Equality of Opportunity Policy, we stipulate that the information candidates give us is presented in the same format so that we get as much information as we require to process your application. Curriculum vitaes are accepted, however, the Application Form must be completed.

JOB DESCRIPTION and PERSON SPECIFICATION:

The Job Description describes the main duties and responsibilities of the job you are interested in, and the Person Specification lists the skills, abilities and knowledge you will need. These are important because they will help you decide whether your skills, abilities, knowledge and experience match up to the requirements of the job.

FILLING IN the APPLICATION FORM:

You are asked to complete the Application Form in type or black ink so that it will photocopy easily.

Having read the Advert, Job Description and Person Specification, you should think about how your past and present employment is directly relevant to this new job. Your skills acquired from community or voluntary work, leisure interests and achievements in the home may also be important areas to consider.

Make full use of the blank section of the Application Form which asks for details of your experience as this gives you the main opportunity to indicate to us how well you match the requirements for the post. Remember that you will need to relate your skills, experience and abilities to each of the requirements listed. A detailed approach, which clearly explains the tasks that you have undertaken rather than sweeping statements, will enable us to build up a clearer picture of your skills and abilities.

Candidates with a disability who meet the minimum essential requirements for a post will be guaranteed an interview. Any ‘reasonable adjustments’ in relation to the post should be discussed with the manager at interview.

SHORTLISTING:

After the closing date, all Application Forms are read very carefully to see whether applicants meet all the requirements for the job. In order to be called for interviews, applicants must meet all the essential criteria required for the job.

Applicants who have not been shortlisted will usually be advised within three weeks of the closing date. Shortlisting is usually based on information contained in the Application Form and supporting statement. References are not usually taken up until after the shortlist has been drawn up.

INTERVIEW:

The interview is intended to give you the opportunity to expand on your application and show how closely you meet the requirements for the post. In this way we aim to ensure that every candidate is given the best opportunity to be successful. During the interview, it will be made clear to you how you will be advised of the outcome of your interview.

REHABILITATION OF OFFENDERS ACT 1974:

This Act ensures that a person who has previously been convicted of a criminal offence resulting in less than 2½ years imprisonment and who has not committed a further offence for a specific period of time is treated as if the offence, conviction or sentence had never occurred. A rehabilitated person is someone who is regarded as being of good conduct during a specified period of time since the conviction.

Once that period has expired they can, without fear of consequence, deny that they had ever been convicted of an offence. Their conviction subsequently becomes ‘spent’ (as if it had never occurred).

However, the Act does not apply to certain professions, such as posts which involve regular or substantial contact with people with learning disabilities. In these cases, people must reveal "spent" convictions as well. Because this post involves regular contact with people with learning disabilities, you are required to reveal all spent convictions.

CRIMINAL RECORDS

Having a criminal record will not necessarily bar you from working for the Down's Syndrome Association, although the nature of the position and the circumstances of and background of any offences would be taken into consideration. The Down's Syndrome has a written statement on the Recruitment of people with a Criminal Record which is available from us on request. The Criminal Records bureau has a Code of Practice for Registered Persons and Other Recipients of Disclosure information and this code of practice is strictly followed by the Down's Syndrome Association. A disclosure will not be sought from the Criminal Records Bureau unless we make you a conditional offer of employment.

DATA PROTECTION ACT

Information from this application will be processed by computer in accordance with Data Protection Legislation. You have the right of access to any computerised personal data concerning yourself.

ASYLUM AND IMMIGRATION

All job offers will be subject to confirmation that you are permitted to work in the United Kingdom in accordance with the provisions of the Asylum and Immigration Act 1996. Under Section 8 of the Act an employer can be guilty of a criminal offence if it employs someone who is subject to immigration control who does not have permission to be in or work in the United Kingdom. The successful applicant irrespective of race, colour or ethnic origin will be required to provide the original of one document identified in the Act. You will be advised of the acceptable documents if an offer of employment is made.

EQUAL OPPORTUNITY IN EMPLOYMENT:

The DSA supports the principle of equality of opportunity of employment and opposes all forms of discrimination on the grounds of race, colour, nationality, ethnic or national origin, religion, gender, marital status, sexual orientation, medical condition (including people living with HIV or AIDS), disability or age.

Equal Opportunities Policy Statement

Equality issues form an integral part of all aspects of the Association’s work, both in its employment practices and in terms of service delivery. People with Down's syndrome, their families and carers are affected by the negative attitudes held by society towards people with learning disabilities generally and Down's syndrome in particular; they experience discrimination and stigma in many aspects of their lives. The DSA works to break down this stigma, and many of our staff are working to directly challenge discrimination in specific fields, in particular in education, medical welfare and benefits rights. A core aim is to work towards ensuring that the views of people with Down's syndrome are central to the Association’s work.

The Association recognises the need to ensure that our services are open and accessible to everyone, regardless of ethnicity, culture, background and lifestyle. Individuals and groups have different needs relating to information and support. It is a key part of the Association’s work to recognise and fulfil these needs.

IT IS THE POLICY OF THE DOWN’S SYNDROME ASSOCIATION (DSA) TO:

1.  Identify and implement new initiatives which will promote the development of a balanced workforce which is representative of the whole population. The DSA’s aim is therefore to establish equal opportunity in all areas of its activities.

2.  Communicate to all employees their own responsibilities and the Association’s commitment towards the promotion of Equal Opportunity and racial and sexual equality. To this end, the DSA is also working towards fulfilling the legal opportunities set out in the relevant legislation, including the Race Relations Act, Equal Opportunities Act, Equal Pay Act, Disabled Person’s Employment Act and the Disability Discrimination Act.

3.  To review regularly all relevant Personnel Policies in order to ensure that individuals are selected, promoted and treated on the basis of their relevant skills.

Equal Opportunities Monitoring Form

The Down's Syndrome Association wants its service to be available and used by all sections of the community (see Equal Opportunities Policy Statement). In order to monitor whether we are achieving this, applicants are requested to answer the questions below. The information will be treated confidentially and only used to monitor the effectiveness of our Equal Opportunities Policy.

The form will be separated from your application form on receipt and will in no way affect your application. The information you give us will be treated as confidential and is purely for monitoring our equal opportunities policy.

Position applied for: / ……………………………….…..………………………
Where did you see this post advertised? / ……………………………….…..………………………
Gender: Age:
/ Male / Less than 20 / 20 - 29 / 30 – 39
Female / 40 - 49 / 50 - 59 / 60 – 74

Ethnic Origin:

How would you describe your ethnic origin? (this does not cover Nationality, place of birth or citizenship, but colour and broad ethnic group)

Bangladeshi / Black African / Black Caribbean / White / Indian
Chinese / Pakistani / Asian other – please specify:
…………………. / Black other – please specify:
…………………. / Any other – please specify:
………………….
Disability:
Do you consider that you have a disability under the Disability Discriminatory Act 1995 (ie a physical or mental impairment which has a substantial and long-term adverse effect on your ability to carry out normal day to day activities? / Yes / No
If yes, please state the type of disability that affects, or has affected, your ability to carry out any aspect of your job.
Do you need any special assistance in attending an interview? If so, please give details.

Thank you for completing this monitoring form.

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March 2005