EBONY HORSE CLUB

JOB APPLIC ATION FORM

YOUR DETAILS

Position Applied for
Surname
Forename(s)
Address
Postcode
Telephone
Daytime
Evening
E mail
Are you an EU national?
Do you need a work permit to work in the UK?
What is your current work permit status?
Where did you see this position advertised?
What was the date of your most recent tetanus shot?

Please complete the remainder of the form and return to Ebony Horse Club, address below or email

CURRENT OR MOST RECENT EMPLOYMENT

Name of Employer
Address
Postcode
Telephone
Date Started
Current Duties
Dept/Speciality
Salary/Grade
Notice Period
Date left ( where applicable)
Reason for leaving

PREVIOUS EMPLOYMENT

Please give details of your full employment history, detailing any periods of unemployment and unpaid/voluntary work (most recent first). Please indicate any agency work with *

Dates / Employers name and address / Job Title / Salary/grade / Reason for leaving

PROFESSIONAL REGISTRATION

Are you registered with a professional body?

Name of Body
Reg No
Expiry Date

FORMAL EDUCATION

Please give details of all formal education, including professional qualifications

Name and address of education establishment / Dates / Exam Details/Results/Qualifications gained

TRAINING

Please give details of any additional training, including short courses and work place training.

REFEREES

Please refer to guidance note 4 before completing

Referee 1
Your most recent line manager/employer / Referee 2
Previous employer or other relevant referee
May we approach this referee prior to interview? / May we approach this referee prior to interview?

RELEVANT EXPERIENCE/FURTHER INFORMATION

Please relate your skills, knowledge and experience to those outlined in the person specification. You may include details of other paid/unpaid work, voluntary work and work at home, committee and club experience/activities and any relevant hobbies etc.

Continue on additional sheet(s) if necessary. Please write your name on each page.

CRIMINAL RECORDS DECLARATION FORM

All applicants must complete this form. The information disclosed on this form will not be kept with your application form during the application process.

Policy Statement on Recruiting Applicants with Criminal Records

The post you are applying for is exempt from the Rehabilitation of Offenders Act 1974 and therefore you are required to declare any convictions, cautions, reprimands and final warnings that are not "protected" (i.e. filtered out) as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013.

For further information please refer to DBS filtering guidance.

We recognise the contribution that former- or ex-offenders can make as employees and volunteers and welcome applications from them. A person’s criminal record will not, in itself, debar that person from being appointed to this post. Any information given will be treated in the strictest confidence. Suitable applicants will not be refused posts because of offences which are not relevant to the role and which do not make them a risk in the role for which they are applying

All cases will be examined on an individual basis, taking the following into consideration:

 Whether the conviction or other matter revealed is relevant to the position applied for.

 The seriousness of any offence or other matter revealed.

 The age of the applicant at the time of the offence or other matter revealed.

 The length of time since the offence or other matter revealed.

 Whether the applicant has a pattern of offending behaviour or other relevant matters.

 The circumstances surrounding the offence or other matter revealed, and the explanation(s) offered by the person concerned.

 Whether the applicant's circumstances have changed since the offending behaviour or the other matter revealed.

It is important that applicants understand that failure to disclose all convictions, cautions, reprimands or final warnings that are not “protected” could result in disciplinary proceedings or dismissal.

CRIMINAL RECORD DECLARATION

Surname / Forename
Criminal record declaration
Do you have any convictions, cautions, reprimands or final warnings which are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment)
(England and Wales) Order 2013? Y/N _____
If you have answered yes, you now have two options on how to disclose your criminal record.
Option 1: Please provide details of your criminal record in the space below.
Option 2: You can disclose your record under separate cover provided that you mark a cross on the line below and attach the details in an envelope stapled to this form. The envelope should be marked CONFIDENTIAL and state your name and the details of the post.
I have attached details of my conviction separately_____ (Please mark with an X if appropriate.)
Declaration
I declare that the information provided on this form is correct. I understand that the declaration of a criminal record will not necessarily prevent me from being offered this role.
Signed: ______Date: ______

EQUAL OPPORTUNITIES

Our Policy

It is the aim of Ebony Horse Club to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, ethnicity, religion, marital status, sexuality, age or disability including HIV status or is placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end EHC has an Equal Opportunities Policy and it is for each employee to contribute to its success.

This policy is in accordance with the full provisions of the Sex Discrimination Act 1975, Race Relations Act 1976 and the Disability Discrimination Act 1995.

Monitoring Information

To ensure that the Equal Opportunities Policy is effective, detailed monitoring of applications is carried out. This necessitates collecting information regarding your gender, ethnic group and any disability you may have. Your co-operation would be appreciated.

This information is used solely for monitoring purposes. It will be treated as confidential and this sheet will be detached from your application form on its receipt and before short listing of candidates takes place. It will not be used as part of the selection process.

Your name
Date of Birth
Gender

Male /
Female
Ethnicity

Asian

Caribbean

Eastern European

White Irish

Latin American

Other European

Other / African

Black or Black British

Mixed

White or White British

Middle Eastern

White European

Mixed
Post applied for
Disability / We are taking positive steps to encourage recruitment of people with disabilities.
Do you consider yourself to have a disability? Y/N _____
Are you registered disabled? Y/N _____ (Registration Number ______)

All personal data on this form is subsequently stored on computer and is subject to the provisions of the Data Protection Act 1984.

GUIDANCE NOTES

IMPORTANT! PLEASE READ THESE NOTES CAREFULLY. These notes have been written to help you make the best of your application. The decision to shortlist you for interview will be based on the information you provide on this application form.

1. To ensure equal opportunities in recruitment, we request that all applicants complete the application form provided. Read through each section of the application form carefully. You may find it helpful to do a rough draft in pencil first. This form should be completed in black ink for photocopying purposes.

2. The job description details the essential skills, knowledge, experience/professional qualifications which you will need in order to do the job as described in the job description. Your completed application form should demonstrate that you have these skills and that you understand and are committed to equal opportunities.

3. The “Relevant Experience/Further Information” section of this application form is very important. THIS IS WHERE YOU MAKE YOUR CASE FOR THE JOB. Examine the skills and experience being asked for and provide evidence by giving specific examples that you possess those RELEVANT to do the job. Give thought to previous work experience or other responsibilities which may assist you to uncover skills which you may have taken for granted. Do not forget the skills and experience, which you may have gained outside full-time work. If you have been out of paid employment for a long time, or have never been employed before, your job history may be less important than some of the responsibilities and experience, which you have had more recently. For example, you may have considerable domestic responsibilities or may organise social or community activities in your spare time.

4. The first referee quoted on the form should be your present or most recent line manager/employer. The second referee should be another line manager from your most previous employment. If you have not been employed, or have been out of employment for a period of time, you may wish to give the name of anyone who knows you sufficiently well in an academic or professional capacity to confirm the information you have given, and to comment on your ability to do the job.

5. We are committed to improving employment opportunities for all people with disabilities. If you would require assistance when attending an interview please give brief details on the application form (see Personal Details).

6. To help decide where to advertise our posts in the future, please state clearly where you saw the post advertised (see Personal Details).

7. To ensure that out Equal Opportunities Policy is effective, all candidates are requested to complete the section of monitoring. This will be treated as confidential and detached from the application form before short listing.

8. When completed, please read through your application form carefully, checking for errors or omissions. Make sure of the closing date quoted, and make certain your application form is sent in plenty of time.

9. For reasons of economy, we do not usually acknowledge receipt of application forms, but if you wish us to do so please send a stamped-addressed envelope with your application.

10. All positions at Ebony Horse Club are subject to the successful candidate receiving full clearance from Disclosure and Barring Service.

GOOD LUCK WITH YOUR APPLICATION