Lifeline Project: Application Form April 2016

Lifeline Project: Application Form April 2016

Southern Directorate

Walkden House

2nd Floor, 3-10 Melton Street

Euston

London | NW1 2EB

www.lifeline.org.uk

April 2016

Dear Applicant,

Thank you for your interest for the post of:

Family Worker at HMP Highpoint

NJC Scale £19,048 - £25,440 SCP 20-29

Please complete the application form as fully as possible.

Please address the questions in the order they are listed.

You may attach additional sheets but please try to keep your response to a maximum of 4 A4 sides of paper. Please sign and date each sheet.

Please demonstrate your ability to meet the requirements of the job by explaining your experience/abilities and giving clear and concise examples.

It is your application form we use for short listing; we do not use CVs or information given in covering letters, these are separated and discarded on receipt of applications.

Please return your completed Application Form, Additional Information Form and Monitoring Form by email to

The closing date for completed application forms is: Friday 6th May at 5pm

Application Form
Post: / Family Worker
Place of Work: / HMP Highpoint, near Cambridge
Salary: / £19,048 - £25,440 SCP 20-29
Closing Date: / Friday 6th May at 5pm

This post may be exempt from the Rehabilitation of Offenders Act 1974.

Please read the information on this included in the Application Pack.

Please Note: as part of our Equal Opportunities procedures, the only information we take into account when processing an application is the information included in this form. Therefore, please complete the form as fully as possible and note that we do not accept CV’s as part of an application or use them in the selection process. If at any point you need to use additional sheets for continuation information please do so.
Personal Details
Surname: / Forename:
Address:
Post code:
Email:

It is important that you give us a contact telephone number, as the time between short listing and calling for interview is often limited.

Telephone (daytime):
Telephone (evening):
National Insurance Number:
Do you hold a current full driving license? / Yes o / No o
Where did you see this post advertised?

For office use:

Shortlisted:

Interview time:

Confirmed:

Reference 1:

Reference 2:

Disclosure:

Yes o / No o / / / / /
Education and Qualifications

Professional Qualifications, Courses and Training (Details of any courses or training, relevant to this application, including dates and duration)

Qualification / Course / Training

Duration

Year

/ Grade/result

Further and Higher Education (please give a BRIEF summary)

College, University etc

Academic, professional and other qualifications

/ Grade/result /

Duration

Year

General Education (please give list ‘A-levels’ or equivalent)

School

Qualifications

Grade/result

Year

General Education (please give list ‘GSCE’s / O-levels’ or equivalent)

School

Qualifications

Grade/result

Year

Employment History

Most recent employment

Name & address of most recent employer
Post held: / From (mm/yy) / To (mm/yy)
Main duties:
Reasons for leaving if applicable:
Current/last salary: / Notice period required:

Previous employment and/or voluntary work (please put most recent experience at the top):

Employer and place of work

Post held

Main Duties

From

(mm/yy) /

(mm/yy)
Rehabilitation of Offenders Act 1974

Due to the nature of the work, this post may be exempt from the rehabilitation of offenders act 1974 and, if so, all convictions must be declared. Lifeline is entitled to check with the Disclosure and Barring Service (DBS) for the existence and content of any criminal record of the successful applicant. Failure to declare a conviction may disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light.

Do you have any convictions, cautions or bind-overs? Still sign & Date / Yes o / No o
If yes, please give details of the offence, sentence and date:

Date

Offence

Sentence

Signed: / Date:
References

Please give the names of two persons to whom reference may be made. One of these should be your present or most recent employer. References will be taken up if you are offered the post.

Referee number one: / Referee number two:
Name: / Name:
Telephone: / Telephone:
Relationship to you: / Relationship to you:
Email: / Email:
Address:
/ Address:
Postcode: / Postcode:

Declaration: To the best of my knowledge, the information I have given is correct and complete. I understand that including misleading statements or information that is incorrect would be sufficient grounds to cancel any agreements entered into.

Signed: / Date:
Additional Information

All criteria are essential unless otherwise indicated. Please see Job Description and Person Specification for assessment criteria, and state how you meet these areas.

Experience (through paid or voluntary work)
General and Special Knowledge
Qualifications and Training
Skills & Abilities
Additional Factors

Statement of Policy about Relevant Convictions

Introduction

The Lifeline Project is wholeheartedly committed to the principle of equal opportunity both in its capacity as an employer and as a provider of services to others. Lifeline is determined to make all efforts to prevent discrimination or other unfair treatment against any of its staff, potential staff or users of its service, regardless of race, gender, class, religion, ethnic or national origin, sexual orientation, responsibilities for dependants, age, physical disability, HIV status, offending or drug using background. Lifeline is opposed to racist, sexist and homophobic practices and attitudes, and is committed to translating this into all aspects of its everyday work.

Lifeline recognises that specific and positive programmes of action are necessary to ensure that the aims of its equal opportunities policy are achieved. Lifeline further recognises that the progress towards fulfilling these aims requires the participation and commitment of all our staff and management committee members to the policy, as well as the development of procedures and structures.

We will treat all employees with dignity and respect. Lifeline is committed to developing and maintaining a working environment free from unlawful discrimination or harassment. To further and preserve this objective we will not tolerate acts, which breach the terms of this policy and will investigate and discipline anyone within our employment who does so.

Equal opportunities in Staff Recruitment and Advancement

We recognise the rich diversity and creative potential that employees of differing sex, race and physical abilities can bring to their work. Recognising this diversity helps all employees develop their own skills and contribution to the Lifeline Project’s success as a provider of services to others.

Recruitment procedures are applied equally to internal and external applicants. These procedures and practices shall be monitored constantly as a management priority to ensure their proper operation.

All staff should have a genuinely equal opportunity to progress within Lifeline, including the opportunity to participate in training to develop their full potential.

All employees are responsible for ensuring that their behaviour supports and contributes to the implementation of these policies. Any questions, which relate to this policy, should be addressed to your line manager.

Equal opportunities in the provision of Services

Lifeline is committed to providing services which are relevant, attractive and accessible to all those who might wish to use them. Staff are required to be fully aware of their responsibilities in this respect and to ensure that systems of recruitment or referral to our services do not operate to exclude or discourage participation and that projects are welcoming and attractive to all potential participants.

These aims are a priority in the provision of staff training and the allocation of resources.

Monitoring of all services should be carried out in order to identify any inequalities in content or participation and to determine the steps needed to rectify them. This includes attention to publicity, environment, referral processes and the links with outside organisations and individuals involved in the provision of our services. Every effort is made to ensure that, in maintaining these links, our policies and priorities are not compromised. Lifeline should communicate its equal opportunities policy to black organisations with concern for drug users and promote the development of such organisations.

The job for which you are applying involves regular contact with young people under the age of eighteen years and/or vulnerable adults and is exempt from The Rehabilitation of Offenders Act (1974). You are required therefore to declare any convictions, cautions, reprimands and final warnings you may have, even if they would otherwise be regarded as “spent” under this Act.

The disclosure of a criminal record will not debar you from appointment unless it is considered that the conviction renders you unsuitable for the job in question. In making this decision, consideration will be given to the nature of the offence, how long ago and what age you were when it was committed and other factors which may be relevant including appropriate considerations in relation to Lifeline’s Equal Opportunities Policy.

The information you give will be treated in the strictest confidence.

All applicants who are offered employment will be subject to a criminal records check by the Disclosure and Barring Service before an appointment is confirmed.

Failure to declare a conviction may disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light.

If you would like to discuss any criminal offences conviction you have in relation to applying for this post, you may telephone the Human Resources Department on: 0161 214 0911 where you can ask someone for advice in confidence.

Monitoring Form

Dear Applicant

The Lifeline Project is determined to be an equal opportunities organisation. This means that we believe that everyone in society is entitled to a fair deal, and that we will make every effort not to discriminate against you. So that we can see how effective our policies are, and make changes if they are not effective, we need to monitor all applicants seeking employment with us. We are therefore asking for your co-operation in completing this monitoring form. Without your co-operation it will be difficult to establish whether our commitment to equal opportunities is working. The information requested is confidential and anonymous and will be used purely for monitoring purposes. It will not be used as part of the selection or recruitment procedure.

The form will be separated on receipt of your application

The recruitment panel will not see this form. Do not put your name on this form

If you do not wish to answer any of the questions, please leave the space blank

Please tick or circle the appropriate answer:

Post applied for: / Gender: / M o F o / Age:

Caring Responsibilities: In the past people, (particularly women), who are responsible for the care of children, elderly relatives or others have been discriminated against in job applications

Do you have major responsibility for the care of any dependants? / Yes o / No o

Sexuality

Are you heterosexual? / Yes o / No o
Are you a gay man, a lesbian or bisexual? / Yes o / No o

Disability: A disability or health problem does not preclude full consideration for a job at Lifeline, unless stated in the job description. Applications from people with disabilities are welcome

Do you have a disability? / Yes o / No o

Ethnic Origin: The object of ethnic monitoring is to ensure that racial discrimination does not take place. Ethnic origin refers to members of an ethnic group who share the same cultural identity. This does not mean country of birth or nationality. I would describe my ethnic origin as:

Asian Other o / Black African o / Black Caribbean ¨ / Black Other ¨
Chinese ¨ / Indian ¨ / Pakistani ¨ / Mixed White & Asian ¨
Mixed White & Black African ¨ / Mixed Other o / White British ¨ / White Irish ¨
White Other ¨ / Other ¨ / Mixed White and Chinese

Other Information: Please feel free to provide any additional information you wish. You may, for example, want to provide information about previous discrimination

Advertising: Lifeline wishes to make sure that all jobs are advertised as widely as possible.

Could you please say how you heard about this post:

Thank you for taking the time to complete this application

Registered Office: Unit 14/15, Third Floor, 12 Hilton Street, Manchester, M1 1JF

Registered in England: Charity No: 515691 Company No: 1842240

Lifeline welcomes applications regardless of race, colour, nationality, ethnic origin, gender, sexual orientation, marital status, disability or age. All applicants are considered on the basis of their merits and abilities for the job