Meeting young and vulnerable people’s housing and support needs

We are committed to safeguarding and promoting

the welfare of children and adults

APPLICATION FORM
You should attempt to answer all relevant questions as fully as possible. Please note that, whilst you may submit a CV if you wish, it is unlikely to provide sufficient information and will not be considered on its own. You should therefore fill in this application form. It is strongly recommended that you read the guidelines.
Guidelines: Personal Details
a) Please leave reference number blank. This will be inserted by our Administration staff. / 1 PERSONAL DETAILS
a) Reference number:
Post(s) for which you are applying
b) If you wish us to use a title, please give it with your name, e.g. Ms, Mr etc. / b) Name:
Address for correspondence:
c) If we need to telephone you at your place of work, we will not identify in anyway who we are or why we are calling. / c)  Day:
 Evening:
d) Please let us know of any dates you could not attend for interview within the forthcoming month. We cannot guarantee to interview you if you cannot make the specified date. / d) Dates you are not available for interview:
If successful, how soon would you be able to start?
Where did you see this post advertised?

Do you hold a clean current driving licence? YES NO
Guidelines: Sections 2 – 5
Sections 2 - 5 provide the information on which we decide whether or not to invite you for interview. It is therefore important that you complete all sections fully. You should read the accompanying Job Description and Person Specification and consider carefully whether your experience matches what we are looking for.
Guidelines:
Education & Training / 2 EDUCATION AND TRAINING
Please tell us about the education and qualifications relevant to the advertised post. / Subject / Level/Qualification / Date gained
It is not necessary to list every GCSE/A etc. you have received e.g. 6 CSEs 2As is sufficient but you may wish to highlight any which are particularly relevant to the post. / ______
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(English examples have been used but qualifications gained in any country are equally acceptable / Please list any training you have received or are currently undertaking which did not lead to a qualification but which you feel is relevant to the advertised post.
Course level / Course Provider / Dates
We ask that you bring evidence of your qualifications if selected for interview / ______
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Guidelines:
Current Experience / 3 CURRENT EXPERIENCE
a) You should Include details of your current or most recent employment It will be sufficient to detail the main duties and responsibilities of your post. / a) Name and address of employer: ______
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Position held: ______Dates employed: ______
Brief outline of duties and responsibilities______
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______Present salary: ______
b) This section should be used to tell us about anything you are currently doing, other than paid employment. We have given a number of examples, but there may be others.
Much of what you do now may be relevant to the advertised post, even if it is not paid employment. Please ensure that you tell us about it. / b) If you are not currently in paid employment, please use the section below to tell us what you a presently doing. For example, you may be in voluntary employment, or studying, or unemployed, or working in the home, etc.
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Guidelines: Skills and
General Information / 4 SKILLS AND GENERAL INFORMATION
This section is to give us specific information in support of your application. You must be able to demonstrate on this application form and at interview, if called, that you can satisfy each and every aspect of the Person Specification.
It will be insufficient merely to duplicate what the Person Specification states. So, for example if it asks for ‘ability to’ or ‘commitment to’ you will be required to demonstrate positively your ability, commitment etc. by some reference to your academic, professional, voluntary or personal life.
If you need more space please use a separate sheet of paper / Please tell us why you are applying for this post. You must address every aspect of the Person Specification.
1.
We require all our staff to share our commitment to developing policies, practices and attitudes which are anti-discriminatory and which promote equality of opportunity. You will be required to demonstrate such commitment by reference to what you have already achieved in these areas and what you would hope to achieve if offered the post / 2.
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If you need more space please use a separate sheet of paper / 4.
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If you need more space please use a separate sheet of paper / 8.
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If you need more space please use a separate sheet of paper / 11.
There may be more or less points on the person specification than listed on this form. Please only fill in the relevant points.
Guidelines:
Previous Experience / 5 EMPLOYMENT HISTORY
This section should be used to tell us about all your work experiences, whether from employment, voluntary work, studying etc. All gaps should be clearly explained / NAME AND ADDRESS
OF ORGANISATION
AND DATES / BRIEF DESCRIPTION
OF DUTIES AND RESPONSIBILITIES / REASON
FOR
LEAVING
NOTE: In order to safeguard service users we may check the
details that you provide here.
If you need more space, please use a separate piece of paper.
Guidelines: Criminal Offences / 6 CRIMINAL OFFENCES
Given the nature of our work, Shap is exempt from Section (2) of the Rehabilitation of Offenders Act 1974. The information we request will be used only to assess the applicant’s suitability for employment, insofar as it is relevant. / Details about convictions are only requested from people invited for interview, and criminal records will be taken into account for recruitment purposes only when the conviction is relevant.
Have you ever been convicted of a criminal offence? YES NO
If your answer to the above question is ‘Yes’ and you are invited for interview, you will be required to fill in a ‘Disclosure of Information Relating to Criminal Offences’ form prior to your interview.
As Shap meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants who are offered employment and will be involved in direct work with service users will be subject to a DBS check from the Disclosure and Barring Service before the appointment is confirmed.
Are you registered with the ISA Vetting and Barring Scheme?
YES NO
If YES please provide your registration number:…………………………
Guidelines: References / 7 REFERENCES

Employment at SHAP is subject to receipt of two satisfactory references and you may be unable to start until we have written references for you. If for any reason, references do not check out satisfactorily, we will contact you. / Please supply details of two referees. These should not include relatives or purely personal friends.
If you are in current employment, one reference must be from your current employer.
Please tick the box if you do not wish us to take up references with your current employer before interview, and please explain the reasons why you do not wish us to take up references prior to interview. In this case any position would be offered subject to references.
If you, or your referees, are unable to verify information which is material to your appointment, then we may have to check it ourselves.
We will contact the organisation / person you specify following receipt of references in order to check their authenticity. / FIRST REFERENCE
Name:______
Address ______
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Organisation: ______
Occupation/position: ______
SECOND REFERENCE
Name: ______
Address:______
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Organisation: ______
Occupation/position: ______
I certify that the information given on this form is correct to the best of my knowledge.
I consent to SHAP checking any information I am unable to verify personally.
Signed: ______
Date: ______
Please return this form to:
Pat Reid, Shap Ltd, Alexandra Business Park, 2nd Floor, Lakeside Building
Prescot Road, St Helens, Merseyside WA10 3TP
Equal Opportunities- Please assist us by completing and returning the attached Monitoring Form.

Company\Forms\Employment Application Form 2010

Recruitment Monitoring Form Application Form No.
(This form will be detached from
Your application upon receipt.)
Guidelines for the completion of the recruitment monitoring form
As SHAP is striving to ensure equality of opportunity in its employment policies, we have decided to monitor our recruitment practices. This will help us to identify areas of under-representation in our workforce and to assess those areas where positive action is needed
Your co-operation in completing this form would be greatly appreciated. We must stress that any information you give will be strictly confidential to the Personnel Section. You are not obliged to answer any of the questions, but you will appreciate that, for our monitoring policy to be wholly effective, we should hope to have 100% response. If you do not wish to answer any question(s), this will not affect your application in any way.
There follows an explanation of some of the sections where appropriate. Thank you for your time and co-operation in completing our form.
POST APPLIED FOR (Please put full title of post)

Guidelines: Ethnic Origin
If you wish to classify yourself in some other way, please use the additional spaced provided to do so. / 1 ETHNIC ORIGIN
I would describe my ethnic origin as (please tick)
WhiteIndian
Black - BritishPakistani
Black - CaribbeanBangladeshi
Black - AfricanChinese
Black - other (please describe)Other (please describe)
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/ 2 GENDERI am (please tick) Male Female
3 AGE My date of birth is: ______
Guidelines: Disability
We understand that many employees do not declare disability because of possible discrimination against them by employers in the selection process, and many people do not register as disabled for the same reason. SHAP does not directly discriminate against disabled people but is aware that it is probably indirectly discriminating against them. We are striving to improve. / 4 DISABILITY
a) I do/do not have any disabilities*
b) I am/am not registered disabled*
c) I would/would not require special adaptations/equipment to take up employment*
Please specify
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*If you answer in the affirmative to any of the above questions and are shortlisted for interview, please contact Personnel to ensure that interview arrangements are to your satisfaction.
Guidelines:
Sexual Orientation
We appreciate that some people may find the question on sexual orientation to be an extremely personal one and we must therefore re-iterate that you are under no obligation to answer it. However, SHAP is particularly aware of discrimination against gay and lesbian people in housing and, in order to promote policies which actively work against such discrimination, it is important that we attract gay and lesbian people to work with us. / 5 SEXUAL ORIENTATION
I would describe myself as: Heterosexual Lesbian
(please tick)
Gay Bisexual
Transgender
6 MEDIA RESPONSE
Where did you see this post advertised? ______
7 COMMENTS
Do you have any comments on our monitoring form? ______
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Company\Forms\Employment Application Form 2010