Job Application Form
Please complete all fields in black ink
Post Title: / Reference number:
Where did you see the post advertised:
Closing Date:
1. Personal Details
Please note that when completing this form that if you omit any information, which we have requested,
we may not be able to consider your application fully.
Mr/Mrs/Ms/Miss/ Other (specify)
First Name(s): / Surname/Last name:
Address:
Postcode:
Telephone (daytime): / (evening):
If the daytime number is your place of work, can we contact you at work YES / NO
(Please delete as appropriate )
Email address (business) / (personal)
National Insurance Number:
2. Educational / Technical / Professional Qualifications / Details of relevant training undertaken
(Please name any institute / course provider or Professional body in full, avoiding any abbreviations / initials)
Where Attained / Provider / Subjects / Qualifications / Year / Grade
Chartered membership details or
Professional Registration number :
(where applicable)
3. Employment History
please give details of all jobs held including part time and unpaid work, starting with your most recent / last employer
Current Employer
(name and full address details) / Position(s) held (Job title)
and Duties / From / To / Reason for leaving
Current Salary /
Benefits / Notice
required:
Details of previous Employment
Name of Employer and address details / Position(s) held (Job title)
and Duties / From / To / Reason for leaving
Please continue on a further sheet if required
4. Relevant Knowledge, Experience & Skills
Please tell us how your knowledge, experience and skills meet the job requirements described in the person specification. Please refer to the guidance notes and use additional A4 sheets if necessary.
5. Additional Information
Do you hold a current driving licence? YES / NO (Please tick as appropriate )
If so what type of licence is it? (please tick which of the following (if any) apply)
Full / Provisional / LGV / PCV
Do you have a personal / family relationship with a current member of staff or a member of the Board of Trustees? If yes, please provide details:
Surname/Last name: / First name(s)
Position/post held: / Relationship:
Please indicate two people who can provide references, please note that we require satisfactory references which should cover your employment for the past 3 years
(friends/relatives/RBL employees must not be used)
Name: / Name:
Address: / Address:
Telephone / Fax: / Telephone / Fax:
e-mail: / e-mail:
May we contact your present / last employer / other referee straight away
YES / NO (Tick as appropriate) / YES / NO (Tick as appropriate)
If NO please indicate clearly when we may contact them:
Are there any restrictions to your residence in the UK which might affect your right to take up employment with the Legion? YES / NO (Tick as appropriate)
If yes please provide details:
If you are successful in your application, would you require a work permit prior to taking up employment? YES / NO
Applicants should note that failure to declare any restrictions to employment or the need for a work permit could lead to termination of any contract of employment
DISCLOSURE AND BARRING SERVICE (DBS) CHECKING SECTION
Please go to the next page if this page is not relevant to the post for which you are applying
Job roles where this section must be completed will state in the advert that the post is subject to a Disclosure Barring Service check
ONLY TO BE COMPLETED BY APPLICANTS WHO WILL HAVE ACCESS TO CHILDREN AND / OR VULNERABLE ADULTS AND BY THOSE WHO MANAGE SUCH POSTS, AS DEFINED BY THE DBS
A check as to the existence and content of a criminal record may be requested from the DBS after a person has been selected for appointment to a post. Refusal to agree to a check being made could disqualify you from being considered for the position applied for. You are therefore asked to sign the statement below to confirm your agreement, if you are selected for the position, to a check being made on any criminal record applicable to you. Under the Rehabilitation of Offenders Act 1974, you have the right not to disclose details of ‘spent’ convictions. However, for certain jobs, employers are allowed to ask about these offences. The Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 sets our details of all jobs to which this applies and the job you have applied for is included in that list. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website; https://www.gov.uk/government/organisations/disclosure-and-barring-service
"Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?" YES / NO (Tick as appropriate )
Please give details (on a separate sheet) of any criminal convictions that you may have which are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) (date, conviction, sentence etc.) The disclosure of a criminal record may not necessarily prevent you from being appointed. The nature of the offence, how long ago it took place, your age at the time and any other relevant factors may be considered when a decision is made. Please note that some convictions are never considered “spent” under the terms of the Act.
DISCLOSURE BARRING SERVICE(DBS)
The DBS is an executive agency of the Home Office, which helps employers check records which were previously held by the Police, the Department for Health and/or the Department for Education and Employment.
Enhanced Disclosure
This is for positions with greater contact with children or vulnerable adults, like nurses or care assistants, for example in the Legion. They may involve an extra level of checking including Protection of Children’s Act (POCA) and Protection of Vulnerable Adults (POVA) checks.
Permitting the Legion to check online the status of any existing DBS Clearances;
I am in receipt of a valid Enhanced DBS Clearance and have registered for the online service with the DBS at www.gov.uk/dbs-update-service Please note, you can register online when you apply for a DBS certificate, or within 14 days of DBS issuing one (you’ll need the certificate reference number). You can find out the progress of your DBS certificate through the DBS tracking service. Registration lasts for 1 year and costs £13 per year (payable by debit or credit card only).
I consent to the Royal British Legion carrying out other appropriate checks with the DBS if it so wishes and permit the Legion to undertake a Status check to see if any relevant information has been identified since my Certificate was last issued, where applicable
DBS Certificate No……………………………. Surname on Certificate…………………………………
Have you ever been subject to any sort of investigation by an employer under POCA or POVA regulations YES / NO (Tick as appropriate) If you have answered “yes” to this question please give full details on a separate sheet.
Have you ever been referred to the POCA or POVA register YES / NO (Tick as appropriate)
If you have answered “yes” to this question please give full details on a separate sheet.
Please note it is an offence if registered to apply for a position involving vulnerable clients.
I agree, if I am selected for this appointment, to checks being made with the Disclosure Barring Service for any record of convictions or cautions against me. I am aware that such information as appropriate for Enhanced Disclosures will be made available.
I CONFIRM THE INFORMATION GIVEN ABOVE IS CORRECT.
I also consent to the Royal British Legion carrying out other appropriate checks with the DBS if it so wishes.
Name:
(Please print)
Signature
………………………………………………………………………………….. / Date:
PERSONAL DETAILS
Data Protection Statement
The information that you provide on this form and that obtained from other sources will be used to process your application for employment with The Royal British Legion. The personal information that you supplied will also be used in a confidential manner to help us monitor our recruitment process. If your application is successful and you take up employment with the Legion, the information will be used in the administration of your employment with us. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process. For these reasons, the information you supplied will be kept on file for 6 months. All information supplied will also be subject to verification and we may need to contact people and/or organisations to confirm details of the information e.g. referees, previous employers, educational establishments, professional bodies etc.By signing the form you are stating your agreement to the Legion processing your application and the verification, use and holding of such sensitive personal data (as described above) in accordance with the Legions registration with the Data Protection Commissioner.
Please return your completed application from to the relevant Care Home or Poppy Breaks Centre.
If you have not heard from us within 2 weeks of the closing date you may conclude that you have not been short listed. As a charity we are unable to acknowledge all applications received due to the costs involved.
I declare that to the best of my knowledge the information I have given is accurate and true. If I am appointed to the post I understand that any omission or inaccurate information relevant to my application which later comes to light could lead to the withdrawal of any offer or the termination of my employment.
Name:
(Please print)
Signature
………………………………………………………………………………….. / Date:
Recruitment Monitoring
Please complete the section below in order to help us check we are employing people fairly. Areas marked as optional may be left blank at you preference but please complete all other areas as indicated.
Please note: The information you provide in this section is only used for monitoring purposes, to ensure that we are acting fairly when we employ people. This section is detached from the rest of the application form before the short listing process and is never made available to the recruiting panel.
Female / Male / Date of birth:
Do you consider your ethnic origin to be:
White / Mixed / Black
British / White and Black Caribbean / Black British
Irish / White and Black African / Caribbean
Any other white background / White and Asian / African
Any other mixed background / Any other black background
Asian
Asian British / Chinese
Indian / Japanese
Pakistani
Bangladeshi / Any other ethnic group
Any other Asian background / (please specify)
Please indicate which of the following beliefs you observe:
Church of England / Roman Catholic / Christian Orthodox / Anglican
Buddhist / Hindu / Jehovah’s Witness / Jewish
Muslim / Sikh / Rastafarian / Atheist/Agnostic
Other (please state) / None
If you wish to make us aware, please indicate your sexual orientation based on the following list: (optional)
Heterosexual/Straight / Gay / Lesbian / Bisexual / Transsexual / Transgender
Marital Status (optional):
Single / Married / Civil partnership / Co-habiting
Do you consider yourself to have a disability? YES / NO
If you have answered yes, and you feel you require an adjustment to be made either at interview or in post please state the adjustment required so we can accommodate you ….
The Equality Act defines disability as;
“A physical or mental impairment, which has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities”.”
Guidance Notes on making a job application Please read these notes thoroughly before completing your application. When recruiting our new employees we use a job description, a person specification and an application form.
• Job description
This tells you the main responsibilities of the job.
• Person specification.
This is an important document; it tells you what knowledge, experience and skills you need to do the job. These “criteria” are used to make appointments.
“Essential” criteria are those which you must have to carry out the responsibilities of the job. The person specification will show you which criteria will be used to shortlist candidates for interview.
“Desirable” criteria may also be included. These are extra requirements which may be considered if we receive a large number of applicants who meet our “essential” criteria.
• Application form.
If you want to apply for more than one position, please submit a separate application for each job. It is useful to make a rough draft first. Check through the draft to make sure that it is clear and that it covers all the criteria, before you complete the actual form. Please give all the information that you think we may need, as we cannot guess or assume anything about
you. Please tell us anything that you think is relevant to the job in terms of knowledge, experience and skills. You need to give enough information so that we can judge your suitability for the job.
• Referees.
Give the names and addresses of two referees, one of whom must be your current employer (or most recent if unemployed).
If you have not been employed before, give details of teachers/lecturers or others who know you well enough to comment on your ability to do the job. Relatives and friends must not be used.
• Qualifications and other relevant training.
Give details of your relevant qualifications and training courses. (You will be expected to produce proof of relevant qualifications if you are interviewed).
Look at the person specification to see which qualifications / training are essential. You may also have gained qualifications and attended training which, although not essential, are relevant to the job.
We are also interested in any relevant courses which did not lead to an examination or qualification and will take into account equivalent education / qualification gained overseas or as part of a vocational training scheme.