Personal and Confidential

Locality Manager

Please complete all sections in full.

Your application will not be considered if you do not complete all sections

Job Reference Number
Community Hub Preference
Where did you see this vacancy advertised
Surname / NI Number
Forename(s) / Known As
Address
Telephone
Postcode / Mobile number
Email
What is you preferred method of contact / email / telephone / mobile
Eligibility to live and work in the United Kingdom
Do you have the required authority or visa to work in the UK? / Yes / No
If Yes, you will be required to supply your passport and any Home Office documents that confirm this
Please confirm you hold a valid full UK motor vehicle driving licence / Yes / No
Education and Training
School, college or university / Course Title / Qualifications or grades
Relevant training courses attended, professional memberships held etc
Institute / Qualification or grades
Career History
Please complete in date order with your most recent employer first. You must include any gaps in employment, including any voluntary work or periods of unemployment, with dates and an explanation. You must not leave any time unaccounted for. Please state clearly reasons for leaving, including any circumstances relating to dismissal.
We will seek references from you existing and previous employer which will cover the last three years.
Career History Details
Current or most recent job title
Name of current/most recent employer
Address of employer / Date commenced/
ended
Present salary
Notice Period
Postcode
Telephone
email
Your duties and responsibilities
Reasons for wishing to leave, leaving
Previous History
Employer/ Activity / Dates from-to / Job Title / Reason for Leaving
Please continue on a separate sheet if necessary
References
Please give full details of two referees who we can approach in support of your application. The first should be your current/ most recent manager in your current/ most recent employment. The second should be your manger in your immediate previous employment. We will not accept references from a spouse / partner or relative.
If you have not worked for an employer, you must provide contact details of a professional person (doctor, police officer, solicitor, director, teacher etc.) who has known you for a minimum of three years.
Name / Name
Position / Position
Address / Address
Postcode / Postcode
Telephone / Telephone
email / email
Can we contact prior to any conditional offer of employment? / Can we contact prior to any conditional offer of employment?
Yes / No / Yes / No
We reserve the right to take up references with any previous employer
Job Requirements: LOCALITY MANAGER
SECTION 1. Experience
Please demonstrate by giving examples from your personal experience how you meet the requirements for the role of Locality Manager (maximum 500 words )
SECTION 2. Decision Making
Please give examples of where you have personally had to make an important and difficult decision –whilst under pressure and with no clear procedure- ensuring that decisions were based on relevant facts and resources (maximum 300 words)
SECTION 3. Communication
Please give examples of where you have had to win credibility within a multidisciplinary team communicating sensitive information clearly and succinctly both orally and in writing. Please give examples if you have been involved in briefing stakeholders and had to gain the trust of third parties involved (maximum 300 words)
SECTION 4.Managing People and Financial Resources: Please give examples of how you have managed/co-ordinated teams of people, provided leadership and motivation and allocated appropriate resources to ensure services are delivered on time within budget and to quality standards (maximum 300 words)
SECTION 5.For which position are you applying? Please indicate your location preferences in rank order
Data Protection Act
Your information will be processed in accordance with the Data Protection Acts 1984 and 1998.
Your application form will be used for short listing, interviewing and monitoring purposes. If you are not appointed, your form will be retained for a period of 12 months.
The successful applicant’s form will form part of a personal file which will be retained in a secure environment
Are you related to or are you a spouse or partner of a member of WRVS staff? / Yes / No
If Yes, please state their relationship to you
Are you currently a WRVS volunteer? / Yes / No
If Yes, we will contact your manager for a reference
I confirm that the information I have provided is accurate and true.
I understand that any omission or false information may lead to the withdrawal of any offer of employment, or if already employed termination of employment.
Signature / Date

Please email your competed application form including the section Diversity Monitoring form to 5pm Monday 7 September 2012.

If you have any queries regarding this form or if you have any special needs for which you need reasonable adjustments please contact Sarah Thomas on 02920 739120 or email

Equality and Diversity Monitoring

WRVS is an equal opportunities employer and we want to ensure that all applicants are treated fairly. To enable us to monitor the effectiveness of our diversity policies, please answer the questions below. This form is separated from the main application form and will not be provided to the short-listing or interview panel. All details are held in accordance with the Data Protection Act 1998. Your answers will be treated in the strictest confidence and the information you provide will only be used for monitoring purposes. How you complete this form has no connection to the evaluation of your application in any way.

Asian / Black / Chinese or other ethnic group
 Indian /  Caribbean /  Chinese
 Pakistani /  African /  Any other ethnic group (please write in)
 Bangladeshi /  Any other Black background
 Any other Asian background / (please write in)
(please write in)
Mixed / White
 White and Black Caribbean
 White and Black African /  English
 Irish
 Scottish /  Rather not say
 White and Asian /  Welsh
 Any other mixed background
(please write in) /  Any other White background
(please write in)

Age: ______ Rather not say

Disability

The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term (i.e. has lasted or is expected to last at least 12 months) adverse effect on one’s ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities.

Do you consider yourself to have a disability according to the above definition?

 Yes No Rather not say

Gender

 Male /  Rather not say / Transgender
 F to M
 M to F
 Female

Faith

Which group below do you most identify with?

 No religion /  Baha’i /  Buddhist
 Christian /  Hindu /  Jain
 Jewish /  Muslim /  Sikh
 Other (please write in) /  Rather not say

Sexual orientation

How would you describe your sexual orientation?

 Bisexual /  Gay man /  Heterosexual or ‘straight’
 Lesbian /  Other /  Rather not say

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