Position Applied For: Domestic Violence Support Worker (Community-Based)

OMAGH WOMEN’S AID

Application Form Ref. No: 02/18

Position Applied For: Domestic Violence Support Worker (Community-based)

Closing Date: no later than Thursday 15th March 2018 at 4pm

Omagh Women’s Aid is an equal opportunities employer and welcomes applications from everyone from all sections of the community who meets the criteria for the post.

Please read the notes below before completing the application form:

·  Complete in black ink or typescript only

·  Use font no smaller than point 10

·  Do not alter the formatting of the form

·  Adhere to word limits where applicable

** Please note Interviews are scheduled for 22nd and 23rd March 2018 and candidates selected for interview will be contacted using the contact details provided in this form **

Return completed form to:

The Administrator, Omagh Women’s Aid, 9 Holmview Terrace, Omagh, BT79 0AH or email

For Official Use Only

Date Application received______

Confidential

Personal Details

References

Please give details of three people whom we may contact for a reference. References will be taken up if you are successful at interview and any offer of employment made will be subject to references being satisfactory. At least 2 referees should have knowledge of you in a working environment, either paid or unpaid, and one must be your current/last employer. If you are a recent school/college leaver please give appropriate school/college referees.

Education. Continue on another sheet if necessary

Paid Employment

Please start with your present employment and work backwards. Continue on another sheet if necessary. Do not list work placements undertaken as part of a course of study or undertaken as part of gaining a qualification in this section.

Work Placements

Please list any work placements/experience of more than six weeks duration undertaken in the last five years

Voluntary Work

Do NOT include any unpaid work or learning placements here

Training and Skills

Please give details of any external or internal courses or training within the last five years

Driving Ability

Do you hold a full current UK Driving Licence

Do you have access to a car

Disclosure of Convictions

1.  Have you been convicted of any motor offences resulting in disqualifications?

2.  Please give details of accidents within last 3 years, endorsements etc

3.  Have you ever been convicted of any offence, which is not considered spent?

If the answer is ‘yes’ please give details on a separate sheet.

Medical History

Please provide details of recurring illness or medical problems for which you are receiving attention or medication.

Periods of Absence

Please give details of any illness, operation or accident resulting in an absence from work, paid or unpaid within the last 2 years.

Please list other periods of absence and reason for absence (e.g. caring for dependents, exceptional leave, compassionate leave) within the last 2 years.

Information in Support of your Application – You may use additional sheets if necessary.

Tell us about your experience of working in a supportive role - tell us the types of project you have worked in, how you supported your clients, the quality standards you worked to, the assessment processes you used and any experience of working with service users with additional or complex needs. Include details of any crisis handling experience. (Max 300 words)

Tell us how you have worked with other agencies to further the interests of your clients. (Max 150 words)

Tell us about any experience you have in delivering training to external agencies and/or facilitating groups Include details about the length of the sessions, numbers of participants and frequency of delivery. (Max 150 words)

Tell us about any experience you have in working with children and young people. Tell us about the extent and type of work undertaken and the age ranges you worked with. Please highlight any experience of working with children about whom there were safeguarding concerns. . (Max 150 words)

Tell us anything you wish to add in support of your application, paying particular attention to the job specification. (Max 150 words)

Declaration

I certify that all the particulars given are correct and understand that should any false statements/omissions be made on this form Omagh Women’s Aid reserves the right of dismissal. I understand that employment with Omagh Women’s Aid is subject to receipt of satisfactory references.

Signature of Applicant (Write or Type):

Date:

Please return completed form and attachments to the address given on the front page.

We aim to be FAIR Employers. We do not discriminate on the grounds of religion, martial status, disability, race or ethnic origin. We practice equality of opportunity in employment and most importantly, have a firm belief in the MERIT principle (i.e. the best person for the post)

We want to demonstrate this commitment and to do so; we need to monitor certain details of our applicants.

We are, therefore, asking you to give us extra information, which will be treated in the strictest of confidence and used for monitoring purposes only. This extra form will not be filed with your other details, as given on your application form.

We would therefore ask you to complete the form below. Thank you for your co-operation in this matter.

OMAGH WOMEN’S AID

Domestic Violence Support Worker (Community-based)

STRICTLY CONFIDENTIAL

SECTION A:

Please indicate the community to which you perceive yourself belonging by writing yes beside the appropriate statement below:

I.  I perceive myself to be from the Protestant community

II. I perceive myself to be from the Roman Catholic community

III.  I perceive myself to be from neither the Protestant nor the Roman Catholic community

SECTION C:

Date of Birth

It is not compulsory for you to answer the above questions. However I would stress that it is a criminal offence under the legislation for a person to “give false information in connection with the preparation of a monitoring return.

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Job Application Form –Community-based Domestic Violence Support Worker- March 2018 -