Position: Part-Time Mental Health Support Worker

Position: Part-Time Mental Health Support Worker

Application for Employment Confidential

Surname: Forenames:
(Block capitals)
Address: Telephone:
Mobile:
E-mail:
Post Code:

DO YOU HAVE REGULAR USE OF A CAR? YES / NO

DO YOU HAVE A FULL UK DRIVERS LICENCE? YES / NO
Details of Education: Qualifications Obtained:
(Schools; Further Education Establishments
and Universities with dates)
Present Employer (If applicable): Current Salary:
Job Title:
Previous Employment: please give details of all jobs in the past five years
Name of Employer Job Title Period of Reason for Leaving
Employment
With specific reference to the Job Description and the Person Specification, please tell us why you are suitable for the post:
(If necessary, please continue on a separate sheet of paper)
Please provide the following details for two referees:
(If you are in employment, one of these must be your present employer. If you are not currently working please use an appropriate person who is not a relative or friend)
Name Address
Telephone:
E-mail:
Name Address
Telephone:
E-mail:
Referees will only be contacted in the event of a job offer.
Please note that in order to work with our client group of vulnerable adults you will be required to go through a DBS check. Do you agree to this requirement? Yes/No
Do you agree that, if in the future you are convicted of any offence, you will immediately inform Mind in Cambridgeshire? Yes/No
Are you willing to undergo a medical examination? Yes/No
If successful, applications should be aware of the following requirements:
·  You must be eligible to work in the United Kingdom. You will be required to provide evidence of this if you are invited to an interview.
·  Any offer of employment will be subject to a satisfactory DBS clearance.
·  Certificates for qualifications quoted in the application will be requested so copies may be taken for our reference.
·  You will be required to provide business motor car insurance cover and documentation must be provided by successful applicants within one week of employment.
I confirm that I have read understood these requirements.
Signed:
Date:

Once you have completed all sections of this form, please return by email to:

Alternatively, you may return it by post to:

HR Administrator

The Limes

24 New Street

St Neots

PE19 1AJ

For office use only
Date application received: …………………………………
Short-listed for interview: Yes/No
Applicant informed of outcome: Yes/No
Interview date: …………………………………