CONFIDENTIAL APPLICATION FORM

Post: Grants OfficerSocial Justice Programme (Maternity cover)

Please complete this application in full, using black ink, typescript or word process in same format.

Surname: / Forenames:
Address:
Telephone: / Home: / Work: / Mobile:
Fax: / e-mail address:

Employment History:

Present/most recent employer:
Address:
Present/most recent position held.
(job title or description):
Dates: / From / To
Present / most recent salary and benefits:
Reason for leaving:
What is your period of notice?
Please give details of your duties and responsibilities:
If necessary, please continue on separate sheet.

Disclosure of convictions:

Do you have any unspent convictions under the terms of the Rehabilitation of Offenders Act 1974 (i.e. have you ever been convicted of any offence, which is not considered “spent”?).
YES / NO (please delete as appropriate. If yes, please give details)

Previous Employment:

Please give details of your employment history, most recent first, excluding information given on page 1

Name & address of Previous Employer / Position held (including key responsibilities) / Dates (from - to) and reason for leaving

Unpaid / voluntary work experience:

Please give details of any relevant unpaid / voluntary work experience.

Education / Qualifications:

FinalSecondary School / From - To / Examinations and results
Further/Higher Education / From - To / Examinations and results

Additional Qualifications and Training:

Please indicate skills and training courses undertaken relevant to this appointment:

References:

Please give below, the details of two people whom we may contact for references, one of whom must be your current or most recent employer. If you are called for interview, we will normally contact at least one of your referees prior to interview.

Name:
Job Title:
Organisation:
Address:
Telephone no: / e-mail:
Name:
Job Title:
Organisation:
Address:
Telephone no: / e-mail:

Entitlement to work in the U.K

In accordance with Section 8 of the Asylum and Immigration act1996, an offer of employment will only be confirmed upon receipt of original documentation (e.g. National Insurance number, P45, Passport)

Can you provide proof of your entitlement to work in the U.K?YES / NO

Disability:

If you are disabled and require an adjustment to the interview process please state what sort of adjustment you may need here:

Declaration:

I confirm that all the information given on this form is true and correct and can be treated as part of any subsequent Contract of Employment.

Signed: ………………………………………..Date:……………………

THE CLOSING DATE FOR RECEIPT OF COMPLETED APPLICATIONS IS TUESDAY29THJULY 2014 BY 12pm NOON.

Please e-mail this completed form, together with a supporting statement (no longer than 2 pages) explaining why you feel you are suitable for this position and how you meet the person specification, to .

If you have a disability or a health/mobility issue, which requires the Foundation to make a ‘reasonable adjustment’ (as defined by the Equality Act 2010) to enable you to attend interview, please make this clear in your application.

Unfortunately we are unable to contact all applicants who are not invited for interview.

Thank you for your application.

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