Post title:Part Time Data Administrator – A Better Start Southend

Closing date: 9am on Tuesday 27th March 2018

Interview date: Thursday 5th April 2018

(Please note that if you have not been contacted prior to this date to attend an interview, then your application has been unsuccessful)

Applicant’s name ______

Please return completed form to:

Julie Newman

HR Officer/PA to CEO

Southend Association of Voluntary Services

29-31 Alexandra Street

Southend on Sea

EssexSS1 1BW

or via email

Application Form

Personal Details
First Name(s) / Title
Surname(s) or Family name(s) (use BLOCK CAPITALS)
Home Address / Address for communications (if different)
Telephone No (Home):
Mobile No:
Email address: / Telephone No
Present or most recent employment
Employer’s name and address / Job Title
Date appointed to present post
Salary
Telephone no / Notice period required
Brief outline of duties
Reason for Leaving:
Previous work experience – where possible please cover the last ten years starting with the most recent (please continue on another sheet if necessary).
Employer’s name
and address / Dates / Job Title / Reason for Leaving / Salary
From / To
Month / Year / Month / Year
Education
Names of Schools, Colleges, Universities etc attended / Dates / Qualifications: please indicate level and grade / Date obtained
From / To
Details of any course you are CURRENTLY undertaking, anticipated duration and method of study:
Additional information
Please demonstrate how you meet each requirement under the Person Specification. Include relevant skills and experience gained in previous employment, work experience placements, school and further education and from voluntary and community work or hobbies. Please continue on a separate sheet if necessary.
Do you hold a full current driving licence? / Yes  No  / Do you have a vehicle you are prepared to use for work purposes? / Yes  No 
Publication/means by which you became aware of this vacancy?
Work Entitlement
Are you entitled to work in the UK? Yes  No 
Do you need a work permit to work in the UK? Yes  No 
If yes, please provide details:
Rehabilitation of Offenders Act 1974
The nature of this position means it is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictions which for other purposes are 'spent' under the provisions of the Act. In the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by SAVS. Any information given will be completely confidential and will be considered only in relation to an application for a position to which the Order applies. If you have been convicted of a criminal offence in the past, please mark 'X' here { } and give outline details in a confidential addendum.
A conviction will not necessarily be a bar to obtaining employment.
References
Please give names and addresses of two referees, one of whom should be your present or most recent employer (or School/College). If you do not wish us to approach your referees before interview you should place an “X” in the appropriate box.
1.Name
Address
Position
Tel No
E-mail address / 2.Name
Address
Position
Tel No
E-mail address
If either of your referees know you by another name, please give details:
I certify, to the best of my belief, the information I have entered is factually correct, and I understand that any false information may, in the event of employment, result in disciplinary action and dismissal.
I also understand that an Enhanced Disclosure & Barring Service (DBS) check may be sought in the event of a successful application
Signed______Date______

SAVS App Form with CRB 18.10.10