CARMARTHEN
YOUTH
PROJECT / PROSIECT
IEUENCTID CAERFYRDDIN

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The Clubhouse, Friars Park, Carmarthen, Carmarthenshire SA31 3AN

Tel/Ffon : (01267) 222786 e-mail :

Y Ty Clwb, Parc y Brodyr, Caerfyrddin, Sir Caerfyrddin SA31 3AN

We aim to be an Equal Opportunities Employer, appointing new staff on the basis of their ability to carry out the tasks of the job. You should therefore take care to provide as much information as possible that is relevant to the skills and experience requested in the enclosed job description. Please give examples wherever possible to illustrate your suitability. These may be taken from situations outside paid employment.

CARMARTHEN YOUTH PROJECT

APPLICATION FORM

*Please type or write clearly in black ink and delete where appropriate.

Post applied for:“Ieuenctive” Volunteering Project Worker P/T

PERSONAL INFORMATION:

Surname: / Title:
Forenames:
Permanent Address:
Post Code:
Telephone No:
National Insurance No:

OTHER INFORMATION:

Have you a current full driving licence? / YESNO
If yes, please give details of any penalty points on your licence.
Do you speak Welsh? / YES NO Learning
If appointed when could you start?
Please list any days you are not available for interview.

QUALIFICATIONS AND TRAINING:

Date / Subject / Qualification/Grade Obtained

Please provide additional pages if required.

SUPPORTING STATEMENT:

Please make full use of this section to give further information which will help us to decide whether or not to invite you to an interview.

(You may wish to continue on a separate sheet)

1.Why do you want to apply for this post?

2.How do your skills/experience match the requirements of this position?

3.Provide details of any other interests/voluntary work relevant to this post.

EXPERIENCE:

Please give details of your work experience starting with your present or most recent employer and work backwards. Please account for any gaps in your employment history. If you have not worked before or if you have been out of work for some time, please use this space to describe how you have gained experience relevant to your application.

Name, address
and business of employer / Dates employed from/to / Job title, purpose
of job and main duties / Final Salary and reason for leaving

*Please use an additional sheet if necessary.

REHABILITATION OF OFFENDERS:

The post you are applying for is exempt from the provisions of the Rehabilitation of Offenders act (1974). When answering the following questions, you must, therefore, disclose any criminal convictions, even those that may be considered “spent” for other purposes.

(Rehabilitation of Offenders Act 1974. (Exception) Order 1975).

Have you ever been convicted of a criminal offence in any criminal proceedings in any court in the country? / YES NO
Have you ever been found guilty of violent, cruel, indecent or dishonest behaviour in any disciplinary proceedings conducted by your employer? / YES NO
If you have answered YES to any of these questions please give full details.

REFERENCES:

Please give names and addresses of two people who we may approach for a reference. One of them should be your current or most recent employer. Please indicate the earliest stage we may ask him/her for a reference. In any event we will not make an appointment until satisfactory references have been received and we reserve the right to contact any of your employers for a reference.

Referee 1

Name:
Address:
Telephone No:
How do you the referee?
When may we take up a reference?

Referee 2

Name:
Address:
Telephone No:
How do you the referee?
When may we take up a reference?

DECLARATION:- I certify that the information given in this application is

accurate and complete to the best of my knowledge.

Signed:- ______Date:- ______

Please return to:- Project Manager

Carmarthen Youth Project

The Clubhouse

FriarsPark

Carmarthen. SA31 3AN.

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Carmarthen Youth Project - Application Form