SCARBOROUGH & DISTRICT

Ref. No…………………….

Application for the post of:CommunityLink Worker

Closing date:12 noon – Monday 23rd November 2015

(Note, where possible, please type or use black ink as photocopies are likely to be required)

Personal Details

Surname(Mr/Mrs/Miss/Ms) Forenames
Home Address: Address where you may be contacted:
(if different from your home address)
Telephone No. (Home) (Business)

Education

General Education GCSE Subjects etc / Grade / University of Further/Higher Education (e.g. Degrees, Professional Qualifications) / Level/ Part
Qualifications currently being studied for / Level/Part

Present Employer (or last employer if not in employment)

Please give the following details:

Name and Address of Employer:
Telephone Number:
Position held and brief description of duties (please give serial number if in the Forces)
Present Salary/Wage…………………………………………pa/pw
Reason for Leaving (if no longer employed)
Dates: to: from:

Previous Employers

Please give details of your 3 most recent positions.

(Continue on a separate sheet if necessary).

Name and Address of Employer / Position Held and Brief Description of Duties / Reason for Leaving

Experience – This section gives you an opportunity to tell us more about yourself. We have identified key areas of experience in which you will need to show competence.

Please provide an example of your knowledge of the Welfare Benefits relevant to older people and their carers, and where and how you have used this knowledge:
Please provide an example that demonstrates your ability to work within Information & Advice systems:
Please provide an example that demonstrates your knowledge of volunteering, and the work of the voluntary sector in your local community.

(Continue on a separate sheet if necessary)

Please provide an example that demonstrates your understanding of Quality Assurance systems, Safeguarding, and confidentiality.
Please provide examples of how you have worked independently, using your own initiative.
Please provide examples of how you have achieved outcomes/targets.

INFORMATION IN SUPPORT OF YOUR APPLICATION

Please read the job description and job specification carefully, and then explain how your knowledge, skills and experience relate to this post. These could have been gained through paid employment, domestic responsibilities, voluntary/community work, spare time activities and training. Please state the qualities you could bring to this post, highlighting specific skills, knowledge, abilities or other relevant factors in support of you application including any significant achievements. (Continue on no more than 2 additional sheets of A4 paper)
Are you related to a Member or Senior Officer of this Organisation? YES/NO
If so please give details.
Do you hold a current driving licence? YES/NO
If YES is it FULL/PROVISIONAL.
Do you own your own vehicle? or Do you have access to a vehicle?

YES/NO YES/NO

References

The names and addresses of two referees, who have consented to provide a reference on your behalf, should be given below. If you do not wish one, or both referees to be approached prior to interview please place an asterisk(*) in the box(es) provided.
Name and address of a person who will supply an
Employer’s reference.
(Most recent as possible) / Name and address of one other person who can comment on your credibility and capability to do the post.
Notes:
Canvassing of Senior Officers or of Members of the Employing Authority or of any Committee, directly or indirectly, for this appointment will disqualify the candidate for appointment.
A candidate who is offered an appointment but declines the offer or fails to take up duties may not be paid expenses associated with the interview.
The completed application form should be returned to: Age UK Scarborough & District
39 Aberdeen Walk
Scarborough
Y011 1BD
Please give details of how you learned of the vacancy applied for (e.g. in which paper/publication or through which one of our departments)
Rehabilitation of Offenders Act 1974
You are asked to note the following paragraph carefully and give any necessary information at interview:
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Order 1975. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act, and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies.
I have read the above statement and understand it.
Signed………………………………………….. (Applicant) Date……………………………………
The information given in this application form is correct and complete.
Signature of application…………………………………….. Date…………………………………..