YORK HOUSING ASSOCIATION LTD / POST REF / FOR OFFICE USE ONLY
Y/01/16
2 Alpha Court, Monks Cross Drive, Huntington, York / APPLICANT REF / FOR OFFICE USE ONLY

APPLICATION FOR THE POSITION OFHOUSING SUPPORT WORKER

Please use Black Pen to complete the form

1PERSONAL DETAILS / Last Name: / First Name(s):
Address
Telephone Number: / Work: / May we phone you at work?
Home: / Yes/No
Email:
2EDUCATION / Name / Dates / Examinations passed and
From / To / subjects
Secondary School
College/University
Details of professional qualifications and date obtained/other training:
3PRESENT EMPLOYMENT / Name of
Employer
Address
Present Position: / Notice Period Required:
Current Salary: / Date Employment Commenced:
Brief Description of your duties and responsibilities:
4PREVIOUS EMPLOYMENT - please start with the most recent
Employer’s Name & Address & Your Position / Dates / Brief Details
of
Duties / Reason for
Leaving
From: / To:
Position:
Position:
Position:
Position:
5VOLUNTARY OR COMMUNITY WORK RELEVANT TO THIS POST:
6IS THERE ANY OTHER INFORMATION YOU WOULD LIKE TO GIVE ABOUT YOURSELF OR YOUR EXPERIENCE (Please continue on a separate sheet if necessary and attach any further information in support of your application if you wish to do so)
CAN YOU ATTEND FOR INTERVIEW ON12 FEBRUARY 2016?YES/NO
DO YOU HOLD A FULL DRIVING LICENCE? YES/NO
7ARE YOU RELATED (BY BLOOD OR MARRIAGE) TO ANY OF THE FOLLOWING:
(a)A person who is, or who at any time within the preceding 12 months has been, a Board Member of the Association?
(b)A person who is, or who at any time within the preceding 12 months has been, an Officer or Employee of the Association?
IF YOU HAVE ANSWERED YES TO EITHER (a) or (b) ABOVEplease give details:
8REFEREESPlease give the names and addresses of two referees (other than friends or relatives). Both referees must be able to comment on your last three years experience, whether this is paid or voluntary employment or education. At least one referee should be your current employer, or previous employer if you are not currently in employment. Referees must be in a position to state whether you are suitable for the position you have applied for.
References will not be taken up unless you have been shortlisted for interview. Please state whether you agree to the Association taking up references without further notification to you.
Name / Name
Address (including Post Code) / Address (including Post Code)
Tel No: Daytime:
Evening:
Email: / Tel No: Daytime:
Evening:
Email:
Occupation/
Relationship: / Occupation/
Relationship:
Please tick if YOU DON’T want us to contact this referee if you are shortlisted / Please tick if YOU DON’T want us to contact this referee if you are shortlisted

In order to assess your application for employment, we need to collect relevant personal details. We comply with the Data Protection Act 1998 when dealing with personal data. This means that your personal data will be processed in accordance with the law.

By signing this form you are consenting to York Housing Association processing your personal data.

Thank you for completing this application form. Please sign and date your application.

I declare that to the best of my knowledge the information provided on this form is correct.

Signature:...... Date......

The Association would be grateful if you would also complete and sign the equal opportunities monitoring form enclosed.

Please do not send in a CV

Please return your application, and the completed monitoring form, in the envelopes provided.

GUIDANCE NOTES FOR COMPLETION OF THE APPLICATION FORM

  • The application form is used to tell us what skills and experience you have that are relevant for this post. Completing your form is the first step to telling us about yourself and your skills and experience. This will help us to see how you meet the essential and desirable criteria for the job, allowing us to decide whether you could be selected for interview.
  • Remember that you must complete all sections of the form and sign and date at the end. If you do not complete all sections, you may not be short listed.
  • Read the form carefully before you write anything to ensure you are clear about what is being asked. You may find it helpful to do a rough draft first - this will help you to avoid mistakes.
  • You must send in your completed application by the closing date. If your form is late, we will not be able to accept it. Please note postal rate charges as the YHA application form will be considered a large letter. We cannot be responsible for paying charges for applications that have got insufficient postage.

Read the Job Description which describes the duties of the job. Work carefully through the Person Specification which describes the qualifications, skills and experience needed in order to do the job. If you have any other desirable qualities make sure that you put these in. The Person Specification will help you to demonstrate that you have what is needed to do the job.

  • Personal details

This includes your name, address and contact phone number. If we shortlist you for an interview, we will need you to provide proof that you are eligible to work in the United Kingdom.

  • Education, training and qualifications

Please fill this in carefully, giving us details of any courses you have attended and qualifications you have obtained.

  • Present employment

Give us brief details of the work you do now. If you do not have a job please put ‘Not Employed’ in the box asking for name of employer.

  • Previous employment/work experience

Tell us about your previous jobs or any work experience that you have had, starting with the most recent and give a brief outline so that we know what the particular job involved. Remember to say why you left your previous job and explain any gaps in employment.

  • Voluntary or community work relevant to this post

Please complete this area as fully as possible with examples. This is your chance to highlight examples from your experience outside of paid employment which demonstrate how you have applied your skills, knowledge, abilities and experience in the required areas.

  • Any other information

This is an important section of the form. Again, please complete this area as fully as possible with examples. The Person Specification lists all the qualities, skills and experience we are looking for. Make sure that you use this section to explain carefully how you meet each item on the list. Your experience may have been from previous jobs, unpaid voluntary or community work or from working on your own. Think carefully to tell us with examples about the skills and experience you have because this is your chance to say why we should interview you for the job.

  • Equal Opportunities Monitoring

Please complete this page to help us monitor our performance in this area.

We will remove this sheet before your application form is passed for short listing.

POST REF / for office use only
Y/01/16
APPLICANT REF / for office use only

YORK HOUSING ASSOCIATION LTD

2 Alpha Court, Monks Cross Drive, York YO32 9WN (Tel: 01904 636061)

MONITORING INFORMATION

Equal Opportunities

York Housing Association is committed to implementing equal opportunities. It is the policy of the Association to ensure that no job applicant or employee receives less favourable treatment on grounds of colour, ethnic origin, gender, sexual orientation, marital status, religious belief, age, disability; or is disadvantaged by conditions or requirements which cannot be shown to be justified.

Monitoring of Applications

In order to assess your application for employment, we need to collect relevant personal details. We comply with the Data Protection Act 1998 when dealing with personal data. This means that your personal data will be processed in accordance with the law.

By signing this form you are consenting to York Housing Association processing your personal data. The information obtained from this monitoring form is used for statistical purposes only.

Your answers to these questions will not affect the consideration of your application in any way, and will not be seen by or communicated to any of the persons carrying out the assessment, shortlisting, interviewing, and selection of candidates beforehand. This is one reason why you are asked to submit this form with your application, but in a separate sealed envelope.

1Choose ONE section from A to E, and tick the appropriate box.

AAsian or Asian British
 Indian
 Pakistani
 Bangladeshi
 Any other Asian background
please write in ______
BBlack or Black British
 Caribbean
 African
 Any other Black background
please write in ______
CChinese or other ethnic group
 Chinese
 Any other
please write in ______ / DMixed
 White and Black Caribbean
 White and Black African
 White and Asian
 Any other Mixed background
please write in ______
EWhite
 White British
 White Irish
 Any other White background
please write in ......
FGypsy, Romany or Traveler
 Gypsy
 Romany
 Traveller

2What is your nationality? (please tick)

 UK national resident in UK

 UK national returning from residence overseas

 Czech republic

 Estonia

 Hungary

 Latvia

 Lithuania

 Poland

 Slovakia

 Slovenia

 Bulgaria

 Romania

 Other European Economic Area (EEA) country

 Any other country

3Gender

Are you: Male?

 Female?

 Transgender?

4Disability

Do you consider yourself to have a disability?Yes/No (please delete as appropriate)

If you need any assistance in the application or interview situation please indicate on the application form

5Sexual Orientation

 Lesbian

 Gay man

 Heterosexual

6Religion or Belief

Please specify if you hold a religion or belief ______

7Age Group (please tick)

16 – 29
30 – 44
45 – 59
60+
No Response

8Where did you see the advertisement for this post

(if a website please specify which one?)

______