Reach In application form

Please complete this form clearly and fullyand return it to us as soon as you can with your CV and a copy of your immigration status. You can email us on send them by post:

Reach In application

HACT

Octavia House,

50 Banner Street,

London EC1Y 8ST

Applications will close as soon as we have received sufficient number of applications.

Please ensure you have answered all questions in this application in full and that you have enclosed your CV and copy of your immigration status with your application. Failure to complete your application or to send required documentswill result on your application not being considered. If shortlisted, candidates will be invited to attend an assessment and information session, including a written assessment and an informal interview.

If you have any queries, please phone us on 020 7247 7800.

  1. Personal details

First Name: / Surname:
Address:
County: / Postcode:
Telephone (Daytime): / Mobile:
Email Address:
  1. Eligibility

What is your immigration status?
......
Please send us a copy of your passport or relevant Home Office documentation to confirm your immigration status. If you are shortlisted to attend the information day, you will need to bring the original documents.
We will consider applications from refugees who fled their country in fear of persecution seeking asylum and have ‘settled’ immigration status in UK, e.g. ILR, DP, HP, etc.
Please note asylum seekersmust have permission for work to be eligible.
  1. Your reason to apply for a Reach In placement.

Apart from improving your language and experience, what do you hope to gain from doing a volunteer placement through Reach In? and what contribution (skills, knowledge or experience) can you make to the employer?
Please be as specific as possible and do take time to think and answer this question (key criteria for selection). You can continue on a separate piece of paper if required)
  1. What areas of work would you be interested in and why?(e.g., lettings arrears, housing advice, environment, community development, IT, finance, customer service, administration, tenant support, employment support, repairs and maintenance, etc).

Please note that Reach In will aim to find a suitable placement for you (if selected) but we cannot guarantee we will.

  1. Availability for placement / training

Once selected, we aim for your placement to start as soon as possible. The placements will run between three months to six months, full or part time. We expect you to commit to a minimum of three months and to attend all training sessions. Please indicate your availability.

I am available to start on:......

Full or part time? (please choose only one)

Full-time (around 35 hours per week)Yes No

Part-time (minimum 21 hours)Yes No

If part time, please tell us which days you are NOT available:

......

Are there any dateswhen you are not available between October 2012 and March 2013for any extended period (more than 1 week) due to other commitments– e.g. courses, pre-booked holidays, medical appointments etc? Please make sure you let us know as not having all information may affect the planning and set up of your placement

......

  1. Travel to placements and training

You may need to travel for up to an hour to your placement and the placement training may take place in the Midlands. Please tell us if this is an issue for you.

......

  1. Your personal circumstances

Are you currently inor intending to start any paid work in the next 6 months? Yes/No
If Yes, please provide details about the work, i.e. job title, company name, number of hours, days and shifts you are or will be working.
Are you currentlyin or intending tostart any full or part time education/training in the next
6 months? Yes/No
If Yes, please provide details, i.e. name of the institution, course title,number of hours, days and times you are or will be attending college or training.
If you are in receipt of benefits, do you attend the government programme for unemployed people, called the Work Programme? Yes/No
If Yes, please give us details of the organisation and your adviser’s name (we will not contact them without your permission)
Do you have any access or other specific needs that we need to be aware of when matching or preparing for your placement? Yes/No
If yes, please give details
Do you have any childcare commitments that could stop you from participating in a Reach In volunteering placement? Yes/No
If yes, please give details
  1. Do you live in...?

Private accommodation

Council accommodation. Which one?......

Other social housing. Who is your landlord?...... ......

Friends’ homes

  1. Have you previously hada criminal record bureau (CRB) check? Yes No

If yes, we will ask you to bring a copy to the information day

  1. Do you have access to a computer? Yes No
  2. Do you have access to the internet? Yes No
  1. Where did you hear about the Reach In programme?

I am an Accommodate private rented sector tenant
HACT website: Advice organisation
Friends: Refugee Community Organisation

Housing Association Other

Signature of the applicant: ......

Print Name: ......

Date: ......

Please make sure you have attached or enclosed all of the following (If you do not submit all before the due deadline, we will not be able to consider your application):

  • CV included
  • Completed this application form
  • Copy of immigration documentincluded

Privacy Statement

HACT collects and uses the information you give us so that we, or the organisations we work with, can give you news about our work and services that can help you. HACT will not use private personal information without your agreement.

If you wish to receive information from HACT but not from other organisations, please tick here

Reach In: Application form - 1

Volunteer equal opportunities

The questions below will help HACT monitor characteristics of the people applying to be part of the Reach In placement and training scheme. Given the huge diversity of refugee communities we are keen to capture as much information as possible about ethnic origin, national identity and so on. We would appreciate it if you could complete the form and return it to us. Your information will help us ensure that our equal opportunities policy is effective and that our funders receive the information they require.

This information is for monitoring purposes only. It is not necessary to give your name.

  1. Age:0-2425-6465+
  2. Are you?MaleFemale
  1. Are you?DisabledNot disabled
  1. How many children currently live with you of the ages:

0-5 years / 6-11 years / 12-17 years
  1. When did you arrive in the UK?
  1. What is your country origin?
  1. What’s your ethnic background?(please circle or bold as appropriate)

WhiteWhite English/Scottish/Welsh/Northern Irish/

Irish

Gypsy or Irish Traveller

Any other whit background

Mixed ethnic background

Asian/Asian UKIndian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Black/African/Caribbean/Black UKAfrican

Caribbean

Any other Black/African/Caribbean background

Other ethnic groupArab

Any other ethnic group

  1. About faith or religion, how do you describe yourself?

No religion Christian Muslim Sikh

Jewish Hindu Agnostic

Buddhist Rastafarian Other, please specify:

Prefer not to say

  1. How do you describe your sexual preference?

Heterosexual Gay man/Lesbian Bisexual Transsexual

Prefer not to say

Thank you for taking the time to fill in this form. Please return it along with the application form.

Reach In: Equal opportunities form - 1