Application Form for the Post of
Dolphin House Support and Referral Service Information and Support Worker
Please note that selection will be based on the information in the application form.
- Do not send CVs as they will not be considered.
PERSONAL DETAILS
Name:
Address:
Telephone:Email:
ESSENTIAL EXPERIENCE
Experience in Domestic Violence Support work
(Please give specific details)
Organisation / Role / Full time or Part time / Total number of months in postKnowledge of Family Law
(Please detail how you learnt this)
RELEVANT EDUCATION AND TRAINING HISTORY
PRESENT EMPLOYMENT
Name and address:
of present employer
(or last employer)*
Post held:
Duties of post:
Date appointed:
Present salary:
Period of notice:
If last employer, reason for leaving:
PREVIOUS WORK EXPERIENCE
Please list, starting with the latest, any previous positions you have held, with a brief description of duties and dates.
- Employer:
Post held:
Duties of post:
Period of Employment – please give number of months/years in post:
Reason for leaving:
- Employer:
Post held:
Duties of post:
Period of Employment– please give number of months/years in post:
Reason for leaving:
- Employer:
Post held:
Duties of post:
Period of Employment– please give number of months/years in post:
Reason for leaving:
- Employer:
Post held:
Duties of post:
Period of Employment– please give number of months/years in post:
Reason for leaving:
- Employer:
Post held:
Duties of post:
Period of Employment– please give number of months/years in post:
Reason for leaving:
WORKING WITH WOMEN’S AID
Please state briefly why you are interested in this post and in working for Women’s Aid as an organisation in particular.
Please also outline your involvement, interest in and commitment to women’s issues:
RELEVANT EXPERIENCE TO THIS POST
Please outline relevant knowledge, skills, and experience required in order to carry out the responsibilities of this post. Please address all the elements outlined in the Job specification, drawing upon all of your experience, whether from paid or unpaid work. Please use additional pages as necessary.
REFEREES
Please give the names, addresses and phone numbers of two referees (one should be a current or most recent employer):
PLEASE INDICATE WHERE YOU HEARD ABOUT THIS POSITION:
Women’s Aid website □Activelink □Email □
Social Media □Other □ Please specify: ______
DECLARATIONI declare that the information set forth in this application form is, to the best of my knowledge, true and complete.
Signature:
Date:
Please email your completed application form marked Private and Confidential to by 9:00 on 30th May 2016
- Please do not attach CVs as they will not be considered.
- Closing date for receipt of applications is 9am Monday 30thMay 2016.
Applications received after this time will not be considered.
- Interviews are expected to take place on11th June. If you have not heard from us by then, it will mean that unfortunately you have not been shortlisted for interview.