Vacancy Applied for: Development Manager

Full Name / Mr/Mrs/Miss/Ms
Address for correspondence:
Post Code:
Tel No. / Mobile: / Home: / Work:
Email: / National Insurance No.


Are you applying for this position on a job share basis?YESNO

Some positions with Calico are exempt from this Act as they involve varying degrees of contact with vulnerable adults. You are, therefore, required to declare whether or not you have any convictions, criminal charges, summonses or cautions pending against you, whether or not your conviction is spent.

The amendments to the Exceptions Order 1975 (2013) provide though that certain spent convictions and cautions are “protected” and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.
As appropriate successful applicants will be subject to a clearance report from the Disclosure and Barring Service (DBS).
The disclosure of a criminal record will not debar your appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making this decision the panel will consider the nature of the offence(s), how long ago and what age you were and any other factors which may be relevant.
Failure to declare a conviction may, however, disqualify you from an appointment, or result in the termination of your contract if the discrepancy comes to light.
Do you have any criminal convictions or cautions spent or otherwiseYES / NO
If yes, please give full details including dates
______
Calico is committed to employing a workforce that is inclusive and diverse by removing any barriers and tackling discrimination.
INTERVIEW GUARANTEE SCHEME FOR DISABLED APPLICANTS
If you are a disabled person and you fulfil all the essential criteria on the enclosed person specification to the satisfaction of the selection panel, you are guaranteed an interview. If you wish to be included in this scheme, please indicate in the box below.

I am disabled and would like to take part in this scheme ( please tick)
Adjustments For Selection Purposes
Please contact us if you need the application form in an alternative format or of you need any adjustments for the interview.
Please note that this information does not form part of the selection process.
Do you have any relationship with a Board Member or member of staff at Calico Yes/No
If yes, please state their name and the nature of your relationship:
Name: ______Nature of relationship: ______
Signed: ______Dated: ______
I declare that the information provided in my application is correct and understand that if appointed, I will be liable to disciplinary action including dismissal should I knowingly give false information.
Signed: Dated: ______
The information given above may be processed and used for recruitment, selection, statistics and monitoring purposes. If you join the Company, the information will form the basis of your personal file. The data will then be processed for any purpose in connection with your employment relationship; training and development; remuneration; or the effective management of the organisation.
Signed: ______Dated: ______

Calico is committed to providing equal opportunities for everyone, regardless of ethnic origin, gender, disability, age, transgender, religion or sexual orientation and in accordance with the 9 protected characteristics of the Equality Act 2010. We therefore ask you to provide us with the information requested on this form. Please be assured that this information is used for monitoring purposes only in order to comply with current employment legislation and to promote equality of opportunity throughout the company. By monitoring this information for job applicants we are able to identify and remove any barriers that may exist for any groups or individuals. This form will be kept separately from your application form and has no part in the selection process

1. Vacancy applied for: Development Manager
2. Ethnic origin: (*To which group would you say you belong? Please tick one box.)

WHITEINDIANIRISHBLACK CARIBBEANBANGLADESHI
BLACKPAKISTANICHINESEBLACK – OTHER (PLEASE DESCRIBE) ______AFRICAN
OTHER – (PLEASE DESCRIBE) ______
*These categories are approved by the Equality and Human Rights Commission
3. Gender

ARE YOU: MALE FEMALE
4. Transgender
If you are permanently living in the gender not of your birth please tick
5. Disability
ARE YOU DISABLEDNO YES (please refer to Personal Information Form)
  1. Age – Please tick the category to which you belong


UNDER 2525-3435-5455-64>64

7. Religion/Faith (Please tick the category to which you belong)

AtheistBuddhistChristianHinduJewishMuslim


Sikh Other Prefer not to say
8. Sexual Orientation (Please tick the category to which you belong)

Heterosexual LesbianGayBi-SexualPrefer Not to Say

9. Where did you INITIALLY see the advert – please tick appropriate box.

JOB CENTRE PROFESSIONAL JOURNALINTERNAL ADVERTISEMENT


CALICO WEBSITEEQUALITY BRITAIN WEB SITE
OTHER WEBSITE (which site) ______
PRESS ADVERTISEMENT (which publication) ______
INTRODUCE A FRIEND SCHEME (which staff member) ______
Application For Employment /
Vacancy Applied for: Development Manager
Present or most recent employment
Job Title / Date of Employment
Employer / Notice Required
Reason for leaving
(if applicable) / Salary
Brief description of duties
Past Work / Please give details of past work you have undertaken. This can include paid work, unpaid or voluntary work, self employment or work at home. Please also include any periods of unemployment (continue on a separate sheet if necessary)
Job / Employer / From / To / Reason for Leaving
Qualifications

Qualifications and/or examinations passed Grade

______

______

______

______

______

Special Training / (include any relevant short courses and development activities you have undertaken)

DetailsDuration of course/activity

______

______

______

______

Driving Licence

Do you hold a current full driving licence?Yes / No

Please provide details of how you are suitable for the position and meet the person specification. Please include qualifications, experience, skills, knowledge and any other information which you feel may be helpful to your application (continue on a separate sheet if necessary). CV’s will not be accepted.

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Please return this form to: Human Resources, Calico, Centenary Court, Croft Street, Burnley, BB11 2ED

Or