Vauxhall City Farm // Job Application Form

Your Details

Position Applied For

Surname

Forename(s)

Address

Postcode

Email

Telephone

/ Daytime:
Evening:
Are you a EU National?
Do you need a work permit to work in the UK?
What is your current work permit status?
Where did you see this position advertised?
What was the date of your most recent tetanus shot?

Please complete the remainder of the form and return to:

Vauxhall City Farm
165 Tyers Street
London
SE11 5HS

(020) 7582 4204

Or email it to:

Current (or most recent) employment

Name of Employer
Address
Postcode
Telephone
Date Started
Current Duties
Department / Speciality
Salary / Grade
Notice Period
Date Left (where applicable)
Reason for Leaving

Previous Employment

Please give details of your full employment history, detailing any periods of unemployment and unpaid/voluntary work (most recent first). Please indicate any agency employment with '*'.

Dates / Employer's Name
and Address / Job Title / Salary / Grade / Reason for Leaving

Professional Registration

Are you registered with a professional body?

Name of Body
Reg. No.
Expiry Date

Formal Education

Please give details of all formal education, including professional qualifications.

Name and Address of education establishment / Dates / Exam Details / Results / Qualifications Gained

Training

Please give details of any additional training, including short courses and workplace training.

Referees

Please refer to guidance note 2 before completing

Referee 1.
Your most recent line manager/employer / Referee 2.
Previous employer or other relevant referee
May we approach this referee prior to interview?
Y/N / May we approach this referee prior to interview?
Y/N

Relevant Experience / Further Information

Please relate your skills, knowledge and experience to those outlined in the personal specification. You may include details of other paid/unpaid work, voluntary work and work at home, committee and club experience/activities and any relevant hobbies etc. Continue on additional sheet(s) if necessary. (Please write your name on each page.)

Criminal Records Declaration Form

All applicants must complete this form. The information disclosed on this form will not be kept with your application form during the application process.

Policy Statement on Recruiting Applicants with Criminal Records

The post you are applying for is exempt from the Rehabilitation of Offenders Act 1974 and therefore you are required to declare any convictions, cautions, reprimands and final warnings that are not "protected" (i.e. filtered out) as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013.

For further information please refer to DBS filtering guidance.

We recognise the contribution that former- or ex-offenders can make as employees and volunteers and welcome applications from them. A person’s criminal record will not, in itself, debar that person from being appointed to this post. Any information given will be treated in the strictest confidence. Suitable applicants will not be refused posts because of offences which are not relevant to the role and which do not make them a risk in the role for which they are applying

All cases will be examined on an individual basis, taking the following into consideration:

·  Whether the conviction or other matter revealed is relevant to the position applied for.

·  The seriousness of any offence or other matter revealed.

·  The age of the applicant at the time of the offence or other matter revealed.

·  The length of time since the offence or other matter revealed.

·  Whether the applicant has a pattern of offending behaviour or other relevant matters.

·  The circumstances surrounding the offence or other matter revealed, and the explanation(s) offered by the person concerned.

·  Whether the applicant's circumstances have changed since the offending behaviour or the other matter revealed.

It is important that applicants understand that failure to disclose all convictions, cautions, reprimands or final warnings that are not “protected” could result in disciplinary proceedings or dismissal.

Criminal Record Declaration

Surname: / Forename:
Criminal record declaration
Do you have any convictions, cautions, reprimands or final warnings which are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment)
(England and Wales) Order 2013? Y / N
If you have answered yes, you now have two options on how to disclose your criminal record.
Option 1: Please provide details of your criminal record in the space below.
Option 2: You can disclose your record under separate cover provided that you mark a cross on the line below and attach the details in an envelope stapled to this form. The envelope should be marked CONFIDENTIAL and state your name and the details of the post.
I have attached details of my conviction separately_____
(Please mark with an X if appropriate.)
Declaration
I declare that the information provided on this form is correct. I understand that the declaration of a criminal record will not necessarily prevent me from being offered this role.
Signed: ______Date: ______

Equal Opportunities

Our Policy

It is the aim of Vauxhall City Farm to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, ethnicity, religion, marital status, sexuality, age or disability including HIV status or is placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end VCF has an Equal Opportunities Policy and it is for each employee to contribute to its success.

This policy is in accordance with the full provisions of the Sex Discrimination Act 1975, Race Relations Act 1976 and the Disability Discrimination Act 1995.

Monitoring Information

To ensure that the Equal Opportunities Policy is effective, detailed monitoring of applications is carried out. This necessitates collecting information regarding your gender, ethnic group and any disability you may have. Your co-operation would be appreciated.

This information is used solely for monitoring purposes. It will be treated as confidential and this sheet will be detached from your application form on its receipt and before short listing of candidates takes place. It will not be used as part of the selection process.

Your Name
Date of Birth
Gender /
Male / Female
Ethnicity /
Asian / African
Caribbean / Black or Black British
Eastern European / Mixed
White Irish / White or White British
Latin American / Middle Eastern
Latin European / White European
Other European / White Other
Other / Mixed
Details of post applied for
Disability / We are taking positive steps to encourage recruitment of people with disabilities.
Do you consider yourself to have a disability? Y/N
Are you registered disabled? Y/N
Registration Number ______

All personal data on this form is subsequently stored on computer and is subject to the provisions of the Data Protection Act 1984.

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