Applicant Number......

Our recruitment process is monitored to check that unfair discrimination is not taking place. To help us in this, please complete the following by ticking the relevant boxes. As part of our equal opportunities policy Pages 1 and 2 will be detached from the rest of the application form before shortlisting takes place.

Personal Details

Title / Gender / M / / F /
Forename(s) / Date of Birth
Surname
Address
Postcode
Home Telephone / Work Telephone
Can we call you at work? / Yes / / No / / National Insurance Number
Email Address

Verification Of Employment, Volunteer or Education Record / References

Please give names and addresses of two people who can verify or confirm your employment or voluntary work record, or education / training record. If employed one referee should be your present employer.

Young People First - NEETS Youth Worker Application Form October 20171/7

Applicant Number......

Name
Position
Address
Post Code
Telephone
Email
Name
Position
Address
Post Code
Telephone
Email

Young People First - NEETS Youth Worker Application Form October 20171/7

Applicant Number......

Can we contact your referees before the interview? / Yes / / No /

How would you describe your racial /ethnic background?

(These are categories recommended by the Commission for Racial Equality)

Young People First - NEETS Youth Worker Application Form October 20171/7

Applicant Number......

White / White British /
White Irish /
White Gypsy or Irish Traveller /
White Other* /
Mixed / White and Black Caribbean /
White & Black African /
White and Asian /
Other Mixed Ethnic Group* /
Black or Black British / Caribbean /
African /
Other Black or Black British* /
Asian or Asian British / Indian /
Pakistani /
Bangladeshi /
Chinese /
Other Asian or Asian British* /
Other Ethnic Groups / Arab /
Any Other Ethnic Group* /
Prefer not to say /
* Please specify here :

Young People First - NEETS Youth Worker Application Form October 20171/7

Applicant Number......

How would you describe your disability status?

All applicants with any disabilities will be called for interview providing they meet the minimum criteria specified in the job application and job specification.
Would you consider yourself having a disability under the Equalities Act 2010? / Yes / / No /

Rehabilitation of Offenders Act

Please complete this section since this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974.

Have you ever been convicted of any criminal offence? / Yes / / No /
If YES please give details of the conviction(s) and date(s):
continue on separate sheet if required

The successful candidate will have to complete a Disclosure and Barring Service enhanced check.

Declaration

The particulars on this application form are correct to the best of my knowledge and belief. I understand that if I am successful I shall be asked to complete a Disclosure and Barring Service enhanced check. By signing below I agree that I have no criminal convictions that would stop me taking up this voluntary post.

Signature...... Date......

Present and Previous Appointments

Starting with your present appointment, please list what you have done in the course of your career, in reverse chronological order. Please include any periods of full-time voluntary work / travel abroad / unemployment lasting three months or more.

Present/Previous Employer
Type of Business
Address
Job Title
Starting Date / Leaving Date
Starting Pay / £ / per / Leaving Pay / £ / per
Hours per Week
Describe your present appointment in terms of its responsibilities and relationship (if at college please describe your placements; if unemployed your previous job)
continue on separate sheet if required

Suitability

Having read the person specification please specify why you are suitable for this voluntary position Please answer in no more than two sides:

continue on separate sheet if required

Previous Appointment History

Please complete in reverse chronological order (i.e. your earliest job last)

Employer / Establishment / Post Title and Main Duties / Responsibilities / Salary/Wage
Scale/Grade / Hours per Week / Duration (month/year)
From:
To:
From:
To:
From:
To:
From:
To:
continue on separate sheet if required

Education and Qualifications

Secondary Schools / University / College / Further Education / Subjects and Examination Results / Duration (month/year)
From:
To:
From:
To:
From:
To:
continue on separate sheet if required
Please give details of any courses undertaken, including short courses and in-service training, and / or current studies:
Membership of professional bodies:
Professional Qualification(s):
Please explain why you have left or are considering leaving your last role:

Driving

Driving Licence? / Full / / Any current endorsements? / Yes /
PSV / / No /
HGV / / If yes please give details:
Provisional /
No /
Do you own a car? / Yes /
No /

Your Application

Please return the application form to:

Karlise Whitehead
Young People First
Jubilee House
Westlea Road
Leamington Spa
Warwickshire
CV31 3JE / via email:

The closing date for application Wednesday 22nd Novemberat 8:30 am.

Interviews will be held in Leamington Spa on Friday 1st December from 9:30am.

Start Date - Ideally the person would be available to start within a month of being offered the post.

Please visit our websiteyoungpeoplefirst.org.uk

NOTE: CVs will not be considered as applications for these vacancies.

This post is part funded by the European Social Fund and the Big Lottery Fund as part of the Building Better Opportunities programme.

Young People First - NEETS Youth Worker Application Form October 20171/7