Western Isles Association for Mental Health (WIAMH)
Application for the position of:
Project Support Worker
Please complete this form and return it to:
D. Gunn, Catch 23 Drop-in, 23 Bayhead, Stornoway, Isle of Lewis, HS1 2DU
Closing date: 4pm Friday 16th September 2011
Please tell us your details as follows:
Name:
Address:
Post code:
Telephone: Email:
Date of Birth:
Please give the contact details of two referrers who can comment on your suitability for this position (referees will only be contacted of we intend to interview you):
Referee 1
Name:
Position:
Address:
Post Code:
Telephone:
Email:
Referee 2
Name:
Position:
Address:
Post Code:
Telephone:
Email:
Please give us the following information to help us assess your suitability for the post.
Education:
Please tell us which secondary schools, colleges and universities you have attended:
Qualifications Gained:
Please include all qualifications including vocational, driving licenses and certified courses.
Employment History:
Please tell us briefly who you have worked for, dates you worked and what your responsibilities were:
Employment History Continued:
Please tell us briefly about your experience of any similar project related work:
Please tell us about your own experience of mental health and or care issues, including any formal or informal, paid or voluntary work you have done in the past:
Please give us any other information which you feel makes you suitable for this post:
Please tell us what you would hope to gain from working with WIAMH:
Please tell us how soon you could begin work with us if your application is successful:
Thank you for completing this form. Please ensure that it reaches us by 4pm 16th September. In order to keep printing costs to a minimum we will let you know whether you will be asked to attend an interview by e-mail. If you prefer to be notified by letter please tick the following box:
Interviews will be held during the week beginning 3rd October. If you will be unable to attend an interview at any particular time please tell us here:
Data Protection:
Returning this form constitutes agreement that we will hold your personal details only for the duration of the application process. All information given to us will be treated in strict confidence and will only be available to the WIAMH appointments panel. Following completion of the process, all information relating to unsuccessful applicants will be destroyed.
If you would like us to retain your name and address for our mailing list (including general news about WIAMH and any future appointments) please tick here:
Drafted: March 2011
By: D. Gunn
Application Number [ ] A Scottish Charity no. SC 027469 · Company Limited by Guarantee no. 254039
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