APPLICATION FOR EMPLOYMENT

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Living Well Sefton Administrator (18 hours per week) APPLICATION FOR EMPLOYMENT APPLICATION PROCEDURE Please return your completed Application Form and Equality and Diversity Monitoring Form by: 5pm on Monday 10 th July 2017 Applications received after this deadline will not be included in the assessment process. Applications are to be returned to: Email: recruitment@seftoncvs.org.uk Post: Recruitment Sefton CVS 3rd Floor, North Wing, Burlington House, Crosby Road North, Waterloo L22 OLG Sefton Council for Voluntary Service wishes to ensure that comparison between applicants for posts is thorough, fair, and in line with our equal opportunities policy. It is essential therefore that you complete this application form fully as it will be used to assess whether you will be shortlisted for interview. Please do NOT enclose or refer to a separate C.V. as this does not form part of the assessment process and will automatically be discarded. Please use black ink or black type when completing this application. Please complete each section in full. You can expand the boxes where necessary, however the total length of your application must not exceed 13 pages. The font must not be reduced below 10pt 1

Personal Details Name Home Address Phone Number (day) Phone Number (evening) Email If successful, how soon could you take up the post? Do you require a work permit to work in the UK? Yes No Qualifications (Academic and /or Professional) Awarding Body Details 2

Special Training (Please give details of any training / short courses which you think are relevant to your application.) Details 3

Employment History Please provide details of past and present work, starting with the current or most recent. This can be paid work, voluntary work, school placements, life experiences, and time spent caring for dependants etc. Current / Most Recent Role Job Title Employer Start Date End Date Salary / Grade Address Main Duties / Responsibilities Reason for Leaving Additional Work Experience Please provide details of other work, starting with the current or most recent. This can be paid work, voluntary work, school placements, life experiences, and time spent caring for dependants etc. Details Please include details such as Job Title, Employer, and a summary of your main duties and responsibilities Start date End date Reason for Leaving 4

5

References (Please provide the names and addresses of two people who are willing to give references, one of whom must be your current or latest employer.) Referee 1 Name Job Title Relationship Address Email Address Phone Number Referee 2 Name Job Title Relationship Address Email Address Phone Number Please note that referees will only be contacted if you are offered the post. 6

PERSON SPECIFICATION Please read the person specification carefully for this post and tell us about your skills & experience in each of the following areas. Expand the boxes and continue on to additional pages if necessary. Communication Skills Interpersonal Skills Organisational Skills Team Working Information & Communication Technology 7

Equal Opportunities Voluntary Sector Specific Requirements to this post Desirable Requirements to this post 8

Relationships If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship General Where did you see this post advertised? Declaration: I confirm that the information provided in this application is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file. Signature: Date: Sefton CVS shall treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. After initial assessment, Sefton CVS may keep your contact details on file pending suitable opportunities that may arise in the future. Please tick if you do not wish us to hold your details. 9

DISABILITY TWO TICKS SCHEME Sefton CVS have been awarded the Disability Two Ticks Symbol, thanks to our commitment to the recruitment, employment, retention and career development of disabled people. The Disability Two Ticks Scheme includes a guaranteed interview for any disabled applicant who meets the common and specific requirements for a job (please refer to the Person Specification). What we mean by disability The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. How to apply Simply complete the information requested below, sign the declaration and attach it with your application form. Do you require any reasonable adjustments at interview? (delete as appropriate) Yes/No If you answered Yes to the previous question, please give details below: * Any information you give will be treated in confidence. Declaration I consider myself to have a disability as defined above and I would like to apply under the Guaranteed Interview Scheme. Name Date Signature Any false declaration of disability to obtain an interview will subsequently invalidate any contract of employment. 10