Job application form For jobs that do not involve working with children or vulnerable adults, either directly or indirectly. Job details Job title: Reference: Your contact details Your title: Your first name*: Your last name*: Your preferred contact number: Your email address*: Your address line 1*: Your address line 2: 1
Your address line 3: Your address line 4: Your address line 5: Your town*: Your county: Your postcode: Your country*: Are you disabled? Do you consider yourself to be disabled?: Scope has a policy of interviewing disabled applicants who meet the essential shortlisting criteria. How did you hear about this job?*: For example 'Halifax shop window' or 'I heard about it from a friend'. 2
Work permit Do you need a work permit?*: We have limited opportunities to sponsor employees. If you need a work permit, please call the number given for more information on the job listing to discuss before applying. Education, employment and professional membership Please give information about your education, past employment and training, including dates, showing how you meet the person specification. Qualification 1 Qualification 1 examination level: Qualification 1 subject: Qualification 1 date gained: Qualification 2 Qualification 2 examination level: Qualification 2 subject: Qualification 2 date gained: 3
Qualification 3 Qualification 3 examination level: Qualification 3 subject: Qualification 3 date gained: Qualification 4 Qualification 4 examination level: Qualification 4 subject: Qualification 4 date gained: Professional membership 1 Professional membership 1: Professional membership 1 registration body or number: Professional membership 1 date gained: Professional membership 2 Professional membership 2: Professional membership 2 registration body or number: Professional membership 2 date gained: 4
Your work history Present or most recent job title: Present or most recent employer: Please tell us organisation name type of organisation address telephone number email Briefly explain your duties and responsibilities in your present or most recent job: Date you started your present or most recent job: Salary in present or most recent job: How much notice do you have to give your current employer when leaving? For example, one month. 5
Date you left your present or most recent job: Please leave blank if you still work there Reason for leaving your present or most recent job: Please leave blank if you still work there Previous employment Give your past jobs, starting with your most recent. Include voluntary, home-based and part-time work. Please also tell us what you were doing in any gaps. Previous job 1 List job title, organisation, dates employed, your duties and the reason you left: Previous job 2 List job title, organisation, dates employed, your duties and the reason you left: 6
Previous job 3 List job title, organisation, dates employed, your duties and the reason you left: Previous job 4 List job title, organisation, dates employed, your duties and the reason you left: List all previous jobs going back to your first job job title, organisation, dates employed and reasons you left Explain any gaps in your employment history Training Title and date of training courses you've done relevant to this job 7
How you meet the person specification Give specific examples of how you meet each essential element of the person specification and if possible, the desirable elements using experience from your current and previous jobs, and education. Include any other information that may help your application. We do not accept CVs as a substitute for completing this section. 8
Driving Do you have a current, full driving licence?: Do you have any current driving convictions?: Give details of any current driving convictions: Other information Are you related to or do you know anyone who works at Scope?*: Do you have any criminal convictions?*: Give details of any criminal convictions: As this job does not involve working with children or vulnerable adults, directly or indirectly, you can leave out convictions spent under Section 4(2) of the Rehabilitation of Offenders Act 1974. 9
References Please give the names, addresses and telephone numbers of two referees, covering the last five years. Don't use personal references, friends, relatives or Scope employees. If you have been unemployed or did not work for a period of time, please give references from voluntary work, school groups or committees. Reference 1 This should be your current or most recent line manager. Referee 1 s name*: Referee 1 s job title*: Referee 1 s organisation name*: Referee 1 s telephone number*: Referee 1 s email address: Referee 1 s address line 1: Referee 1 s address line 2: Referee 1 s address line 3: Referee 1 s address line 4: Referee 1 s address line 5: 10
Referee 1 s town: Referee 1 s county: Referee 1 s postcode: Referee 1 s country: May we contact Referee 1 before we interview you?: Reference 2 This should be a past employer. Referee 2 s name*: Referee 2 s job title*: Referee 2 s organisation name*: Referee 2 s telephone number*: Referee 2 s email address: Referee 2 s address line 1: Referee 2 s address line 2: 11
Referee 2 s address line 3: Referee 2 s address line 4: Referee 2 s address line 5: Referee 2 s town: Referee 2 s county: Referee 2 s postcode: Referee 2 s country: May we contact Referee 2 before we interview you?: 12
Declaration Our data protection statement We will use the information you gave us on this form in the recruitment and selection process under the Data Protection Act 1988. We may share it with all those who need to see it. It will also be part of the successful candidate's confidential personnel record. We destroy unsuccessful candidates' application forms after six months. Your declaration I declare that: To the best of my knowledge, all the information I've given is correct. I have all the qualifications I've listed on this form. Scope can use this information, in line with statutory requirements, for anonymous statistical reporting and to monitor equal opportunities. Scope can check any of the information I've given. I understand that Scope may dismiss me if I've said anything false on this form. I am entitled by law to work in the United Kingdom, or if I need a work permit, I have discussed this with the recruiting manager. We ll only use your details for the reasons you gave them. We won t send you marketing emails unless you ve asked us to. And we won t share your details with anyone, ever. Please see our privacy policy for more information on how Scope may use your data. 10801 Scope is a registered charity, number 208231. Copyright Scope October 2014 13