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Employment Application Form Threshold Housing Link 2nd Floor, 1 John Street Swindon Wiltshire SN1 1RT T: 01793 524661 F: 01793 485915 E: adminthreshold@thl.org.uk W: www.thl.org.uk Application Pack Advice and Instructions Thank you for your interest in joining Threshold Housing Link. The purpose of this page is to offer you advice on how best to complete the application form. It is advisable to read all of the information contained in the pack It will prove useful both for the completion of the application form and any subsequent interview. Applications should be hand written, preferably in black ink. Working at Threshold Housing Link involves the completion of a number of hand written records. Legibility of handwriting, neatness of layout and accuracy of spelling are all factors taken into account when shortlisting. Additional sheets may be typed. It is important that you complete the Convictions/Disqualifications section, even if the answer is No To leave this blank will mean that your application will not be forwarded to the Recruitment Panel for shortlisting. Check that you have answered all questions in conjunction with the personal specification On completion of your application form, utilise this sheet to double check the relevance of your answers. We cannot accept CV s on their own as an application. They may however be included as part your application. Ensure that you make full use of the application form. If you need more space to answer a question, use additional sheets of paper to continue your answer, but make sure it is clear which question you are answering. The Declaration must be signed and dated If this is not completed the application will not be forwarded to the Recruitment Panel. Sections 1, 2 and 3 of your application form will not be seen by any member of the recruitment panel until after shortlisting has been completed. To avoid any necessary delays, or conflict with your current employer, please read the paragraph headed References and annotate accordingly. Education History From the examination years of secondary education through to further/higher education and certified vocational courses such as City & Guilds. Employment History Please do not enter any dates, only total months or years. Relevant Experience and Knowledge Include relevant experience and/or skills, gained from life experiences or previous employment that can be transferred into the post you are applying for. Include other training or short/specialist courses. For Office Use Only Personal Statement Use this section to express your own reasons for your interest in working for Threshold Housing Link and/or your empathy for and willingness to assist homeless people. This should also include your own future career plans or goals. Other Skills, Hobbies and Personal Interests This section is intended to help the Recruitment Panel build up an impression of the person you are, how well your personality will fit within the organisation, and to ensure that you have outside interests to encourage de-stressing if necessary. It could also provide a valuable point of discussion at a subsequent interview. Mobility Because our projects are dispersed an element of physical mobility is required. For some posts it is essential to have a full driving licence and/or a vehicle at your disposal, while for others it is not a necessity but could prove useful at times. Health Any health problem or disability will not impede the full consideration of the Recruitment Panel. Gaps in Education or Employment All gaps in education or employment have to be explained fully. Application Reference Number Date Returned Office Stamp Received By

Employment Application Form Threshold Housing Link 2nd Floor, 1 John Street Swindon Wiltshire SN1 1RT T: 01793 524661 F: 01793 485915 E: adminthreshold@thl.org.uk W: www.thl.org.uk 1 Personal Details The information in Sections 1, 2 and 3 will be detached from the application form prior to short listing. Title Mr Mrs Miss Ms Other (specify) Surname Date of Birth Place of Birth Age Forename(s) Address Contact Details Give all details; please tick your preferred contact method Home Work Mobile Postcode Are you eligible to reside in the UK? Yes No Convictions/Disqualifications E-mail Are you eligible to work in the UK? Yes No Do you have a work permit for the UK? Yes No Please give details of any convictions (including driving offences) and/or disqualifications from driving or performance of professional duties. All posts require a full DBS check. As this post involves contact with people under the age of 18 years, this post is exempt from Section 4 (2) of the Rehabilitation of Offenders Act 1974 by the virtue of the Exemptions Order 1975. This means that you are required to disclose any convictions which you have had made against you (excluding Juvenile Courts), regardless of how long ago and no matter that any sentence imposed against you has been served or fine paid. If you have no convictions, you must state this fact. Canvassing In order to ensure fairness and openness of our selection process, please state whether you are related to, or in a close relationship with a trustee, employee or service user of Threshold Housing Link Yes No if YES, please give details: Name Position in Threshold Relationship with yourself/family Please note that canvassing of trustees, employees or service users of Threshold Housing Link in relation to this application will disqualify any applicant. If evidence of this is discovered after appointment, you may be dismissed without notice. Declaration I declare that the information I have given in this application is correct and complete. I understand that any false statements or failure to disclose information requested on this application form may result in my application being disqualified or may lead to my dismissal or disciplinary action if appointed. Signature Date Data Protection All information on this form will be treated in strictest of confidence and used to process your application for employment. If you are appointed, this application will form the basis of your personnel file and information on this form may be held on computer. If your interview is unsuccessful your details will be kept for a period of 6 months and will then be destroyed.

Equal Opportunities Policy Definition Threshold Housing Link is committed to fair treatment in its provision of services and its employment of staff and committee members. Threshold Housing Link opposes discrimination on grounds which include: Housing Status, Gender, Ethnic Background, Nationality, Physical Disability, Mental Illness, Age, Sexuality, Social Class, Religious or Political Beliefs, HIV Status, Trade Union Membership/Activities Broad Aims of the Policy To provide facilities and services at the Hostel and Houses that are suitable to all Service Users and potential Service Users regardless of the above To achieve a balanced Management Committee and Staff Team To provide all Committee Members and Staff with equal opportunity to develop their potential To work towards countering discrimination among the wider population, against homeless people To ensure that all Committee Members, Staff and Service Users are fully conversant with the Equal Opportunities Policy and actively subscribe to it 2 Equal Opportunities Monitoring As an organisation that aims to be an Equal Opportunities Employer, we hope to attract applications from all sections of society. In order to monitor our recruitment process and assess our success as a whole, we ask all applicants to complete this section of the form. Please note: All information on this form will be used solely for monitoring and recording purposes How would you describe your gender? Age Range Under 19 20-29 30-39 40-49 50-59 60-69 Over 70 How would you describe your ethnic origin? All information will be treated as confidential and will be separated from the application form immediately upon receipt White British European Any other White background Please describe: This section does not form part of any application for employment with Threshold Housing Link Black Caribbean African Any other Black background Please describe: Mixed Please describe: Asian Please describe: How would you describe your religion or belief? Do you consider yourself to have a disability? Yes No If you would like to tell us more, please do so below Are you registered disabled? Yes No Please tell us more below How did you find out about this vacancy? Local/National Newspaper Professional Journal Job Centre Word of Mouth Enquired Directly to Threshold Internet Other Which one? Which one? Where? From whom? Who did you speak to? Please state website: www. Please state:

3 References Please give the names and addresses of two people to whom we may apply for references. One of these must be your present employer, or last employer, if you are currently unwaged. If you are unemployed you may use a Job Club advisor as a reference. If you have not been employed before as you are leaving school, college or university, you may use your Head of Year or Tutor, Student Counsellor or Student Advisor. Please note relatives are not acceptable as referees. No appointment will be made without satisfactory references. Title Mr Mrs Miss Ms Other (specify) Title Mr Mrs Miss Ms Other (specify) Name Address Name Address Postcode Postcode Telephone E-mail In what capacity are you known to this person? Telephone E-mail In what capacity are you known to this person? If you are shortlisted, may we contact this referee prior to interview? Yes No If you are shortlisted, may we contact this referee prior to interview? Yes No All information provided by applicants will be treated as strictly confidential and used only in considering your suitability for this post. Thank you for your application. Threshold Housing Link is a Registered Charity no. 1017599. A Company Limited by Guarantee, Registered at Cardiff, no. 1926938 Patrons: James Arkell, Rt Rev d Dr Lee Rayfield Bishop of Swindon, Robert Buckland MP

For Office Use Only Application Reference Number 4 Vacancy Details Position Applied For 5 Education History School, College etc Examinations passed/qualifications achieved 6 Professional Qualifications Qualification Where Obtained When Obtained 7 Training (continue on a separate sheet if necessary) Length of Course Course Title Organising Body 8 Present or most recent employment, voluntary work or role Name of Employer Address Job Title Dates Employed Key Duties Postcode Current Salary Including benefits Notice Period 9 Reason for wishing to leave or left

10 Previous Employment (please do not insert dates, and continue on a separate sheet if necessary- starting with most recent employment) Time Employed Salary (on leaving) Employers Name Position Held Reason for Leaving 11 Personal Statement (continue on a separate sheet if necessary) Please tell us why you are interested in this post. Give details of what you can bring to Threshold and what you hope to achieve.

12 Relevant Skills, Experience and Knowledge (continue on 2 separate sheets if necessary) Please give any details which you feel are relevant to the post that you are applying for. (Use examples to demonstrate how you meet each of the criteria listed in the person specification. You may continue on up to two separate sheets. Please do not staple to your application.)

13 Achievements, Hobbies, etc Please give any details of your achievements, hobbies, charitable and personal interests, along with details of any affiliations and commitments. 14 Mobility Type of Driving Licence held Provisional Full Endorsements Do you have the use of a vehicle? Yes No Do you have Class 2 Insurance? Yes No Please give details of any current endorsements