Job Application Form Job Application Position applied for * Personal Details First Name * Last Name * Address * City * City Postcode * Postcode Phone - Mobile Phone - Home Phone - Work Email * May we contact you at work? Yes No We will normally contact you by post or email. However, if you would prefer to be contacted using another method please let us know here: Information, experience, knowledge, skills and abilities Please explain and demonstrate how your experience, skills and knowledge meet the selection criteria for the post described in the Person Specification. Please ensure that you address all the criteria on the person specification using the same order and numbers. * 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Career History Please include your current / previous employment (including job training schemes), voluntary work, community activities, school placements, time caring for dependants etc. Please put in date order, starting with the most recent. Employer’s name and address and type of business: State position held and outline briefly the nature of the work and your responsibilities: Dates from & to: Reason for leaving: Current / previous employment Employer’s name and address and type of business: State position held and outline briefly the nature of the work and your responsibilities: Dates from & to: Reason for leaving: Current / previous employment Employer’s name and address and type of business: State position held and outline briefly the nature of the work and your responsibilities: Dates from & to: Reason for leaving: Current / previous employment Employer’s name and address and type of business: State position held and outline briefly the nature of the work and your responsibilities: Dates from & to: Reason for leaving: If you have worked or volunteered in the Citizens Advice service within the last 5 years please provide further details. References will be taken up for successful candidates. Manager’s name and contact details: State position held and outline briefly the nature of the work and your responsibilities: Dates to & from: Reasons for leaving: Educational History Please give details of educational qualifications you have obtained from school, college, university etc. Please include the Subject, Level and Grade Professional development Please give details of any professional qualifications, including membership of any professional bodies and any job-related training that you have undertaken. Criminal convictions Have you had any previous convictions not regarded as spent under the Rehabilitation of Offenders Act 1974? Yes No If YES please provide details of the offence and the date of conviction Having a criminal record will not necessarily bar you from working for the CAB – much will depend on the type of job you have applied for and the background and circumstances of your offence. For some posts, an offer of employment will be subject to a CRB check. If this applies to the post for which you are applying, this will be noted in the application pack. References Please provide the names, addresses, telephone numbers and email addresses of two people who may be approached for references. One of these should be your present or most recent employer, the other could be someone who knows you in a work related, voluntary or academic capacity. Both referees should be able to comment on your suitability for the post applied for. References will only be taken up for successful candidates following interview. Reference 1 * Name: Position Held: Address: Postcode: Telephone: Email: In which context does this referee know you? Reference 2 * Name: Position Held: Address: Postcode: Telephone: Email: In which context does this referee know you? Entitlement to work in the UK A job offer will be subject to confirmation that you are permitted to work in the UK in accordance with the provisions of the Asylum and Immigration Act 1996. You will be asked to provide evidence of your entitlement to work in the UK if you are successful and an offer of employment is made. Please note that Citizens Advice does not hold a sponsor licence and, therefore, cannot issue certificates of sponsorship under the points-based system. Declaration I confirm that to the best of my knowledge, the information I have provided on this application form is true and correct. I understand that if appointed on the basis of false information contained in this form, I may be summarily dismissed. Consent I consent to this information being processed and stored for the purpose of recruitment and selection at Cambridge & District CAB, and if appointed, for the purposes of employment at Cambridge & District CAB Captcha If you are human, leave this field blank. Submit Diversity monitoring information form Monitoring Information The Citizen Advice service is committed to valuing diversity and promoting equality. We encourage and welcome applications from suitably qualified candidates from all backgrounds regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. In order to achieve these aims we need to know about the diversity of people who apply to work in the service. Please help us by providing the following information. All information will be treated confidentially and will be separated from your application form before making any selection decisions. Data Protection Act 1998 Citizens Advice will record the information given for the purposes of recruitment and selection monitoring. If you become an employee of Citizens Advice the information will be processed for the purposes of personnel administration only. The information will be retained for monitoring purposes only. This information will not affect your application. Which role are you applying for? * Age * Under 25 25-34 35-44 45-54 55-64 65 and over Prefer not to say Gender * Male Female I prefer to use another term Prefer not to say Ethnic Origin * White British White English White Scottish White Welsh White Northern Irish White Irish White Gypsy or Irish Traveller Any other White background White and Black Caribbean White and Black African White and Asian Other Mixed/multiple ethnic background Indian Pakistani Bangladeshi Any other Asian background Black Caribbean Black African Chinese Arab Any other ethnic group Prefer not to say Disability The Citizens Advice service believes that people are disabled by the barriers society places in their way and not by their own impairments. We believe everyone has a role to play in society and we want the service to benefit from the widest range of talent available. Do you consider yourself to be a disabled person or do you have a long-term health condition? * Yes No Prefer not to say Sexual Orientation * Heterosexual / straight Gay man Gay woman / lesbian Bisexual Other Prefer not to say Religion or belief * No religion Christian (including all denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion or belief Prefer not to say How did you hear about this opportunity? * Captcha If you are human, leave this field blank. Submit
