Candidate Application Form Please Complete In Block Capitals Section

candidate application form please complete in block capitals section 1. personal information -------------------------------

Candidate Application Form
Please complete in block capitals
Section 1. Personal Information
-------------------------------
Mr/Mrs/Miss/Ms/Dr/Other
-----------------------
Surname
-------
Forenames
---------
Former Names (if any)
Address
Postcode
--------
Home Tel. No
Mobile
Email Address
National Insurance Number
Date of Birth
Do you require a work permit? Yes/No
If you already hold a work permit when does it expire? Date (DD/MM/YY)
Do you have a full driving licence? Yes/No
Car
PCV please state class ………………........
LGV/HGV please state class…………........
Do you have use of a car? Yes/No
SECTION 2. PRESENT OR MOST RECENT EMPLOYMENT
--------------------------------------------
From DD/MM/YY
To DD/MM/YY
Employer/Company Name & Address
Contact Name
Contact Email
Contact Tel Number
Your Job Title
Main duties
Reason for leaving
Present/Final Salary
Notice Period
SECTION 3. PREVIOUS FULL EMPLOYMENT HISTORY
(Most recent job first please). Please give full information from the
date you left secondary education.
From
MM/YY
To
MM/YY
Job title & main duties
Name and Address of Employer
Salary on leaving
Reason for leaving
SECTION 3. PREVIOUS FULL EMPLOYMENT HISTORY
CONTINUED… Attach a separate sheet if necessary
From
MM/YY
To
MM/YY
Job title & main duties
Name and Address of Employer
Salary on leaving
Reason for leaving
SECTION 4. CURRENT/PREVIOUS VOLUNTARY/UNPAID WORK
Attach a separate sheet if necessary.
From
MM/YY
To
MM/YY
Duties
Organisation
Reason for leaving
SECTION 5. EDUCATION
SECONDARY (CSE, GCSE, RSA, A-LEVELS OR EQUIVALENT)
You may be asked for original evidence of your qualifications and we
reserve the right to approach any education providers to verify the
qualifications stated.
Establishment
Subject
Level
Grade
Date of exam/award
FURTHER & HIGHER (DEGREE/DIPLOMA/BTEC/C&G/NVQ, ETC OR EQUIVALENT)
We may ask for original evidence of your qualifications and we reserve
the right to approach any education providers to verify the
qualifications stated.
Establishment
Subject
Level
Grade
Date of exam/award
SECTION 6. PROFESSIONAL QUALIFICATIONS
Qualification Gained
Date of Exam/Award DD/MM/YYYY
MEMBERSHIP OF / REGISTRATION WITH PROFESSIONAL BODIES
Professional Body
Membership Status
Registration Number
Renewal Date (DD/MM/YYYY)
SECTION 7. TRAINING
Please give details of recent relevant training courses attended.
Please indicate the organising body, dates, and nature/title of the
course. (Attach a separate sheet if necessary).
Section 8 – TYPES OF CASUAL WORK SOUGHT
---------------------------------------
(Please tick all that apply and give more details where asked)
--------------------------------------------------------------
ADMINISTRATION / CLERICAL
Receptionist
Data entry
PA/ Secretary
Minute Taker
Other (please specify)
.................................................
CUSTOMER SERVICE
Call Centre
Face to Face
Retail
Other (please specify)
.................................................
FINANCE / BENEFITS / ACCOUNTS
Accountant Technician
Accountant
Other (please specify)
.................................................
PROFESSIONAL
(please specify)
.................................................
TECHNICAL (please specify)
.................................................
WASTE / CLEANING / WAREHOUSE
CATERING / CAFÉ WORK
LIBRARY WORK
LEISURE (please specify)
.................................................
IT (please specify)
First and Second Line Desk Analyst
System Engineer
System Support
Other (please specify)
.................................................
DRIVING (please specify licence)
DCPC (Driver Certificate of Professional Competence Training)
PCV/ LGV
Minibus
Other (please specify)
......................................
OTHER (please specify)
.................................................
Section 9. Availability
What date can you start work? (please do not apply more than 3 months
before you are available)
DURATION (tick one box only)
AVAILABILITY (Please tick)
No limit
am
pm
night
Occasional days only
Monday
Short term only
Tuesday
Long term only
Wednesday
Thursday
Friday
Saturday
Sunday
Are you registered with any other agency?
YES / NO
If YES which one(s)?
Where was the work based at?
What was the pay rate?
SECTION 10. FURTHER SUPPORTING INFORMATION (personal qualities and
experience making you suitable for temporary work, your approach to
work).
Attach a separate sheet if necessary.
Section 11. References and Declarations
---------------------------------------
References
Please supply the names and addresses of two people to whom we may
write for references.
One of these must be your current employer if you have one or most
recent employer if not.
References will not be accepted from relatives or from people writing
solely in the capacity of friends. Both referees should be able to
comment on your work. Please ask permission from your proposed
referees prior to naming them. By including a direct email for your
references will considerably speed up the application process.
Both references will be taken up prior to interview.
Referee 1
Referee 2
Name (including title)
Name (including title)
Position
Position
Address
Address
Postcode
Postcode
Telephone Number
Telephone Number
Email Address
Email Address
Relationship to you
Relationship to you
Is this your current employer Yes/No
Is this your current employer Yes/No
Information on this form may be held on manual or computer systems. We
will observe strict confidentiality and disclosures will only be made
for payroll, administration, and to provide an overall profile
analysis of WorkwithYORK.
PLEASE LET US KNOW WHERE DID YOU HEAR OF WorkwithYORK?
WorkwithYORK Website
Council Website
York Press
Local Link
Facebook
Twitter
Job Fair
From another member of staff
Other (please specify)
........................................
Declarations
Acceptance for work is subject to the following: satisfactory
references, evidence of eligibility to work in the UK, appropriate
qualification(s) and membership of relevant professional body
Occupational Health clearance and enhanced DBS Disclosure (if
appropriate). Please see guidance notes attached for more details.
*
Have you ever been dismissed from a post because of misconduct or
resigned whilst disciplinary action has been taken against you?
YES/NO (if YES please give further details on a separate sheet)
*
Please state whether you have, to your knowledge, any family or
close relationship with any existing employee of WorkwithYORK,
City of York Trading or City of York Council, including directors,
shareholders, councillors or school governors.
YES/NO (if YES please give further details on a separate sheet)
*
Criminal records are only taken into account when the conviction
is relevant. Do not disclose convictions which are spent under the
Rehabilitation of Offenders Act 1974.
Have you ever been convicted of a criminal offence? Yes No
Nature of offence
Date of conviction _ _ / _ _ / _ _ _ _
I understand that canvassing any members of WorkwithYORK and City of
York Trading Ltd in connection with this appointment will disqualify
me.
I agree to you storing and using the information I have given in this
application form and monitoring form for monitoring purposes to inform
future policy development.
I declare that all the information contained in every section of this
application is true to the best of my knowledge and does not omit
facts that could have a bearing on selection decisions.
I understand that any work offered is conditional on this declaration
and the above checks. I also understand that any incorrect, false or
misleading information may make this application void. In addition, I
am aware, should this situation occur after I am offered and accept
work with WorkwithYORK, I would be removed from any work assignment
and the WorkwithYORK pool of temporary staff.
Signature
Print Name:
……………………………….............
Date
EQUAL OPPORTUNITIES MONITORING FORM – CONFIDENTIAL
Mr/Mrs/Miss/Ms/Dr/Other
-----------------------
Surname
-------
Forenames
---------
Marital Status (please circle)
Married
Separated/Divorced
Single
Other
Ethnic Origin (please circle)
=============================
Black or
Black British :
Please circle
Caribbean
African
Any other
please specify
White :
Please circle
British
Irish
Any other
please specify
Asian or
Asian British :
Please circle
Indian
Pakistani
Bangladeshi
Any other
please specify
Mixed :
Please circle
White and Black Caribbean
White and Black African
White and Asian
Any other
please specify
Chinese :
Please circle
Chinese
Any other
please specify
Do you consider yourself disabled? (please circle)
YES
NO
SECTION 11. GUIDANCE NOTES AND RECRUITMENT INFORMATION
PLEASE DETATCH THIS SHEET AND RETAIN IT FOR YOUR FUTURE USE
WorkwithYORK supplies 'temporary' workers (also known as relief,
sessional or supply staff). There is no obligation for the
WorkwithYORK to offer work, and no obligation on the individual to
accept work.
Assignments that we may offer temporary staff vary from a few hours to
a few months at a time e.g. during the peak season, for several
evenings or lunchtimes, for odd days to cover absence or help out in
an emergency etc.
COMPLETING YOUR APPLICATION FORM
--------------------------------
It is important that you fill in every section of the form as fully
and accurately as possible. Our decision on who is suitable will be
based on the information you give on your application form.
Before you start:
*
Consider the type of work you would like to do and read all the
information first to make sure that work through WorkwithYORK on a
temporary basis is suitable for you.
*
Read the application form carefully before you write anything.
Filling in the Form:
--------------------
*
Please write or type in black ink. (paper applications)
*
Please be sure to complete section 9 which allows you to state the
type of work you are looking for.
*
If you have a copy of your CV, please feel free to attach it to
your application form.
*
Fill in all parts of the application form. If some parts do not
apply to you, put ‘N/A’ (not applicable) in the space provided.
*
Use extra sheets if you require more space. Please put your name
on each additional sheet and attach as appropriate (paper
applications).
*
Your application form should be geared to the type of work you
would like to be offered.
*
Make sure the information you provide is clear, precise and easy
to understand.
*
Please complete the equal opportunities monitoring form at the
back of the application form. The information gathered will be
used to monitor the effectiveness of our equality statement and
other work related policies.
*
If there is a specified closing date please note this and allow
time for your application form to reach us. We will not consider
application forms we receive after the closing date. However
WorkwithYORK is continuously refreshing and adding to the pool of
candidates, therefore there is no closing date for the general
pool.
Please remember the following:
We want to accept the best candidates into the WorkwithYORK. To do
this fairly, everyone who applies must give us relevant information
about himself or herself. Where possible, please give examples of how
you have used your skills and experience and show successful results
where you can.
Criminal Convictions
We do not discriminate against people with criminal records. If you
have a criminal record, this does not mean that we will automatically
refuse to offer you work. The criminal record information you are
required to provide is not used for selection purposes.
=====================================================================
If you are invited for interview your criminal record will be
discussed with you at interview. The nature and seriousness of any
offences, how long ago they occurred and their relevance to the duties
of the posts for which you are applying will be taken into account,
before a decision is made as to whether your criminal record
information makes you unsuitable for particular assignments.
======================================================================
Under the Rehabilitation of Offenders Act 1974 (ROA) as amended, you
only have to declare unspent convictions. If the post is not exempt,
such as posts involving working with children or vulnerable adults,
then you will be required to complete a separate form, which will come
with your application form.
======================================================================
If you do not provide the information on your application form we may
withdraw any offer of work. Failure to disclose information about
convictions which for other purposes are 'spent' under the provisions
of the Act, will normally result in acceptance to WorkwithYORK being
withdrawn. Withdrawal from any work assignment may also happen if we
find out any relevant information after we have offered and you have
accepted work.
When you have fully completed this application form (together with
equal opportunities form) please return to: -
[email protected]
WorkwithYORK
APPLICATIONS
Top Floor
5/6 Kings Court
YO1 7LD
York
For the time being please retain any other forms and documents you
have.
WE WILL THEN REQUEST YOUR REFERENCES.
As well as asking your referee for their comments on your experience,
skills and abilities, we will also ask for details of your current
disciplinary record.
When we receive the references…
If both of your references are of the standard we require, we will
contact you to arrange for further checks to be carried out and to
arrange an appointment for an interview.
If the references are not of an appropriate standard, we will write to
you to let you know, and your application will not be taken further.
OTHER CHECKS AND ATTENDING AN INTERVIEW
If you are called for interview, this will usually be held at Top
Floor, 5/6 Kings Court, York, YO1 7LD.
If you are a disabled applicant please let us know and we will arrange
an alternative interview venue.
A letter or email will be sent out to you when your references are
received.
The interview will explore your work history and experience and your
reasons for wanting to do temporary work.
You will be given information as to how WorkwithYORK operates and what
is required of you if accepted. Your identity will be checked.
Documents you bring in may be photocopied. You will be told about the
likely timescale for the rest of the application process.
Documents you should bring to your interview…
1.
Original documents showing your eligibility for employment in the
UK – an official document with your National Insurance Number
(e.g. a wage slip, P45 or NI card) and your passport (confirming
citizenship or residency/employment rights) – these are
requirements of the Asylum and Immigration Act 1996 – at interview
both will be photocopied and returned to you.
2.
Original qualification certificates.
Further checks
As well as an interview, we may ask you to take part in the following
selection processes:-
*
IT tests (office based work)
*
Practical exercise (refuse loaders / drivers)
*
Checking and classification exercise
We will also to complete a pre-employment medical questionnaire after
your interview.
We will consider all the information obtained during the selection
process as well as your application form and interview in forming the
final decision as to whether to accept you for temporary work.
NOTIFICATION OF WORK
====================
Once accepted, you will be added to our pool of staff and when
available will be informed of suitable work. Depending on the
assignment you may be asked to attend an interview with the placement
manager. Feedback of your performance at this interview will be
available on request.
DATA PROTECTION ACT
===================
We will use information on your application form for our recruitment
and selection process, and also to check the effectiveness of the
process. As we will be able to identify you from the personal details
you have given us, we will treat this information as confidential.
If you are unsuccessful, we will confidentially destroy your
application form.
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