Job Details
Post applied for
Location
Personal Details
Preferred title
Forename(s)
Family name
Address
Home telephone
Mobile number
Personal email
Work email
If yes, please state the type of license you hold
Do you have any current endorsements?
If yes, please provide further information
If yes, please give details
Asylum and Immigration Act 1996 It is a criminal offence to employ persons whose immigration status prevents them from working in the United Kingdom. Prior to appointment, you will be required to provide evidence of a passport or other documents on the approved list to satisfy HKP that the Asylum and Immigration Act 1996 is being complied with.
National Insurance Number
Equality of Opportunity The use of our own Application Form rather than individual CVs helps to ensure equality of opportunity during the selection process. Please note therefore that CVs will be disregarded.
Would you require any special arrangements if you are invited to interview?
HKP Safeguarding Statement It is the Duty of Care of the Hangleton & Knoll Project to ensure that any children, young people and adults at risk who are participating within our service are safe from harm and exploitation. The protection from abuse, neglect, exploitation and wellbeing of children, young people and adults at risk is a paramount consideration when providing services. The Project aim to provide an environment that ensures people are safe from potential abuse and will respond to any suspicion of potential abuse in a way that respects the person’s dignity and reinforces responsibility to the children and young people and adult at risk.
If you are made an offer of employment with HKP, it will be conditional on you:
Consenting to references being taken up.
Demonstrating, by producing approved documentation, that you’re entitled to work in the UK.
If the post for which you are applying involves working with children, young people (under 18) and/or vulnerable adults, you will be required to disclose any criminal convictions or cautions and apply for an Enhanced DBS Disclosure, register on the DBS update service and provide details to HKP.
Present or most recent employment
Name & address of employer
Job title
Dates employed
Current or final salary
Period of notice required
Please give a brief outline of your main responsibilities
Reason for Leaving (if appropriate)
Previous Employment
Please list ALL previous employment in chronological order (most recent first) Please note - all gaps in employment must be accounted for – see next boxDates from/to, Name & address of employer, Job title and outline of main responsibilities, Reason for leaving
Gaps in employment/other experienceDetails and dates should be given for any period not accounted for by full-time employment, education and training, e.g. unemployment or voluntary work.
Education & QualificationsPlease give details of all educational qualifications obtained – relevant to this post – and those currently being pursued: Name of School, College, University, etc. Dates Subjects studied / Qualifications Results
TrainingThis includes trade/professional training, government training schemes, apprenticeships, short courses and secondments – relevant to this post Organisation Dates
Professional MembershipsTo include HCPC registrations and BACP/UKCP memberships, where applicable Level of Membership and number if applicable Dates
Information in support of your applicationPlease give us your reasons for wanting this position, and for wanting to work for HKP. Giving specific examples, please tell us how you meet the criteria outlined in the Person Specification
References
A minimum of two different references are required (you can provide more)
One of the references must be your current or most recent employer.
If you have only just finished your education and have little work experience, please provide an academic reference.
If the job profile states previous experience of working with young people or vulnerable adults is essential, at least one referee must be someone who has directly supervised you in a similar role.
References will be validated. Please provide a company/organisation email address.
Referee 1
Name
Job title
Name of Organisation
Address
Email
Tel No
How long have you known this person and in what capacity?
Referee 2
Name
Job title
Name of Organisation
Address
Email
Tel No
How long have you known this person and in what capacity?
DeclarationGeneral Data Protection Regulation: Please note that it is our policy that all recruitment documents, including application forms for unsuccessful applicants, are kept in secure conditions for a period of 6 months, after which they will be securely destroyed. If you are successful in your application, in accordance with GDPR, we will keep your personal data whilst you are employed by us, and for 6 years after you have left. This is in order to manage the performace of our contract with you. (article 6, GDPR) I agree that the information provided here may be processed in connection with recruitment purposes and I understand that an offer of employment may be withdrawn or dismissal may result if information is not disclosed by me and subsequently comes to the organisation’s attention. I declare that the information contained in the application form and the attached equal opportunities monitoring form is true and correct. I understand that any false or misleading information, or omissions concerning criminal convictions, may disqualify my application or any offer of employment may be withdrawn or dismissal without notice may result. I understand that if the position I am applying for involves contact with young people or vulnerable adults; if I am successful, an Enhanced DBS Disclosure will be applied for.
I have read, understood and agree to the above.
Monitoring Form - Private and Confidential HKP is an Equal Opportunity Employer. We are committed to the active promotion of equal opportunities, both in the provision of services and as an employer of paid and unpaid workers. To help us monitor our equal opportunities & diversity/inclusion policy in recruitment and selection procedures, please complete the following questionnaire. The information you provide does not form part of the selection procedure; it is used only for monitoring purposes and in accordance with Equality legislation. This sheet will be separated from your application form before short listing. Please see over for further information.
Date
Where did you originally see the post advertised? If online, please specify the website
Gender and Gender Identity
Age Range
Up to 24
26 - 35
46 - 45
46 - 55
56 or over
Marital status
Single
Married
Civil Partner
Divorced/Separated
Widowed/Surviving Civil Partner
Prefer to to answer
Sexuality
Bisexual
Gay
Lesbian
Heterosexual
Unsure
Prefer not to answer
Ethnicity
White British
White Irish
Other White
Black British
Black African
Black Caribbean
Other Black
Asian British
Mixed White & Black African
Mixed White & Black British
Mixed White & Caribbean
Other Mixed
Asian Indian
Mixed White & Pakistani
Asian Bangladeshi
Asian Other
Chinese British
Other Chinese
Other
Religion
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No Religion
Other
Prefer not to answer
Would you define yourself as having a disability?
Details
Declaration I understand that this information may be stored and processed as part of HKP’s Monitoring of Equal Opportunities and as part of the recruitment procedure and I give my consent for my details to be used for this purpose.
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