Application Form

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Current Vacancies Can Be Viewed Here

If you are interested in volunteering or a paid position please complete our online application form below. Fields marked with an * are required

Please leave blank:

Applying For:

Role Applying For:

Personal Information

First Name:

Last Name:

Pronouns:

Date of Birth:

Email:

Phone:

Address (house name/number):

Address (street name):

Address:

Address (line 4):

Postcode:

Please tell us why you are interested in the role and what you will bring to it. Include any information you may wish to give in support of your application.

Supporting Information:

Work History

Current employment/volunteering role:

Date Started:

Date Ended:

Key responsibilities/ Duties/ Achievements:

Reason for leaving:

Other previous employment/volunteering roles:

Date Started:

Date Ended:

Key responsibilities/ Duties/ Achievements:

Reason for leaving:

Relevant Qualifications

Please list any relevant qualifications/training including dates below:

Do you have a current driving license?

Has it been endorsed?

Do you have access to transport?

Are you MIDAS trained?

References:

*You must provide at least 2 references - these cannot be relatives.

	Full name	Phone	Email	Association/ Relationship to applicant
Reference 1
Reference 2

Please tick this box if we can approach referee prior to interview:

Confirm

Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?

Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020?

If Yes to any of the above please give details below:

The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account.

I am prepared to undergo a medical examination if requested:

I confirm that I am entitled to work in the UK:

Have you been subject to disciplinary action (regardless of outcome) or dismissed in any of your employment roles?

If Yes please give details below:

Are you under the age of 16?

If you have answered YES to this, we require parental consent - please fill out their details below

First Name:

Last Name:

Please confirm:

I hereby declare that the information given in this form is, to the best of my knowledge, correct and gives an accurate representation of my application and employment history.