Current or most recent employer
Post held
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Name of employer
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Address of employer
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Main responsibilities
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Dates (from-to)
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If applicable, what is your reason for leaving this position?
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If not applicable, you may enter 'N/A'
Notice period
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Employment History
Please list the details of your previous employment (most recent first)
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Details include job title and summary, employer, and employment dates. To include volunteering roles, placements, work experience etc; please also explain any gaps.
Secondary Education
School(s) attended
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Dates of attendance
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Subjects studied
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Qualifications/Grades obtained
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Further/Higher Education
Institution(s) attended
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Dates of attendance
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Subjects studied
*
Qualifications/Grades obtained
*
Professional Qualifications and Training
Details of Professional Qualifications or Membership
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Please list the details of your professional qualifications or memberships, if applicable. Details include the level, grade, provider, and date obtained.
Date(s) applicable
*
Reason for Application
Please outline the main reasons for applying for this job; giving any details of relevant experience, skills or achievements, which you feel may be relevant to your application.
*
max characters 1000 for each
References
Please give the names and addresses of two referees who can comment on your suitability for the post and who have consented to provide a reference on your behalf. One should be your current employer or, if unemployed, your most recent employer.
Present or most recent employer
Name
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Position
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Capacity in which known to you
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Name and address of organisation
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Telephone
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Email address
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Can we contact this referee before interview?
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Second referee
Name
*
Position of the above named
Capacity in which known to you
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Name and address of organisation
Telephone
*
Email address
Can we contact this referee before interview?
Transport Ownership
Do you have a full, current UK driving licence?
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Do you have a full access to a vehicle?
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Do you have any current penalty points?
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Please provide details of any current penalty points
Further information
Safe and fair recruitment Our organisation is committed to safeguarding and promoting the welfare of vulnerable adults, children and young people, and expect all our staff and volunteers to share these values. We are also committed to treating all applicants equally and fairly based on their skills, experience, and ability to fulfil the duties required of the role applied for. This is regardless of any protected characteristics (ethnicity, gender or gender reassignment, religion or belief, sexual orientation, physical/mental disability, age, pregnancy or maternity, marriage, or civil partnership). Applicants must share with us all the relevant information that we have requested in this application form, but we would like to reassure applicants that any information provided will be treated in the strictest confidence in a fair and open manner. Suitable applicants will not be refused employment because of offences or conduct which are no longer relevant, and do not place them at, or make them a risk in, the role for which they are applying. We will ensure that all our recruitment and selection practices reflect this commitment.
Use of personal information I consent to Hull and East Yorkshire Mind using and keeping information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties, such as referees, relating to my application or for future employment. I understand that the information provided will be used to make a decision regarding my suitability for employment and, if successful, the information will be used to form my personal record and will be retained for the duration of my employment and as long as is deemed necessary thereafter. If I am not successful, I understand that Hull and East Yorkshire Mind will retain the form for as long is deemed necessary for the purpose of recruitment and that the Charity may use it to contact me in the event of there being any other vacancies for which I may be suitable.
Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by, the Rehabilitation of Offenders Act 1974 (Exceptions) Order (as amended in 2013)’ specifically in the UK, or anywhere else in the world?
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In accordance with the Asylum and Immigration Act 2006 I will need to demonstrate my eligibility for employment in the United Kingdom. If my application is successful, I will need to provide evidence, in its original format for verification. Are you eligible for employment in the United Kingdom?
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We are currently unable to offer sponsorship. Please consider this before submitting your application.
Please be aware that Hull and East Yorkshire Mind are unable to offer sponsorship. Please tick the box below to confirm you understand this and are not seeking sponsorship.
If successful, will this be your only job?
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Do you currently have a legal restriction on the number of hours you can work?
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Please provide a phone number for us to contact you regarding your application
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