The information you provide here is the only information we will use in deciding whether or not you will be short-listed for an interview or test. It is therefore very important that you give us as much relevant information as possible. Due to the nature of the Association’s work, this role is subject to an enhanced DBS check. The Association complies fully with the DBS Code of Practice and a copy is available on request for applicants.
Application for
Chief Executive Designate
Code number Title
EXEC/001/14 First Names
Location
Wirral Surname
Address
Postcode Preferred contact telephone number Other telephone numbers email
Current or most recent job Please give the job title and company name of your current or most recent employer. If you are working for yourself put ‘self-employed’ where the form asks for ‘employer’. If you are unemployed or are returning to work, give details of your last job, however long ago it was.
Job title Employer Date started Salary Notice period required Reasons for leaving or wishing to leave
Date left
No: IADW/ /14 /14
Education, training and employment history Please list all relevant qualifications and training, and all employment whether paid or voluntary. (N.B. Documented proof of qualifications will be required on appointment)
Date
continue on a separate sheet if necessary
Suitability for the job This is the most important part of your application. Please tell us what makes you suitable for this job. Your application will be judged against the person specification which lists the essential requirements and competencies for the post. Please address each point of the person specification giving details of your skills, experience and knowledge in these areas. Please be specific. The short-listing panel needs to know how and why you consider yourself suitable for the job. Give details of duties carried out in your current and previous jobs and mention any relevant experience gained outside paid employment (for example, you may have done voluntary work in the community or have experience of organising activities socially or running a home).
continue on a separate sheet if necessary (maximum of one extra page)
References
Please give the names and addresses of two referees, one of whom must be your current or most recent employer. The second referee can be anyone, including a previous employer. Any offer of employment will be dependent on whether or not we receive satisfactory references. We will contact your referees only if we offer you the job and not before.
First referee Employer
Name Organisation Address
Postcode Daytime telephone
Second referee
Character:
Employment:
Name Address
Postcode Daytime telephone
Character:
Employment:
In what capacity do you know the second referee?
Declaration
I confirm that the information I have given on the form is correct and complete and that misleading statements may be sufficient for cancelling any agreements made. I understand that, in the event of being short-listed for interview, I will be required to complete a confidential declaration in respect of my state of health and in the event of appointment, an enhanced DBS Check will be carried out.
Signed
Equal opportunities
Date
The monitoring form is detached before short-listing and has no effect whatsoever on your application. It is purely for monitoring our equal opportunities policy. Please ensure that you return your form with CV by the closing date to the address given in the job description or covering letter. Forum Housing Association, 2nd Floor, 84 Market Street, Birkenhead, Wirral, CH41 6HB
No:
Equal Opportunities Monitoring Form What is your gender?
Do you consider yourself to have a Disability? Yes
No
Don’t know
If you answer ‘Yes’ to the above question, please give brief details (including Registration Number if applicable):
Do you consider yourself a member of the LGBT Community? (Lesbian, Gay, Bisexual & Transgender) Yes
No
Prefer not to say
How would you describe your religion/beliefs, if any? Christian
Hindu
Muslim
No Faith
Buddhist
Jewish
Sikh
Other
Prefer not to say
Please Specify:_ _ _ _ _ _ _ _ _ _ _ _ _ _
Declaration For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form I give my consent to Forum Housing Association processing the data supplied above in connection with monitoring compliance with its equality and diversity obligations and policy. I also agree to the storage of this information on manual and computerised files.
