* Required field

1. Personal Details

First Name *

Surname *

Address *

Post code *

Telephone *

Mobile *

Email *

National Insurance Number *

Are you eligible to work in the UK? *
YesNo
Do you consider yourself to be a disabled person?
(see monitoring form for further info.) *
YesNo
Do you meet the Disability Discrimination Act definition of disability? *
YesNo
If you answered "Yes" to either of the last two questions, do you require any reasonable adjustment to aid you in your job? Please state what these might be.

Where did you first see this vacancy advertised?

Upload CV *

2. Declaration

As part of our recruitment and equality monitoring processes we will collect and store sensitive data about you via our Monitoring Form below.

We are required by law to obtain your consent to such data being recorded. Sensitive data is defined as information relating to any of the following: ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.

Statement to be signed by the applicant below

By signing this form I give my consent to sensitive personal information being recorded and stored under the Data Protection Act 1998 on the understanding that it will be to determine my suitability for this post and to provide monitoring and statistical information on recruitment and equalities at ARE.

I declare that, to the best of my knowledge, the information I have given on this form is true and complete. I am aware that some of the information may be checked. I understand that my application is liable to be rejected, or if I have been appointed, that I am liable to be dismissed if any of the information is found to be false, or if there is any wilful omission or suppression of any material fact.
Name of Applicant (Print): *

Signature of Applicant: *

Date: *

Sections 1 and 2 are not seen by the interviewing panel

3. Employment and/or volunteering history

For each employer or voluntary position held please list details of the name & address of the employer, position held & brief summary of achievements, start date, end date and reason for leaving.

Start with the current or most recent employer or voluntary position followed by previous employers or voluntary positions (List in reverse chronological order) *

4. Education/qualifications

Please list schools, colleges, universities or other institutions attended, stating the name of institution, study dates, subject, qualification and grade for each of them, giving the most recent first. *

Training and development:

Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application, including professional qualifications. State the date, institution/trainer and course details for each for them. *

5. Information in support of your application

THIS IS THE MAIN PART OF YOUR APPLICATION AND SHOULD REFLECT YOUR SKILLS AND EXPERIENCE TO UNDERTAKE THIS ROLE.

We want to know why you're interested in becoming a Community Development & Engagement Officer. Please use the space below to tell us about how your experience in life, work and/or education has made you suitable for this post, limiting it to 1x page of A4 max. *

6. References

Please provide details of two referees who should not be related to you. At least one should be a present or most recent employer or, if appropriate, a tutor. *

First Referee
Name:

Address:

Telephone Number:

Email:

Their position:

Their relationship to you:

Second Referee
Name:

Address:

Telephone Number:

Email:

Their position:

Their relationship to you: