Fillable CONFIDENTIAL PLEASE COMPLETE ALL PARTS IN BLOCK LETTERS

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CONFIDENTIAL PLEASE COMPLETE ALL PARTS IN BLOCK LETTERS

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CONFIDENTIAL
PLEASE COMPLETE ALL PARTS IN BLOCK LETTERS (Black Ink or Typed
POST APPLIED FOR……….………………………………………..… JOB REF:…………………
SECTION A – PERSONAL DETAILS and PRESENT EMPLOYMENT (block letters please)
FIRST NAME(S)……………………………………………… S
URNAME…………………………………….……..
PRESENT ADDRESS:
ARE YOU REQUIRED TO HAVE A WORK PERMIT:
BUSINESS PHONE NO:
HOME PHONE NO:
E-MAIL:
DRIVING LICENCE:
NATIONAL INSURANCE NO:
Name and Address of Employer
Date Appointed
Period of Notice Required
Job Title on Appointment
Current Job Title Salary
Details of Present Duties
Reason for leaving
Job Title of person to whom you report
APPLICATION FOR EMPLOYMENT FORM
PLEASE RETURN COMPLETED APPLICATION FORM TO:
CLIVE FRANCESCHI, HARP, 4
th
FLOOR, DENCORA
COURT, TYLERS AVENUE, SOUTHEND ON SEA. SS1 2BB
OR E-MAIL IT TO:
CLIVE.FRANCESCHI@HARPSOUTHEND.ORG.UK
1
YES
NO
YES
NO
IF YOU ARE COMPLETING THIS FORM ELECTRONICALLY, WE RECOMMEND THAT YOU USE ADOBE ACROBAT READER (AVAILABLE
FREE FOR WINDOWS AND MAC) AND SAVE THIS FILE ON TO YOUR PC (USING SAVE AS) BEFORE YOU COMMENCE. ENTER YOUR
DETAILS ON THE SAVED VERSION AND PLEASE CHECK YOUR FILE FOR COMPLETENESS BEFORE YOU SUBMIT IT BY E-MAIL.
CONFIDENTIAL
SECTION B – PREVIOUS EMPLOYMENT-Please comment on any gaps in employment
(Detail most recent employment first) -
FROM
Name and Address of Employer
Date
TO Your Job Title / Duties / Salary / Reason for Leaving
Date
FROM
Name and Address of Employer
Date
TO Your Job Title / Duties / Salary / Reason for Leaving
Date
FROM
Name and Address of Employer
Date
TO Your Job Title / Duties / Salary / Reason for Leaving
Date
FROM
Name and Address of Employer
Date
TO Your Job Title / Duties / Salary / Reason for Leaving
Date
FROM
Name and Address of Employer
Date
TO
Your Job Title / Duties / Salary / Reason for Leaving
Date
2
CONFIDENTIAL
SECTION C – ACADEMIC ACHIEVEMENTS
DURING FULL TIME EDUCATION GCSE, GCE, CSE, etc.
SUBJECT AND LEVEL
GRADE SUBJECT AND LEVEL
FURTHER EDUCATION INCLUDING PROFESSIONAL QUALIFICATIONS
COURSES TAKEN
WHERE TAKEN
GRADE
3
GRADE
CONFIDENTIAL
SECTION D – DETAILS IN SUPPORT OF APPLICATION –
Please read the Guidance Notes before completing this section.
NB: Using each point in the Person Specification as a heading, please explain how your experiences,
skills, training and abilities meet the specification (please use the continuation sheet if necessary)
4
CONFIDENTIAL
SECTION D – CONTINUED (only use if necessary)
5
Should you require further space, please create a separate document (called Section D - Continuation Sheet ) and attach it
with your application.
CONFIDENTIAL
SECTION E – REFERENCES Your present employer should be one referee:-
However, if you are not employed at the present time, please give a past employer as a referee.
(The authority reserves the right to contact any of your previous employers for a reference, if an offer
of employment has been made to you or is contemplated).
(i) (ii) Name …………………………………..
Title ……………………………………
Address……………………………….
……………………………………………
……………………………………………
Telephone No ……………………………
Name ……………………………………
Title ……………………………………..
Address ………………………………….
……………………………………………
……………………………………………
Telephone No ……………………………
In what capacity do you know the person?
In what capacity do you know the person?
May we contact at this stage
May we contact at this stage
SECTION F – Rehabilitation of Offenders Act / Convictions
HARP actively promotes equality of opportunity and will not discriminate in its employment decisions
against ex-offenders with criminal records.
• All posts involve access to vulnerable people (our clients) spent and unspent convictions
must be disclosed on the form below.
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and
cautions are “protected” and are not subject to disclosure to employers, and cannot be taken into
account. Guidance and criteria on the filtering of these cautions and convictions can be found at the
Disclosure and Barring Service website.
You will be required to apply for an Enhanced Disclosure from the Disclosure & Barring Service. The
job offer and / or any subsequent contract of employment will be subject to HARP being satisfied with
the content of the disclosure.
Have you ever been convicted of a criminal offence
If yes, please give details below, if you wish to add anything further please continue on a separate
page.
Dates Convictions Sentence (State whether spent or unspent)
6
NO
Y
E
S
NO
Y
ES
YES
NO
CONFIDENTIAL
SECTION G – MISCELLANEOUS INFORMATION
Include any other information you feel will assist the Interview Panel in making their decision
Where did you see this post advertised?
The information stated in this application, together with any accompanying papers is, to the best of
my knowledge correct. I understand that a false entry may lead to either an offer of appointment
being withdrawn or disciplinary action being taken which could result in dismissal.
Signed Date
Please return completed form to
Clive Franceschi, Homeless Action Resource Project, 4
th
Floor, Dencora Court, Tylers Avenue,
Southend-On-Sea, Essex. SS1 2BB or e-mail it to: clive.franceschi@harpsouthend.org.uk
7
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CONFIDENTIAL PLEASE COMPLETE ALL PARTS IN BLOCK LETTERS

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Completed 11 May 2021

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