Job Application Form

Please note the Equal Opportunities Monitoring section will be detached from the shortlisting process. If you require this application form in an alternative format, please contact the HR Team by emailing [email protected] or by telephoning 01883 744664.

We are a Disability Confident, Committed, two ticks Employer; please tick here if you would like to take advantage of this scheme. Alternatively, please feel free to contact our HR Officer, Jay Cross.

Yes

Application for the post of (required)

How did you hear about this post?

Last name/Family name (required)

Title (required)

First names in full (required)

Address (required)

Postcode (required)

email address

Home phone

Mobile phone

National Insurance Number

Are you eligible to work in the UK? (required)

YesNo

Do you require a permit to work in the UK (required)

YesNo

(Please note all applicants will be asked to provide proof of their right to work in the UK)

Education and Qualifications

Please include any courses you are currently undertaking. Please note that the Orpheus Centre reserves the right to verify particular experience or qualifications.

Qualification, grade, date attained

Please give details of any other courses or specialist training you have undertaken relevant to the post

Are you a member of a professional body? If so, please give details, including your membership level and registration number.

Your Work History

Current Employment

Job Title

Salary

Main duties

Reason for leaving

Name and address of employer

Date employed from

Date employed to

Employment History

Please list all previous employers, starting with the most recent. To comply with our Safer Recruitment process, you must provide a complete history in months and years, explaining any gaps in your employment such as periods spent developing skills by volunteering, raising a family, travelling, caring etc.

Employer, Post held, Dates from/to, Reason for leaving,

Your personal statement

Please read through the job description and person specification and then summarise why you feel suitable for this post. (required)

Rehabilitation of Offenders

All posts at the Orpheus Centre are exempt from the provision of the Rehabilitation of Offenders act 1974

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 1975 (as amended in 2013)?

YesNo

If yes, please give details

The Orpheus Centre is committed to safeguarding and promotes the welfare of all service users. We expect our staff to share this commitment. You will be required to complete an enhanced DBS check if successful in your application. We will treat all applicants who have a criminal record fairly and not discriminate against the subject of a disclosure.

Declaration

By submitting this application form, I agree that the information provided is true and accurate. I additionally understand that should any of the information contained within this form, or supplied throughout the recruitment process be false or misleading in any way, that I will be disqualified from appointment, and in the event that I have already been appointed, that I will be liable to disciplinary action which may result in my dismissal.

The information you enter into this form will be collected and stored by the Orpheus Centre. Tick the box below to confirm you understand (required)

I understand

We will always store your personal details securely. We’ll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details see our Privacy Policy: https://www.orpheus.org.uk/your-privacy

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