About Services Jobs Contact Open main menu Call us on 0191 234 5775 Log In About Services Jobs Contact Join the family and be a vital part of the community Click here for Guidance Notes Application for Employment Select the job you're applying for below Care Worker – Conaty House Community Care Worker Kitchen Assistant Day Centre Volunteer Garden Volunteer Where did you learn of this vacancy? Website Facebook Job Centre Indeed Banner Friend/Relative Poster Bus Advert (Please tick all that are applicable) Have you worked for the organisation before?* Yes No Shift Patterns* Full Time Part Time No Preference Section A: Eligibility to work within the UK Do you have the right to work within the UK?* Yes No *If no, please refer to the guidance notes. Section B: Personal Details Surname* First name(s)* Address for Correspondance* Daytime Telephone No* Mobile Telephone No* Section C: Qualifications and Training Please fill in for each qualification & training course (hid add to create more rows) Qualification Date From Date completed Training Organisation Subjects studied Qualifications Remove Add Section D: Employment History Please give details of all the positions (paid or unpaid) you have held, starting with your current post, accounting for any gaps in your employment history. (Please continue to add rows below by hitting add) Employment Date (from/to)* Name and address of Present/Last employer and nature of business* Job title and main responsibilities* Final salary and reason of leaving* Remove Add What is the period of notice required by your current employer? Please give details of any paid or voluntary work you plan to continue if appointed to the post Section E: Relevant Experience Please outline below how your skills, knowledge and experience meet the requirements of the post as set out in the person specification. The information you provide will be used in the shortlisting process. You may find it useful to refer to the guidance notes enclosed before completing this section.* Section F: Section A: Criminal Record Declaraton The following information should be completed by ALL applicants The Rehabilitation of Offenders Act 1974 helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions to employers after the rehabilitation period set by the court has elapsed and the convictions become “spent”. During the rehabilitation period, convictions are referred to as “unspent” convictions and must be declared to employers. Do you have any unspent convictions?* Yes No It is important that applicants understand that failure to disclose all convictions, cautions, reprimands or final warnings that are not protected could result in disciplinary proceedings or dismissal. A check will be made with the Disclosure and Barring Service. Further advice and guidance on disclosing a criminal record can be obtained from Nacro (National Association for the Care and Resettlement of Offenders) Section F: Section B: Criminal Record Declaraton (continued) To protect certain vulnerable groups within society, there are a number of posts within the organisation that are exempt from the provisions of the Rehabilitation of Offenders Act 1974. These include positions where there is access to vulnerable adults in the course of normal duties. The following posts are exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended): Care Worker, Day Care Worker, Youth Work (not exhaustive). Applicants for these posts are not entitled to withhold any information about convictions, cautions, warnings and reprimands which for other purposes are "spent" under the provisions of the Act. Guidance about whether a conviction or caution should be disclosed to employers should be disclosed can be found on the Ministry of Justice Website Applicants for above named posts (above) must answer the following question: Do you have any adults cautions (simple or conditional) or spent convictions that are not 'protected' as defined by the Rehabilitation Act 1974 (exceptions) Order 1975 (Amendment) (England and Wales) Order 2020? Yes No Section F: Section C: St Anthony's Community Association has a policy of interviewing all applicants with a disability who meet the essential requirements of the post as set out in the person specification. Do you have a disability? (please provide details below)* Yes No Please provide details Do you hold a current full driving licence?* Yes No Do you have access to a motor vehicle which you are willing to use for work purposes? Yes No Section G: References Please provide the details of two employment references (ONE OF WHICH MUST BE FROM YOUR PRESENT/LAST EMPLOYER within the last five years. Please ensure that your reference is either a line manager or a named HR contact from that organisation. If you have had a break in employment we can accept references from other sources e.g. academic. Please note that references will be requested for all short listed applicants prior to interview and will be used for recruitment and selection purposes. If you are applying for a post which requires unsupervised access to children/vulnerable adults, we reserve the right to approach any past employer for a reference. Referee 1 Name* Position* Organisation Address Relationship to you* Contact telephone number Email address Referee 2 Name* Position* Organisation Address Relationship to you* Contact telephone number Email address Section H: Declarations If you have any relationship with a member of St Anthony’s of Padua Community Association please state the name(s) and nature of the relationship(s) below. I declare that the information I have given on this application form is to the best of my knowledge and belief, correct and complete.* Yes No Date Equal Opportunities Form Surname First Name(s) Post Title Post Location Post Reference No Date of Birth Age at the time of application Legal Gender Male Female Do not wish to disclose Transgender Yes No Do not wish to disclose Ethnic Origin White: British Mixed: White & Black Caribbean Mixed: White & Black African Mixed: Other Asian or Asian British: Bangladeshi Asian or Asian British: Chinese Black or Black British: Caribbean Black or Black British: African Do not wish to disclose White: Irish Mixed: White & Asian White: Gypsy or Irish Traveller Asian or Asian British: Pakistani Asian or Asian British: Indian Asian or Asian British: Other Black or Black British: Other Arab Other Ethnic Group Relationship Status Married or in a Civil Partnership Single (never married or never in a civil partnership) Divorced or dissolved Do not wish to disclose Co-habiting (living with partner) Separated (but still legally married or in a civil partnership) Widowed Religion, Belief and Non-belief Christianity Judaism Sikhism Atheism Other Islam Hinduism None Do not wish to state Sexual Orientation Lesbian / Gay woman Gay man Do not wish to disclose Bisexual Heterosexual Pregnancy and Maternity Yes No Do not wish to disclose Are you pregnant or have you given birth in the last 26 weeeks? Other Needs Is there anything else that we need to know to treat you fairly and equally? Disability D1 Do you have a disability as defined within the Disability provision of the Equality Act 2010? The Act defines a disabled person as someone with a physical or mental impairment which has a long term and substantial adverse effect on their ability to carry out normal day to day activities. Yes No Do not wish to disclose D2 Please tick any of the following that applies to you. You may tick more than one category. Hearing impairment Speech impairement Visual impairment (not corrected by glasses or contact lenses) Mental illness Learning difficulty Do not wish to disclose Reduced physical capacity, including difficulty with physical co-ordination Severe disfigurement Reduced mobility Progressive condition Dyslexia Other D3 Please indicate if any of the following facilities, equipment or adjustments would be helpful in removing barriers to you accessing our services. Please use the other box below to highlight any further requirements. Induction loop Sign language interpreter/Lip speaker Improved signage Text telephone Note taker/Palantypist Body language/behaviour response Call points Modified equipment Flexible refreshment breaks Pictorial images Colour differentiation Other Where did you hear about this vacancy?