Application Form - space inclusive

Job Reference

Please select the job reference found on the advert.

Select *

Personal Details

Prefix

First Name *

Middle Name

Last Name *

Date of Birth *

Street Address *

Apartment, suite, etc

City *

Region *

Post Code *

Phone *

Email Address *

National Insurance Number *

How did you learn of this vacancy? *

Education and Qualifications

Education and Qualifications *From GCSE (or equivalent) to degree level in chronological order

Postgraduate education *Postgraduate education or study or any other professional qualifications

Employment

Name of current employer *

Address *

Job Title *

Number of hours worked per week *

Current Salary *

Date employment started *

Notice period *

Reasons for seeking other employment *

Responsibilities *

Work Experience

Please list and describe your previous posts and/or voluntary work and/or relevant home responsibilities during the last ten years, commencing with the most recent. If necessary continue on a separate sheet and attach this to your application form.

Work Experience Details *

Employment Details *

Other Employment

Knowledge, skills, experience and achievements

Look carefully at the Person Specification then describe how your knowledge, skills, experience and achievements are relevant to this application. These may have been acquired through voluntary work, education, home life or hobbies, as well as work. Please give supporting evidence to demonstrate the statements you make.

Other training, qualifications, skills or qualities *

Previous Application *

References

Please provide two referees, one of which should be from your current or previous employer. Please indicate if you do not want us to contact them before an offer is made.

Referee 1

Name *

Job Title *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Phone *

Relationship to you *

Referee 2

Name *

Job Title *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Phone *

Relationship to you *

Rehabilitation of Offenders Act 1974

This post is exempt from the Rehabilitation of Offenders Act 1974 and therefore applicants will be required to declare any cautions convictions, reprimands and final warnings that are not protected (i.e. that are not filtered out) as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013). Job offers will be subject to an Enhanced Disclosure and Barring Service with barred list check. Please note that it is a criminal offence for people who are barred from working in regulated activity to apply for roles that require them to work unsupervised with that particular group (i.e. adults at risk, children or both). For further information on filtering please refer to Nacro guidance and the DBS website.

Convictions, cautions, reprimands or final warnings? *YesNoDo 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)?

Data Protection Statement

The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process. We rely on the lawful basis of legitimate interest and legal obligation to process the information provided by you in this form. If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.

Where your application is unsuccessful, we will confidentially destroy/delete your data six months after the end of the recruitment process. However, we may hold minimal information such as your name and contact details to allow us to consider you for any future suitable vacancies. If you do not wish to be considered for future vacancies, please let us know.

We may check the information collected with third parties or with other information held by us. We may also use or pass to certain third parties, information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.

By signing this application form you agree to the processing of sensitive personal data as described in our Privacy Notice.

Declaration

I confirm that the information contained in this application form is correct and that any false or misleading information will give the Company the right to withdraw any employment offer or, where my employment has commenced, render me liable for dismissal without notice or pay in lieu of notice.

I understand that any offer of employment is subject to the Company being satisfied with the outcome of relevant employment checks including references, eligibility to work in the UK and, where appropriate, DBS checks.

If you are invited to attend an interview you will need to bring with you a form of photographic personal identification e.g. passport, a document confirming your current address, your Right to work in the UK documents, and evidence of your qualifications.

Equality and Diversity Monitoring

Space Inclusive Ltd wants to meet the aims and commitments set out in its equality policy.

This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.

Are you married or in a civil partnership?YesNoPrefer not to say

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship; it is about the group to which you perceive you belong.

Mixed/multiple ethnic groupsWhite and Black CaribbeanWhite and Black AfricanWhite and AsianPrefer not to say

Black/African/Caribbean/Black BritishAfricanCaribbeanPrefer not to say

Other ethnic groupArabPrefer not to say

Do you consider yourself to have a disability or health condition?YesNoPrefer not to say

What is the effect or impact of your disability or health condition on your ability to give your best at work?

The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is your current working pattern?Full-timePart-timePrefer not to say

Do you have caring responsibilities?NonePrimary carer of a child/children (under 18)Primary carer of disabled child/renPrimary carer of disabled adult (18 and over)Primary carer of older personSecondary carer (another person carries out the main caring role)Prefer not to sayIf yes, indicate all that apply