Office Use
Reference No: 342
Please complete using Black Ink C.V.’s will not be accepted
Application for Employment
Post Title: Finance Administrator
Personal Details:
Surname:
Forenames:
Title:
Address:
Home Number:
Mobile Number:
Email Address:
Work Number:
National Insurance Number:
Age UK Plymouth is committed to the principle of equal opportunity in employment for all its employees, volunteers and
applicants for employment, regardless of their age, race, gender, marital status, sexual orientation, religious belief, ethnic
origin, nationality or disability.
This information will be used solely for monitoring purposes and will not be part of the selection process
1. Date of Birth: __________________________________________________
2. Gender:

Male

Female
3. How would you describe your Nationality? (please state) ____________________________________________
4. Where did you first see this post advertised?
Local Newspaper

Job centre

Internal Advert

Other

5. Are you married or in a Civil Partnership?
Yes

Devon choice
(please state) ___________________________

No

6. How would you describe your religion?
None

Sikh

Christian*
Buddhist


Hindu

Any other religion
Muslim

Do not wish to answer

Jewish


* (Inc. Church of England, Catholic, Protestant and all other Christian denominations)
HR/Vacancy/Application Form Dec 2014
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The following question will help us identify a picture of the ethnic diversity of those applying for vacancies within the
organisation. Recommended by the Commission for Racial Equality, these classifications are those used in the 2001 census.
7. Ethnicity – please tick the most appropriate box below to describe your ethnic group or
origin.
WHITE:
British
 
MIXED/MULTIPLE ETHNIC GROUPS:
White and Black Caribbean

Irish
 
White and Black African

 
White and Asian

 
Any other Mixed background




Gypsy or Irish Traveller

Any other White background






ASIAN/ASIAN BRITISH:
BLACK AFRICAN/CARIBBEAN/ BLACK BRITISH:
Indian
 
Caribbean

 
African/Caribbean

 
Any other Black background

Do not wish to answer


Pakistani

Bangladeshi

Chinese

Any other Asian background
 

OTHER ETHNIC GROUP:
Arab

Any other ethnic group

8. Do you consider yourself to have a disability?
Yes

No


If yes, please tick one of the following boxes:
Visual impairment
Other
 Hearing impairment Mobility related  Unseen 
(please specify) ________________________________________________
9. Are there any specific arrangements of adjustments needed for you to attend an interview?
Yes

No
If yes, please specify

_________________________________________________________________
HR/Vacancy/Application Form Dec 2014
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Office Use
Reference Number:
Post Title: __________________________________________
Current Employment Details:
Name of current/most recent Employer:
Address:
Telephone no:
Current post:
Brief Description of Duties:
Current Pay: £
Period of Notice required by current employer:
Education:
General Education
Level
Grade
Further Education/Professional Qualifications
Qualification
Grade/Class
HR/Vacancy/Application Form Dec 2014
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Employment History
List most recent 10 years employment, including temporary or voluntary work. Use continuation sheet if required.
Name and address of employer
(Most recent first)
Position
Key Achievements
Dates of employment and
Reason for leaving
Personal Development
Please state any courses, membership, voluntary work or public service/duties you consider relevant, with outcomes where
applicable
HR/Vacancy/Application Form Dec 2014
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Supporting Statement
This is an opportunity to draw attention to aspects of your career, training courses attended, interests,
ambitions, etc., which make you suitable for the post. Also state why you are interested in applying for this post and make
particular reference to the Job Description. Use additional sheets if necessary.
HR/Vacancy/Application Form Dec 2014
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References
Please give names and address of two referees, one of whom should be your current or most recent employer.
Reference 1
Reference 2
Name:
Name:
Job Title:
Job Title:
Company Name:
Company Name:
Address:
Address:
Telephone No:
Telephone No:
E-mail:
E-Mail:
Can referees be approached prior to interview?

Yes

No
Other Details
Do you hold a full and current Driving Licence?
YES/NO
Have you any endorsements on your Driving Licence?
*If YES please give further details
YES*/NO
Do you have access to transport for work purposes?
YES/NO
Do you know any member of Age UK Plymouth staff, or anyone who makes use of the services provided by Age UK
Plymouth?
YES*/NO
*If YES please give the person's name and their relationship to you
If you have been convicted of any offence, this MUST be disclosed (unless ‘spent’ under the Rehabilitation of Offenders Act,
1974). Failure to do so could result in dismissal or disciplinary action. You should be aware that under the Care Standards
Act all Age UK Plymouth posts are subject to a disclosure check via the Disclosure and Barring Service.
Declaration
All the information I have given here is true and accurate. I consent to the use of all this information for considering my
application, and understand that:




It will be treated confidentially at all times;
If I am successful it will form part of my personnel records;
If I am unsuccessful the information will be destroyed after six months.
If I am sending this form back electronically and I am successfully shortlisted, I will be required to sign the form at
interview stage
Signature:
Date:
HR/Vacancy/Application Form Dec 2014
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