Job Application Pack
Thank you for requesting information for the following positions.
Please indicate which role you would like to be considered for:
Post Title
Resident Liaison Officer (FTC)
Closing Date
Midday on Wednesday 17th June 2015
The information requested in this form is important in assessing
your application. Please complete it accurately and in full. You
should ensure that you read carefully all of the enclosed
information.
As part of Newport City Homes’ Equality and Diversity Policy, the
section entitled “Job Application” is the only information that will
be seen by the selection panel when considering your suitability
for employment.
How to Apply
Read Role Profile
to understand
what is required
Complete
Application Form
in full
Return to Newport
City Homes by
closing date
Along with this application pack, you will have a role profile for the position that you are
interested in. Please take the time to read this to understand the job and what is
required from the successful candidate.
When you have read the information, and confirmed that you wish to apply, you must
complete the attached application form. A CV will only be accepted as additional
information and not instead of the application.
We are committed to equality of opportunity and will give all applicants an equal chance
of success when applying for employment. Our aim is to appoint the best candidate for
each vacancy. The information provided in your application form is the only information
we will use in deciding whether to select you for interview. Please use the checklist over
the page to assist you in completing the form.
Your application can be typed or handwritten. If you choose to hand write your
application please ensure that it is clear and can be read easily. If you require any
additional space, please use a separate sheet of A4 paper and attach it to your
application. Any additional sheets should be clearly labelled with your name and the post
title.
It would be preferable to submit your application by e-mail if you have access to this. If
you are posting the form, in order not to delay your application, please be aware of the
cost of postage as it may be more than a first class stamp. Please note that applications
received after the closing date will not be considered.
All successful candidates will be contacted prior to the interview date either by letter,
telephone, or e-mail depending on the timescales. All other applicants will be informed
that they have not been successful by letter or e-mail.
Section 1
•Information in this section will not be provided to the selection panel. NCH must comply with the Housing
Act 1996, and therefore if you are related to any employee or board member you must declare this on
your application.
Section 2
•The information provided in this section is not used to select applicants for jobs and all applicants are
judged only on their ability to do the job for which they are applying. Information in this section will not be
provided to the selection panel.
Section 3
•We require the details of 2 referees who can comment on your suitability for the role for which you are
applying. For roles requiring a criminal records check, references will be obtained from all previous
employers during the last 3 years. These details will be requested if your application is successful.
Section 4
•Please read the details provided in this section. This information is required for certain posts and this is
indicated at the start of the section - if it is not required you do not need to complete this section.
Information in this section will not be provided to the selection panel.
Section 5
Section 6
Section 7
Section 8
•Please use this section to tell us about your present employment. If you are not currently employed, please
give details of your most recent job .
•Please detail any previous employment. If you require more space, please continue on a separate sheet
and attach it to your application form.
•As a responsible employer, we wish to ensure that everyone who works for us does not work excessive
hours and takes appropriate rest breaks. Therefore if you have another job, please tell us about this so
that, if you are successful, we can monitor your working time appropriately.
•Please tell us about any voluntary activties that you may undertake which may provide further information
about your skills and experience.
Section 9
•You should use this section to detail any qualifications that you have or relevant training that you have
undertaken. Please also detail any professional membership(s) or work related registration(s) that you
have.
Section 10
•Please use this section to tell us how your experience, skills and knowledge relate to the essential and
desirable criteria for the post, as well as the competencies set out in the role profile. We will use this
section to assess your suitability against these criteria so you should ensure you give as much relevant
information as possible.
Blank Page
For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
PRIVATE & CONFIDENTIAL
DECLARATION
I declare that, to the best of my knowledge and belief, the information I have given in
applying for employment is true, full and accurate. I understand that any offer of employment
is conditional upon the accuracy of this information. If the required information is found to be
false or withheld I understand that this may lead to my application being disqualified, or a job
offer withdrawn, or if I have been appointed, to my dismissal.
Signed:
Date:
SECTION 1 – PERSONAL DETAILS
Surname:
Forename(s):
Address:
Post Code:
Contact Telephone (1):
Contact Telephone (2):
E-mail address:
Are you entitled to work in the UK?
Yes

No

Are you related to anyone connected with Newport City Homes?*
Have you been employed by NCH in the last 12 months?
Are you a resident/tenant of NCH?
* This information is required under Schedule 1 of the Housing Act. “Related to” is not limited to blood relatives or
marriage, but any form of close relationship, including co-habitation. This could mean someone who is: employed
by us; a resident/tenant; a principal proprietor/managing director of a firm that Newport City Homes makes
payment to.
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For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
SECTION 2 – EQUAL OPPORTUNITIES MONITORING
To monitor the effectiveness of our Equal Opportunities Policy, we record the age, gender, ethnic
origin, marital status and any disability of people who apply for jobs. To enable us to do this, please
give the details about yourself which are requested below.
The information that you provide will be kept secure and separate from your job application form. It
will not be made available to the selection panel. Should you be appointed, the information given will
be recorded for the purpose of monitoring our Equal Opportunities policy only and it will be held
securely within the HR department. If you do not wish to answer this section, your application will not
be affected in any way.
Where did you see this post advertised?
Gender:
Male

Transgender

Female

How would you best describe your ethnic background/nationality?
White
Welsh / English / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Any other White background (please describe)

Mixed / multiple ethnic groups
White and Black Caribbean

White and Black African

White and Asian

Any other mixed/multiple ethnic background (please describe)

Asian / Asian British
Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background (please describe)

Black / African / Caribbean / Black British
African

Caribbean

Any other Black / African / Caribbean background (please describe)

2
For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
Other ethnic group
Arab

Any other ethnic group (please describe)

What is your marital status?
Single

Married

Civil partnership

Cohabiting

Separated

Widowed


Divorced / Dissolved civil partnership
Do you have a disability?
Yes
If yes, please describe and give details
of any adjustments you require for
interview
Date of Birth:
3

No

For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
SECTION 3 - REFERENCES
Please give the details of two referees, one of whom should be your present or most
recent employer. References will be taken up for shortlisted candidates only.
Name:
Job Title:
Organisation:
Address:
Telephone:
E-mail:
Relationship:
Please tick the box if you do not wish us to contact this referee without specific
consent from you

Name:
Job Title:
Organisation:
Address:
Telephone:
E-mail:
Relationship:
Please tick the box if you do not wish us to contact this referee without specific
consent from you
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
For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
SECTION 4 – RECORD OF CONVICTIONS
Do you have any convictions, cautions, reprimands or
warnings – current or pending – for any offences?
Yes 
No 
If you have answered yes, please give details of the convictions, cautions,
reprimands or warnings including dates, the nature of the offence(s) and details of
sentences.
The following section must be completed for this post
NO
Information About Convictions and Disciplinary Record
The post you are applying for involves regular contact with and/or access to information concerning
vulnerable people. This means we need to check to find out whether you have any convictions that
might make you unsuitable for such work. We may also need to contact any of your previous
employers to obtain a reference. We need to do this for legal reasons that are detailed below.
We also reserve the right to reveal the content of this declaration and the content of any other criminal
record check to third party organisations for legitimate business purposes. This could include local
authority departments, Welsh Assembly Government or partnership agencies in connection with
support contract requirements, regulatory requirements, registration purposes or audit control.
You are therefore required to answer the following questions honestly and truthfully. We also need
you to sign the declaration, giving us permission to request details of any information held about you
by the police and to contact any of your previous employers.
Welsh Assembly Government Statutory Guidance
The Welsh Assembly Government requires all Housing Associations to carry out criminal record
checks and checks with any previous employers, to deter those who are unsuitable to work with
vulnerable adults or children. October 2000
Rehabilitation of Offenders Act 1974
The post for which you have applied is exempt from the Rehabilitation of Offenders Act 1974 by virtue
of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Consequently it will not
contravene the Act to disclose information about convictions which would otherwise be considered
“spent”.
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Do you have any spent convictions, cautions,
reprimands or warnings for any offences?
Yes 
No 
If you have answered yes, please give details of the convictions, cautions,
reprimands or warnings including dates, the nature of the offence(s) and details of
sentences.
Have you ever been found guilty at a disciplinary
hearing for an offence involving violence, dishonesty,
theft, misconduct or sexual misconduct?
Yes 
No 
If you have answered yes, please give details including dates and the nature of the
offence(s).
Declaration and Consent to Checks Being Made
I declare that I have read and understood the information about convictions and disciplinary
record. The information stated on this form is correct. I give Newport City Homes permission
to contact any of my previous employers and to request from the Independent Safeguarding
Authority / Disclosure & Barring Service (DBS) any information they hold about me, which
may be obtained from the Police.
I understand that Newport City Homes reserves the right to reveal the content of this
declaration and the content of any other criminal record check to third party organisations for
legitimate business reasons.
Signed:
Date:
6
Blank Page
7
For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
SECTION 5 – PRESENT / MOST RECENT EMPLOYMENT
Employer:
Date Employed:
Position:
From:
Reason for
Leaving:
To:
Salary:
Notice Period:
Job Title of your Line Manager:
Brief description of main duties and responsibilities:
SECTION 6 – PREVIOUS EMPLOYMENT
Name of Employer &
Nature of Business:
Dates Employed:
From:
To:
Position:
Salary:
Reason for Leaving:
Main Duties and
Responsibilities:
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SECTION 6 – PREVIOUS EMPLOYMENT CONTINUED
Name of Employer &
Nature of Business:
Dates Employed:
From:
To:
From:
To:
From:
To:
Position:
Salary:
Reason for Leaving:
Main Duties and
Responsibilities:
Name of Employer &
Nature of Business:
Dates Employed:
Position:
Salary:
Reason for Leaving:
Main Duties and
Responsibilities:
Name of Employer &
Nature of Business:
Dates Employed:
Position:
Salary:
Reason for Leaving:
Main Duties and
Responsibilities:
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SECTION 7 – OTHER EMPLOYMENT
Do you currently have another job which you intend
to continue, in addition to this post if successful in
your application?
Yes 
No 
If yes please give details
SECTION 8 – VOLUNTARY ACTIVITIES
Please give details of any voluntary or community activities, or membership of any
voluntary organisations.
SECTION 9 – QUALIFICATIONS & TRAINING
Please state all qualifications in full. Please do not use initials/abbreviations.
Qualification
Grade
10
Are you currently studying for a qualification?
Yes 
No 
Please give details of any courses you are currently undertaking and the anticipated
completion date.
Please give details of any membership of professional organisations e.g. RICS,
CIPD or CIMA, and/or any professional registration e.g. Gas Safe.
Professional Body / Organisation
Level of
Membership
Registration
Expiry
Please list recent short courses and the level attained, including any computer
training.
Do you hold a full valid driving licence?
Yes 
No 
Do you have access to a vehicle for work purposes?
Yes 
No 
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For Office Use Only
Post Title:
Resident Liaison Officer (FTC)
Ref No:
Closing Date:
Midday on Wednesday 17th June
2015
Date
Received:
SECTION 10 – COMPETENCY BASED APPLICATION
In this section you are asked to outline how your knowledge, skills and experiences
meet the specific competencies, knowledge and experience required for this role (as
outlined in the Role Profile). You should draw on your experience from current or
previous roles and from other relevant situations (such as activities outside work).
Knowledge / Skills / Experience
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DATA PROTECTION ACT 1998
The information given in this form may be processed by computer and will be used for recruitment
and selection purposes only. If you are appointed, this information will be retained for the duration of
your employment with NCH. If you are not successful the information will be kept for a period of 6
months, after which time it will be destroyed.
Please return this form to: Human Resources, Newport City Homes, Central Office, Nexus
House, Mission Court, Newport, NP20 2DW
Or e-mail: recruitment@newportcityhomes.com
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