Application Form
1 1625IP Employment Application Form. Last reviewed December 2013.
Dear Applicant
Thank you for your interest in the position of Housekeeper/ Cleaner. Enclosed with this Application
Form pack are the following:
1.
2.
3.
4.
5.
6.
Job description.
Person specification.
Summary of main terms of employment.
The organisation’s Equality and Diversity Policy.
The organisation’s Recruitment Policy and Procedure.
The organisation's Disclosure Check Policy
If you wish to be considered for this role, please complete all sections of the Application Form including
the Equalities Monitoring Form (Section E) (CVs are not accepted) and return it to us by either of the
following ways:
Email: jobs@1625ip.co.uk
Post: HR Department, 1625 Independent People, Kingsley Hall, 58-59 Old Market Street, Bristol, BS2
0ER
We advise you to read the enclosed documents, particularly the guidelines on completing the application
form before completing it. The closing deadline for applications is 10am on Thursday 1st October
2015. Please note that no applications will be accepted after this time. Sometimes we get a lot of
applications and we are unable to respond to everyone. So, if you have not heard from us by Monday
5th October 2015, please assume that you have not been successful in your application. Alternatively,
we will contact you by e-mail and/or telephone to invite you to an interview.
Interviews will be held at Kingsley Hall, 58-59 Old Market Street, Bristol, BS2 0ER on Wednesday
7th October 2015.
Please ensure that you provide the name, address and status of two referees, one of whom should be
your current direct Manager, in your Application Form. Please be aware that we will seek references on
successful candidates and in doing so, we may approach previous employers for information to verify
particular experience or qualifications.
Unfortunately, we will not be able to provide feedback on your application at the shortlisting stage.
If you would like to know more about us before you apply please see our website www.1625ip.co.uk or if
you are not clear about any aspect of the application procedure, do not hesitate to contact us for
clarification.
Thank you once again for your interest in what we hope will be a challenging and rewarding post.
Yours sincerely
Caroline Jones
HR Manager
2 1625IP Employment Application Form. Last reviewed December 2013.
Application Process
As an equal opportunities employer, we welcome applications from suitably qualified people from all
sections of the community. Thank you for your interest in applying for a job with Independent People.
The following notes have been designed to help you fill in your application form as effectively as
possible, and you are advised to read them before you start.
The application form is very important because it is the first stage of the selection procedure. It provides
the information we will use when deciding whether you will be invited to interview, for both internal and
external candidates, and so you should include all relevant information about your skills and experience.
If you need to continue on a separate sheet for any of the sections please do so, making sure that the
additional information for each section is clearly headed for example “Training” and includes your name.
Please note that the information you supply in the application form will not be passed to anyone else nor
will it be used for any purpose other than recruitment. If successful, your application form will be placed
on your personnel file. If unsuccessful, the form will be kept for 6 months from the end of the recruitment
exercise, after which time it will be destroyed. Please also note that Sections A, B and E of the
Application Form will be detached prior to short-listing. Panel members will not have details of your
personal information until after short-listing has been completed.
Understanding the job
The job advert gives only brief details of the job, so you should also read the job description and person
specification, which are included with the application pack. The job description outlines the main duties
in more detail, and the person specification contains the knowledge, skills and experience you will need
to do the job. All this information will give you a clear idea of what the job is about, and you can then
decide whether you want to submit an application.
Completing the application form
You must complete each section of the form accurately and fully, so that we can assess your application
against the criteria given in the person specification. When completing Section D, it is important that you
explain how you meet the requirements of the job. When explaining how you meet the criteria, you
should try to give an example of something you have done to demonstrate the particular knowledge, skill
or experience. Simply saying you have the knowledge, skill or criteria is unlikely to sufficiently
demonstrate how you meet the requirements. The decision on whether to invite you for interview will be
made solely on the information contained in the form, so statements such as “see previous application”
will not be acted upon.
CVs
Please do not submit a CV as it will not be considered.
Safeguarding Children and Young People
We are committed to safeguarding and promoting the welfare of children and young people. We expect
all staff to share this commitment and to undergo appropriate checks, including enhanced DBS checks.
1. Candidates should be aware that all posts at 1625 Independent People involve some degree of
responsibility for safeguarding children and young people, although the extent of that
responsibility will vary depending on the nature of the post. Please see the job description
enclosed in this Application Pack for further details.
2. Accordingly this post is exempt from the Rehabilitation of Offenders Act 1974 and therefore all
unspent convictions, cautions, reprimands or warnings must be declared.
3 1625IP Employment Application Form. Last reviewed December 2013.
3. If you are currently working with children, on either a paid or voluntary basis, your current
employer will be asked about disciplinary offences, including those related to children or young
people (whether the disciplinary sanction is current or time-expired), and whether you have been
the subject of any child protection allegations or concerns and if so the outcome of any
investigation or disciplinary proceedings. If you are not currently working with children, but have
done in the past, that previous employer may be asked about these issues.
4. Where neither your current or previous employment has involved working with children, your
current employer will be asked about your suitability to work with children or young people.
HOW TO COMPLETE THE FORM
Applications will only be accepted from candidates completing the enclosed Application Form. Although
only sections C and D will be used for short-listing purposes, please complete ALL Sections of the
Application Form which are relevant to you as clearly and fully as possible (Sections A, B, C, D and E).
Previous convictions
We have not asked for any previous convictions to be disclosed at this stage. If you are shortlisted for
the role we will send you a copy of our Disclosure Check Policy and you will be asked to disclose any
convictions during the interview for the role. Any disclosure you make will be considered and will be
assessed according to the nature of the conviction, and the job concerned. Please note that DBS
Enhanced Checks are carried out on all Independent People workers.
References
If you are in paid employment, the line manager in your current employer should be named as someone
we can approach for a reference. References will be taken up only if you are offered a position and after
you have accepted it. A previous employer or a professional person who is not a friend or relative
should be named as the second referee. If you have not been employed before, you should give the
name of someone who will be able to comment on your skills and abilities, such as a teacher or lecturer,
or another professional person who is not a friend or relative. If you are related to a referee in any way,
for example, if you have formally been employed by a member of your family, you should make this clear
on the form. You should ask permission from your proposed referee prior to naming them.
Education
Please include all qualifications gained, along with the grades you obtained.
Training
Please include details of all relevant training courses you have attended. Please give full details, rather
than just the course title, if it will help clarify what you have done.
Employment
Your employment history should include not only past and present formal employment, but also any
other relevant work experience you have had, such as with charities, voluntary organisations, social or
community activities. This is particularly important if you have not been employed on a full time basis
before, or are returning to work after a long absence. Please ensure that you include your present or
last employer even if you feel that the job is not relevant to the position you are applying for.
Section D
This is a very important section. You can expand on the knowledge, skills and experience gained both
within and outside formal employment, along with your achievements. It is important that you show how
you meet the criteria, not just state that you do.
4 1625IP Employment Application Form. Last reviewed December 2013.
Checklist when you have completed the form:

Have you completed the personal details section? Information given here is confidential and will
not be used at the short-listing stage. However, as an equal opportunities employer, we need to
monitor who applies for, and is appointed to, our jobs, and we appreciate your co-operation in
completing this form fully.

Have you filled in all sections as fully as possible? Remember that you are invited to attach
additional sheets for any section of the form.

Have you informed your referees that you have given us their names?

Please check that you have read the declaration (Section B) and signed the form.

It may be useful to take a copy of the form for future reference.
INTERVIEW PROCESS
All candidates invited to interview must bring the following documents:

Documentary evidence of right to work in the UK.

Documentary evidence of identity that will satisfy DBS requirements such as a current driving
licence including a photograph and/or a passport and/or a full birth certificate.

Documentary proof of current name and address (i.e. utility bill, financial statement etc.).

Where appropriate, any documentation evidencing a change of name.

Documents confirming any educational or professional qualifications that are necessary or
relevant for the post.
Please note that originals of the above must be produced. Photocopies or certified copies will not be
sufficient.
In addition to candidates’ ability to perform the duties of the post, the interview will also explore issues
relating to safeguarding and promoting the welfare of children and young people, and addressing any
gaps in information supplied in the application form. Safeguarding interview questions will be used to draw
out candidates’ actual experience of working with children and young people and gain a picture of the
appropriateness of a candidate’s attitudes and future behaviour.
CONDITIONAL OFFER AND PRE-EMPLOYMENT CHECKS
Our offer to a successful candidate will be conditional upon: Verification of right to work in the UK.

Receipt of at least two satisfactory references.

Verification of identity and qualifications.

Barred List Check.

Satisfactory DBS Disclosure.

Where the successful candidate has worked or been resident overseas in the previous five years,
such checks and confirmations as may be required in accordance with statutory guidance.
5 1625IP Employment Application Form. Last reviewed December 2013.
Why you should join our team
Here are some words used by our staff to describe us:
Passionate
Trustworthy
Inclusive Supportive Truthful Equality
Knowledgeable Fresh Innovative
Realistic Non-judgmental
Respected
Dependable
Sector leaders
Choice-filled
Constant
Committed People Exciting Understanding Experienced Strategically Active Encouraging Flexible
In return for dedicated, enthusiastic and loyal service, employees can expect to receive the following
benefits:






A generous holiday allowance of 30 days per annum (plus the usual Bank and Public Holidays).
A 4% employer’s pension contribution.
Flexible family friendly working in line with our Flexi-Time Policy and Procedure.
A strong team structure, rewarded using a nationally agreed payscale, linked to cost of living.
A supportive, professional working environment, focusing on individual growth, with regular
supervision.
A free Health Care plan from Westfield Health (Level 1 Foresight Plan).
6 1625IP Employment Application Form. Last reviewed December 2013.
FOR OFFICE USE ONLY: REMOVE BEFORE
SHORT-LISTING
Application Number:
Application Form
Section A
If you have a disability and you require this application or other related information in another format,
such as in larger print or audio-tape, please contact us by writing, emailing or telephone.
Post applied for:
How did you hear about this vacancy?
Personal details
Family name (including preferred title):
First name(s):
Address (inc. postcode):
Contact telephone number:
E-Mail address:
Preferred method and time of contact:
National Insurance number:
Do you hold a valid full driving licence?
Please give details of any
convictions/endorsements/penalty points:
Are you eligible to work in the UK?
YES
NO
Please state what documentation you can provide to demonstrate this e.g. British Passport, EEA
ID card, passport or travel document showing an authorisation to reside and work in the UK
Note: Should you be short listed, you will be asked to bring this documentation with you to the interview.
Any offer of employment will be subject to successful verification of your right to work in the UK.
7 1625IP Employment Application Form. Last reviewed December 2013.
Relatives/Other Interests
Are you currently or have you ever been an
employee or volunteer for 1625 Independent
People?
YES
NO
YES
NO
YES
NO
If yes, please name the department/project:
Are you related to any Board Member or
employee of 1625 Independent People?
Name of person:
Position held within 1625 Independent People:
Relationship of person to you:
Have you applied previously for a post within
1625 Independent People?
If yes, please give details:
Safeguarding Children and Young People
We are committed to safeguarding and promoting the welfare of children and young people. We
expect all staff to share this commitment and to undergo appropriate checks. Any offer of
appointment is subject to satisfactory DBS (Disclosure and Barring Service) Enhanced
Disclosure Check.
Have you ever been the subject of an investigation or enquiry into abuse of,
or inappropriate behaviour with children or young people?
YES
NO
Are you aware of any police enquires undertaken following allegations made
against you, which may have a bearing on your suitability for this post?
YES
NO
If you have answered ‘yes’ please give full details, continuing on a separate sheet if necessary
8 1625IP Employment Application Form. Last reviewed December 2013.
Barred List Check
We are committed to safeguarding and promoting the welfare of children and young people. We expect
all staff to share this commitment and undergo appropriate checks. In view of this, you will be subject to
a Barred List check as part of this selection process. Please provide your Date of Birth and any
previous surnames used.
Date of Birth:
Previous Surnames Used:
Have you ever been the subject of any disciplinary sanctions in previous
employment?
YES
NO
If you have answered ‘yes’ please give full details, continuing on a separate sheet if necessary
Referees
Please give the name and address of two people whom we may contact for a reference. One of
these should be from your current or most recent place of employment, although we reserve the
right to contact any of your former employers.
Please note that we will contact these referees if you are offered the position following the
interview. Also, in relation to work with children, we will seek information about any past
disciplinary issues relation to children and/or child protection concerns you may have been
subject to. If you have any concerns about this, please do not hesitate to contact us.
1st Referee
2nd Referee
Name
Position
Organisation
Relationship
Address
Telephone No.
Fax No.
E-mail address
Is this referee aware of your application
for this post?
Yes
No
Is this referee aware of your application
for this post?
Yes
9 1625IP Employment Application Form. Last reviewed December 2013.
No
FOR OFFICE USE ONLY: REMOVE BEFORE
SHORT-LISTING
Application Number:
Application Form
Section B
Data Protection Statement
The information that you provide on this form and which we obtain from other relevant sources will be used to
process your application for employment. The personal information that you give us will be used in a confidential
manner to help us monitor our recruitment process.
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 and to provide you with information about us or a third party via your
pay slip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment
process.
We may check the information collected, with third parties or with any other information held by us. We may also
use or pass to 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 for the purposes explained
above and in other parts of this application form.
DECLARATION
I acknowledge that 1625 Independent People is committed to safeguarding and promoting the welfare of
children and young people and to this end hereby certify that I am not on a Barred List, disqualified from
work with children, or subject to sanctions imposed by a regulatory body.
I consent to a criminal records check if appointed to the position for which I have applied. I am aware that
details of unspent prosecutions, previous convictions, cautions, or bindovers against me will be disclosed along
with any other relevant information which may be known to the police, and Lists held in accordance with the
Safeguarding Vulnerable Groups Act 2006.
I agree to inform 1625 Independent People if I am convicted of an offence after I take up any post within
1625 Independent People. I understand that failure to do so may lead to the immediate suspension of my work
with children or vulnerable adults and/or the termination of my employment.
I agree to inform 1625 Independent people if I become the subject of a police and/or a social
services/(Children’s Social care or Adult Social Services)/social work department investigation. I
understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable
adults and/or the termination of my employment.
I declare to the best of my knowledge and belief, all particulars I have given in all parts of this application
form are complete and true and can be treated as part of any subsequent contract of employment. I
understand that any false declaration or misleading statement or a significant omission may disqualify
me from employment and render me liable to dismissal as well as possible referral to the police and/or
other relevant professional bodies, where relevant. I understand that any job offer is subject to
references, checks on relevant qualifications, employment eligibility and criminal convictions, all of which
must be deemed by 1625 Independent People as satisfactory.
Signed
Date
10 1625IP Employment Application Form. Last reviewed December 2013.
FOR OFFICE USE ONLY
Application Number:
Application Form
Section C
Education
Please list your most recent position first and continue on a separate sheet where necessary.
Where obtained?
When?
Formal relevant qualifications gained
(e.g. GCSEs, GNVQs, BTEC, Degree)
11 1625IP Employment Application Form. Last reviewed December 2013.
Other relevant professional qualifications including membership of Professional Bodies. Please note
that you must provide proof of any qualifications listed.
Educational or training courses (relevant to this application - either currently attending or taken
previously, or planned to be taken in the near future):
Course
Date
Venue
If necessary, please continue on a separate sheet.
Current employment
Name and address of current employer, if applicable:
Position held and brief description of
responsibilities:
12 1625IP Employment Application Form. Last reviewed December 2013.
Telephone number:
Date of appointment to organisation (DD/MM/YY):
Job title
Contract type
TEMPORARY
PERMANENT
FULL-TIME
PART-TIME
Date of appointment to post, if different (DD/MM/YY):
Type of appointment:
Salary/allowance details:
Reason for leaving:
Date free to take up appointment (DD/MM/YY):
If offered this post, would you continue to work in
any other capacity?
YES
NO
If you have answered yes above, please give
further details:
Previous work experience
Please list your most recent position first and continue on a separate sheet where necessary.
Name and address of
organisation
Position held
Start
End
Date
Date
(mm/yyyy) (mm/yyyy)
Please use the space below to explain any gaps in your employment.
13 1625IP Employment Application Form. Last reviewed December 2013.
Reason for
leaving
Other experience relevant to the post e.g. work experience, voluntary positions.
Personal interests.
14 1625IP Employment Application Form. Last reviewed December 2013.
ADDITIONAL INFORMATION SHEET
Please insert any additional information which you could not fit into the main body of Section C.
15 1625IP Employment Application Form. Last reviewed December 2013.
FOR OFFICE USE ONLY
Application Number:
Application Form
Section D
Post Applied For:
Please complete the following sections.
How do your personal qualities and professional experience qualify you for this position?
1.
Please refer to the Person Specification document and cover only the elements which are tested at
this stage of the recruitment process. Elements which only have the word ‘interview’ next to them
will be tested at the next stage of the process and do not need to be covered in this form.
The below box will expand with text - please write as much as you consider necessary and break it
down into relevant sub sections if possible for our ease of scoring your application.
Please return your completed application by email to jobs@1625ip.co.uk or by post to:
HR Department
1625 Independent People
Kingsley Hall
58-59 Old Market Street
Bristol
BS2 0ER
If returning this application electronically you are confirming that the information is true and
accurate to the best of your knowledge. If you are short listed for this post you will be required to
sign your application form prior to interview.
16 1625IP Employment Application Form. Last reviewed December 2013.
FOR OFFICE USE ONLY: REMOVE BEFORE
SHORT-LISTING
Application Number:
Application Form
Section E
EQUALITIES MONITORING
Please note that if you have a disability and you require having this form, or submitting the information
with regard to this form in another format, such as larger print or audio-tape, please contact us by
writing, emailing or telephoning the Recruitment Team.
We are committed to make sure all members of our staff are treated equally and not discriminated
against on the grounds of gender, sexual orientation, gender reassignment, race, colour, nationality,
ethnic or national origin, religion or belief, disability or age.
This form helps us to adhere to equal opportunities best practice and to identify any barriers to diversity
among our workforce. We believe that monitoring our recruitment results will help us assess any areas
requiring improvement. In order to assist us with this, we would be grateful if you would complete this
form and return it with your application.
You do not have to answer all the questions but the more information you give, the more effective our
monitoring will be. All information given will be treated in the strictest confidence. Thank you for your
help.
Post applied for: ………………………………………………………………………………
1.
Please indicate your gender:
2.
Are you transgender? (Is your gender identity different from the gender you were assigned at
birth?)
Yes
No
3.
Please indicate your age group:
15 or under
16 – 24
50 – 64
65 – 74
Prefer not to say
4.
Male
Female
25 – 49
75 and over
How would you describe your ethnic origin?
White
English/Welsh/Scottish/Northern Irish/British
Irish
Gypsy (including English, Scottish and Roma Gypsy) or Irish Traveller
Any Other White Background
Please state: ………………..
17 1625IP Employment Application Form. Last reviewed December 2013.
Mixed/multiple ethnic groups
White & Black Caribbean
White & Black African (non Somali)
White & Asian
Any other Mixed/multiple ethnic background
Please state: ………………..
Asian/Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
Please state: ……………………
Black/African/Caribbean/Black British
African (non Somali)
Somali
Caribbean
Any Other Black/African/Caribbean background
Please state: ……………… …..
Other ethnic group
Arab
Iranian
Iraqi
Kurdish
Turkish
Any other ethnic group
Please state: …………………..
5.
Do you consider yourself to have a disability within the meaning of the Equality Act 2010 (see
below for definition)?
Yes
No
Used to have a disability but recovered now
Prefer not to say
Disability Definition
The Equality Act 2010 states “A person has a disability if they have a physical or mental impairment,
which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day
activities.”
18 1625IP Employment Application Form. Last reviewed December 2013.
We fully support the social model of disability and we recognise that people with different impairments or
medical conditions can experience different barriers. If you have selected yes, please select the nature
of your disability and please feel free to tick more than one box:
Physical impairment
Visual impairment
Hearing impairment
Deaf BSL user
Learning difficulties
Specific learning difficulties like dyslexia
Mental and emotional distress
A health condition e.g. HIV, multiple sclerosis, cancer
Prefer not to say
6.
What is your Religion, even if you are not currently practising?
Christian (inc. Church of England, Catholic, Protestant
and all other Christian denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
Any other religion or belief
Please describe: …………………………………
No religion
7.
How would you usually describe your sexual orientation?
Lesbian
Gay
Bisexual
Heterosexual/straight
Prefer not to say
I do not wish to provide any of the information requested on this form
19 1625IP Employment Application Form. Last reviewed December 2013.