North Kent Mind Application for Employment

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North Kent Mind Application Form

1. Application Form

Application ID

This unique code is used to identify your application. Do not edit.

Applicant initials:

Post applied for:

You will receive a PDF copy of your application after the form is submitted.

Education and training

Please give details of your educational qualifications and training, including dates, training establishment, subjects taken and short courses where relevant to the vacancy. You may be required to provide proof of qualifications and training courses.

General Experience

Please mention any experience gained through community, voluntary, family, leisure or other activities that may be relevant to this job.

Current employer

Name and Address

Job title & brief summary of responsibilities

From

Current salary:

Notice period:

Additional payments:

Would you continue to work in any other paid employment/ (give details):

Previous employers

Please include paid and unpaid work and explain any gaps in employment.

Name and address

Job title & summary of responsibilities

Reason for leaving

From

Supporting statement

Please tell us how you meet each of the criteria listed on the person specification for this post. You can include information from both inside and outside paid employment as transferable skills are taken into consideration. The information you provide will be used as the basis for shortlisting.

References

Please give the names and contact details of two referees. One referee should be your present or most recent employer.

References will not be taken up until an offer of employment has been made.

First Name

Last Name

Relationship to you:

Their occupation:

Organisation:

Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Telephone number

First Name

Last Name

Relationship to you:

Their occupation:

Organisation:

Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Telephone number

Criminal convictions

Do you have any convictions that are unspent under the Rehabilitation of Offenders Act 1974?

Yes

Please supply details of your conviction(s)

Some posts within North Kent Mind are exempt from the Rehabilitation of Offenders Act 1974 as they involve working with vulnerable adults and/or children and young people and will require a Disclosure and Barring Service (DBS) check.

If you have applied for an exempt post, please check the box below to supply details of your conviction(s)

Check here to supply details.

Please supply details of your conviction(s)

Eligibility to work in the UK

Are there any restrictions regarding your employment in the UK? E.g. do you require a Work Permit?

Yes

Please supply details

Past Connection

Do you have any current or past connection with North Kent Mind, either as a service user/volunteer/tenant/staff member?

Yes

Please explain your connection below

Driving

Do you own or have use of a car?

Yes

Do you have a current full driving license?

Yes

Do you have any current endorsements ?

Yes

Please give details:

Disability Confident Employer

North Kent Mind is a Disability Confident Employer. If a disabled applicant meets the essential criteria for the post they will automatically be invited for interview. Under the Equality Act 2010, a person has a disability if they have a physical or mental impairment which has a substantial and long-term effect on their ability to carry out normal day to day activities.

Do you consider yourself to be disabled under the Equality Act 2010?

Yes

Do you have a long-term limiting condition that affects your health?

Yes

Do you have a long-term limiting condition that does not affect your health?

Yes

If you have answered Yes to any of the above questions, please list any reasonable adjustments which you request are made, to enable you to undertake the interview process.

Where did you hear about this vacancy?

Please give details

Reasonable adjustments

Do you require any reasonable adjustments to the recruitment process, including the application process and interview?

Yes

Please give details

Do you require any reasonable adjustments at work?

Yes

Please give details

2. Personal Details

First Name

Last Name

Address

Address Line 1

Address Line 2

City

County

Postcode

Contact telephone number:

3. Equal Opportunities Monitoring

North Kent Mind is committed to quality of opportunity. You can help us monitor the effectiveness of our policy by answering the following questions.

Are you:

Male

Female

Non-Binary

Another / prefer to self – describe

Prefer not to say

Please specify:

Do you, or have you, ever identified as being transgender?

Yes

Prefer not to say

Are you registered disabled?

Yes

What is your age group?

Under 19

20 - 25

26 - 35

36 – 45

46 - 55

56 - 65

Over 65

How would you describe your ethnic origin? Please tick and specify if indicated.

Ethnicity

British

Irish

Other White Background

White & Black Caribbean

White & Black African

White & Asian

Other Mixed Background

Indian

Pakistani

Bangladeshi

Any other Asian Background

Caribbean

African

Any other Black Background

Chinese

Any other Ethnic Background

Please Specify

Declaration

I confirm that to the best of my knowledge all information I have given in my application is correct and can be treated as part of any subsequent contract of employment. Any false, deliberate omission or misleading information may be sufficient cause for rejection or, if employed by Mind, to be dismissed.

I agree Mind can approach any of my previous employers for a reference to confirm that any information given in relation to my application is correct. I give Mind my consent to using my personal data for personnel, management and monitoring purposes.

GDPR

(links below to policies)

By ticking this box I agree to North Kent Mind's & LiveWell Kent Partner Privacy Promise.

North Kent Mind Privacy Policy