Employment Application
Fill the form below accurately indicating your potentials and suitability to job applying for.
Name
*
First Name
Last Name
Email
example@example.com
I'd like to apply for:
Please Select
Carmarthen Resource Centre Support Worker
Pembrokeshire Resource Centre Support Worker
Individual placement and support Support Worker
Now you've read the job description, we'd love to hear from you why you'd like this job? (in 500 words)
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Hint: You might like to consider the 'Person Specification' and the 'About Us' section
Please demonstrate your ability to work confidently and effectively alongside individuals in crisis, to show empathy with those with mental health support needs and manage a range of social interactions with a sensitive approach.
*
Please demonstrate your ability to develop partnerships and effective networking with other organisations and participate and represent the local Mind in Multi-agency settings.
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Please demonstrate your ability to work on your own initiative, prioritise a demanding workload and lead a team (if this is a team leading role).
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Please demonstrate your ability to update and maintain information within Data Protection legislation. To be computer literate, with proven experience using Microsoft Office.
*
Please demonstrate your understanding of safeguarding processes, and ability to develop (if appropriate) and complete Risk Assessments.
*
Driving
Do you hold a valid driving license?*
Yes
No
Has your driving license ever been endorsed?*
Yes
No
If yes, please give details below
Do you have use of your own vehicle at all times?*
Yes
No
Convictions - Rehabilitations of Offenders Act 1974
Have you been convicted of a criminal offence (spent convictions as defined by the Rehabilitation of Offenders Act 1974 being specifically excluded? (please note: this information will be confirmed with the Disclosure Barring Service)*
Yes
No
If yes, please give details below
Safeguarding
Please note all applicants will be required to undergo a criminal records disclosure check (DBS check) before an appointment can be fully confirmed.
Have you any previous convictions, cautions, bind-overs or pending cases affecting your suitability to work with vulnerable people?*
Yes
No
If yes, please give details below
Please upload your CV here :)
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I certify that the information given on this form is, to the best of my knowledge, true and complete and agree that it should form part of the basis of my engagement. Any false statement may be sufficient cause for rejection or, if employed, dismissal without notice.*
Yes
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Diversity Monitoring
The information provided is used to audit our diversity, it will not form a part of your application and will be separated from your information before shortlisting. This will be treated confidentially and will only be made more widely available with your explicit consent
Your Gender
Please Select
Male
Female
Prefer not to say
Other
Do you identify as transgender
Please Select
Yes
No
Prefer not to say
Other
Sexual orientation
Please Select
Bisexual
Gay man
Heterosexual / Straight
Gay woman / Lesbian
Prefer not to say
Other
Religion and Belief
Please Select
Buddhist
Christian
Hindu
Jewish
Muslim
Non-religious (Atheist, Humanist etc.)
Sikh
Prefer not to say
Other
Ethnicity
Please Select
Arab
Asian or Asian British: Bangladeshi
Asian or Asian British: Chinese
Asian or Asian British: Indian
Asian or Asian British: Pakistani
Asian or Asian British: Other
Black or Black British: African
Black or Black British: Caribbean
Black or Black British: Other
Mixed: White & Black African
Mixed: White & Black Asian
Mixed: White & Black Caribbean
Mixed: Other
White: British
White: Gypsy or Irish Traveller
White: Irish
White: Other
Prefer not to say
Other
Age
Please Select
Under 16
16-24
25-34
35-44
45-54
55-64
65+
Prefer not to say
Do you consider yourself to have a disability or health condition?
Please Select
Yes
No
Prefer not to say
Do you have personal experience of mental health problems?
Please Select
Yes
No
Prefer not to say
If you have personal experience of mental health problems - when was your last experience?
Please Select
Less than 1 year ago
1-2 years ago
2-5 years ago
5-10 years ago
10+ years ago
Which of these categories best represents your experience of mental health problems? (Please select all that apply)
I have personal experience of mental health problems
I have used mental health services
I use/have used the services of a local mind
I am a family member of somebody who has experienced mental health problems
I care for or look after someone who has mental health problems
I work in the mental health sector (Eg. Nurse, Social Worker, Psychiatrist etc.)
None of the above
Are you able to draw on any of the following experiences and knowledge of mental health (Please select all that apply)
Mental health advocate
Mental health professional (Eg, Nurse, Social Worker, Psychiatrist etc.)
Paid or voluntary work
Mental health policy work at a national level
None of the above
Do you require any reasonable adjustments to the screening process? (For example, physical access, communication support, personal support etc.)
If you were successful, would you require any reasonable adjustments to help you to carry out your role?
Submit Application - thanks for your interest :)
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