Application Form - YISW 2025
The information you supply on this form will be treated in confidence. This document will be retained for a maximum of six months- Privacy statement available upon request. This post is subject to an Enhanced Disclosure check (as per our safeguarding policy and safer recruitment policy).
Name
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First Name
Last Name
Date of Birth
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Day
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Month
Year
Date
Email
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example@example.com
Mobile Phone Number
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National Insurance Number
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Address
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Street Address
Street Address Line 2
City
County
Postcode
Do you hold a full UK driving licence? Full Uk licence with business insurance is preferred.
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Yes
No
If Yes, Do you have any points or convictions?
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Position applied for
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Please Select
Full Time
Part Time
Bank Staff
Do you require a work permit to work in the UK?
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Yes
No
If Yes, do you have a valid permit?
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Yes
No
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Your previous employment
Previous 5 Years history including any gaps in employment and reasons.Work history (Starting with most recent)
Work History
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Explain work history gaps
Your Education, Training & Personal Development
Educational History
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Please state your educational achievements
No Formal education
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Yes
No
NVQ/Vocational qualification
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Yes
No
Please provide details of grades/subjects
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GCSE or equivalent
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Yes
No
Please provide details of grades/subjects
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A-level or equivalent
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Yes
No
Please provide details of grades/subjects
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University/higher education
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Yes
No
Please provide details of grades/subjects
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Please tell us all about your educational achievements. Please also include any relevant short training courses and professional membership / qualifications.
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Explain education history gaps
In your own opinion, how do you rate yourself on these skills?
Communication
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1
2
3
4
5
Understanding of safeguarding
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1
2
3
4
5
Microsoft Office
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1
2
3
4
5
General IT skills (use of laptop/mobile phone)
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1
2
3
4
5
Timekeeping
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1
2
3
4
5
Report writing
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1
2
3
4
5
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Supporting Information
Please use this section to tell us how you meet the person specification for the job by providing evidence/examples. We use the person specification to decide who to shortlist for interview. Please complete this section after reading the job description and person specification included in the job advert. If you require a copy of the relevant job description / person specification, please email your request to info@exechanges.co.uk
Please provide a written statement explaining your understanding of the importance of safeguarding for care experienced young people in the 16-18 age group
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What would you consider to be the fundamental standards of supported living accommodation for the 16 – 18-year-old age group?
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Please tell us why you applied for this job and what qualities you will bring to the young people
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References
All offers of employment are subject to the receipt of two satisfactory references. Please give the details of two referees, at least one of which should be your current employer or last employer if you are currently unemployed, who we can write to confidentially. If you cannot provide two employer referees, please provide the name(s) of people who know you in a professional capacity and can provide a character reference.
1st Reference
Name
*
First Name
Last Name
Relationship
*
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Mobile Phone Number
*
Email
*
example@example.com
2nd Reference
Name
*
First Name
Last Name
Relationship
*
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Mobile Phone Number
*
Email
*
example@example.com
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The Rehabilitation of Offenders Act 1974 (exceptions) (Amendment) Order 2001
Due to the nature of the post for which you are applying, it is regarded as ‘exempt’ from the provisions of the Rehabilitation of Offenders Act 1974 by virtue of the above Order. As a result, applicants are not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act and in the event of employment; any failure to disclose such convictions could lead to dismissal or disciplinary action by the employer. Any information given will be treated as confidential and considered only in relation to this application.
Have you ever been convicted of a criminal offence?
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Yes
No
If Yes, please give details of the offence including dates.
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Have you any prosecutions pending?
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Yes
No
If yes, please give details…
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Note: Having a criminal record will not necessarily be a bar to obtaining employment. Applicants who are offered employment or work that involves contact with vulnerable people will be subject to a criminal record check from the Disclosure and Barring Service (DBS) before the appointment is confirmed. This will include details of cautions, reprimands or final warnings, as well as convictions.
Equal Opportunities Statement
ExeChanges welcomes diversity in the people we provide a service to and in our workforce. Diversity is not just seen as something to aim for but as something to be valued and an asset in delivering services to different people. ExeChanges recognises that certain groups and individuals are discriminated against in society and is committed to ensuring that equality of opportunity becomes an integral feature of all our activities. ExeChanges aims to eliminate discrimination on grounds of race, ethnicity, religion, gender, sexual orientation, marital status, AIDS/HIV status, disability, age and history of mental-health and addiction problems. All employees are required to comply with ExeChanges’ equal opportunities policy and cooperate with measures introduced to implement and monitor it. Failure to do so will result in disciplinary action.
Where did you see the job advertised?
*
Please Select
Indeed
Website
Friend
Facebook
Linkedin
Instagram
Other
Equality, Diversity and Inclusion Monitoring Form
In order to ensure that we deliver the best possible service outcomes, we welcome the completion of the following information to enable us to monitor the effectiveness of our approach to equality and diversity. Information that you provide will be used solely to help us monitor our recruitment processes. In accordance with the Data Protection Act, all information will be treated in the strictest confidence.
What gender are you?
(leave blank if you do not wish to answer)
Is your gender identity the same as the gender you were assigned at birth?
(leave blank if you do not wish to answer)
What is your sexual orientation?
(leave blank if you do not wish to answer)
How would you describe your faith / belief / religion?
(leave blank if you do not wish to answer)
How do you describe your ethnic origin?
(leave blank if you do not wish to answer)
The Disability Discrimination Act 1995 (DDA) defines a disabled person as someone with ‘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.
Do you consider yourself to have a disability according to the terms given in the Disability Discrimination Act 1995 (DDA)?
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Yes
No
Do not wish to answer
If yes, please select the type of impairment which applies to you (you may select more than one)
Physical Impairment
Sensory Impairment
Mental Health condition
Learning disability
Long-standing illness or health condition
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Data Protection Statement
I certify that all the information provided in this application form, together with any other information that I may provide during the course of my application, is true and accurate to the best of my knowledge and belief. I understand and agree that: 1. any information I provide may be verified through personal or written contact in whatever manner is considered appropriate by ExeChanges and that any false or misleading statements may be sufficient cause for rejection or, if appointed, dismissal; and 2. the information that I provide in this application form and any other personal data (including sensitive personal data) that I may provide during the application process or any other period of employment with ExeChanges may be transferred to, held (in manual or electronic form) and used by ExeChanges and/or carefully vetted third parties who may process personal data on behalf of ExeChanges, for all purposes in connection with personnel and/or administrative matters including, without limitation, management planning or forecasting, and I expressly consent to such processing.
AI Disclaimer:
We kindly request that all responses to this application form be written personally by you, the applicant. Please note that AI-powered tools or other automated methods for completing this form are strictly prohibited. We use a sophisticated AI checker to ensure that all applications are submitted authentically by individuals. Any indication of AI-generated responses may result in disqualification from the application process.
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