Blue Sky Job Application

1. Job Application Form
What setting is the job you are applying for based?*
Vacancy Title*
Please tell us how you heard about this vacancy
Personal Details
Your Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
National Insurance Number
Do you hold a full, clean driving license valid in the UK?

2. Preferred Hours
What type of employment are you applying for*

Full TimePart Time
We like our workers to be willing to work flexibly across the week and need to know when other commitments mean you could not be available to work:

Please tick when you are available: *

	Monday	Tuseday	Wednesday	Thursday	Friday
Morning (7:00 - 13:00)
Afternoon (12:00 - 18:00)

3. Education/Qualifications

	Institution/ Course Name	Qualification and Grade	Date Obtained
School (11+)
College
University

Details of any ongoing professional development
Training and Development

Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application.

	Training Course	Course Details (including length of course/ nature of training)
1
2
3
4
5

Current Membership of any Professional Body/Organisation

4. Employment History
Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first.
Current or most recent employer
Name of employer/ company of employment
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Position Held
Date Started

MonthDayYear
Date
Leaving Date

MonthDayYear
Date
Reason for leaving
Salary on leaving this post
Contact of line Manager

Name of Line Manager Contact
Brief description of duties
Previous employer 1
Name of employer/ company of employment
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Position Held
Date Started

MonthDayYear
Date
Leaving Date

MonthDayYear
Date
Reason for leaving
Salary on leaving this post
Contact of line Manager

Name of Line Manager Contact
Brief description of duties
Previous employer 2
Name of employer/ company of employment
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Position Held
Date Started

MonthDayYear
Date
Leaving Date

MonthDayYear
Date
Reason for leaving
Salary on leaving this post
Contact of line Manager

Name of Line Manager Contact
Brief description of duties

Any other employment history

	Employer	From - To	Reason for leaving
1
2
3
4
5
6
7
8

5. Information in support of your application
Skills, abilities and experience. Please use this section to demonstrate why you think you would be suitable for the post by reference to the job description and person specification (and by giving examples and case studies). Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities. Attach and label any additional sheets used. See guidance sheet for further information

6. Convictions/ Disqualifications
To ensure the safety of our clients/members a DBS check must be completed for all positions. A criminal record will not necessarily be a bar to obtaining a position at Blue Sky. If a check is returned and reveals any information, this will be discussed with the applicant. The Chief Executive will make a decision as to whether the offer of employment should be withdrawn.

Rehabilitation of Offenders Act 1974 (Exceptions)(Amendment) Order 1986

We would draw your attention to the following statement:-

“Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act, 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act”.
Do you have any criminal offence or been the subject of a conditional discharge or probation order*
Please provide details if you have been convicted of a criminal offence or been the subject of a conditional discharge or probation order. (Past criminal proceedings are not necessarily an obstacle to taking up a post. This occurs only where the offence/s is/are deemed relevant. Any details will be discussed with you should you be the successful candidate based on your supporting statement, interview and tests).

7. Reasonable Adjustments/Arrangements
If you need us to make any adaptations for your interview, to accommodate any disability you may have, please tell us what these should be
Are you diagnosed with any medical conditions?
If 'YES' please use the space below to tell us what these are
Are you generally in good health?
If 'NO' please use the space below to tell us what these are
Are you subject to any conditions relating to your employment in this country?
If 'YES' please use the space below to tell us what these are
Are you closely related or married to a staff or Board member of Blue Sky?
If yes, please state the name of the staff or board member and nature of this relationship below:
If appointed when could you start? Give period of notice if applicable

MonthDayYear
Date

8. References
Please give the detail of two references – see guidance sheet for further information.
Name of Referee and relationship to you: *

Name of RefereeRelationship to you
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name of Referee and relationship to you: *

Name of RefereeRelationship to you
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

9. Declaration
Statement to be Signed by the Applicant

Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.

I agree that Blue Sky can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998.

I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated.
Signature*

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Date*

DayMonthYear
Date
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