Application Form

Application for Employment
This form may be completed electronically but a signed declaration must accompany the application
Application for appointment as*
Name*

First NameLast Name
Title*
Please list all name(s) used previously
Address*

Street Address

Street Address Line 2

CityState / Province

Post code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Previous address(s) if less than 3 years at current address*
Name Address of current employer*
Job Title - If unemployed N/A*
Date Appointed - If unemployed N/A*

MonthDayYear
Date
Notice required - If unemployed N/A*
Current Salary - If unemployed N/A*

Education, Training, and Work History Information

Education and Training Information - please list the most recent first (If you have more to add, please list them in the personal specification page at the end)*

	Name of Educational Establishment	Date attended form	Date attended to	Qualification- Subject/Degree	Grade
1
2
3
4
5

Details of previous paid or unpaid work – please list the most recent first (If you have more to add, please list them in the personal specification page at the end)*

	Name of employer	from(dd/mm/yy	To (dd/mm/yy)	Job Title	Salary	Reason for leaving
1
2
3
4
5

If you have had any gaps in employment since leaving school please give details here

Are you related to or have a personal connection to a current or previous MYL employee or Trustee?*

Yes, if yes please give details belowNo
1. Name*
What is the connection? (If no, please put N/A)*
How long have you known them? (If no, please put N/A)*
Reference

Please give details of two persons or companies to whom references may be made, one should be your current employer or, if you are unemployed, your last employer, if applicable
1. Name*
Post Role*
Relationship to applicant*
Organisation*
Address*
Phone Number*

Area CodePhone Number
Email*
example@example.com
2. Name*
Post Role*
Relationship to applicant*
Organisation*
Address*
Phone Number*

Area CodePhone Number
Email*
example@example.com

Disclosure & Barring Service (DBS)

Manchester Young Lives is committed to safeguarding and promoting the welfare of children and young people. The highest priority is given to following guidance and regulations to safeguard children and young people. Successful candidates will be required to undergo an Enhanced Disclosure from the Disclosure & Barring Service (DBS). Please confirm below if you have previously held a DBS disclosure.
Date of most recent enhanced DBS Disclosure

MonthDayYear
Date
Disclosure Number
Do you have evidence of your entitlement to live and work in the UK?*

YesNo
If your application is successful you will be asked to produce evidence (e.g full current UK/EEC Passport/National Identity Card/National Insurance Card or appropriate Home office documentation confirming permission to take employment etc).
Manchester Young Lives values and promotes diversity and are committed to equality of opportunity for all and appointments are made on merit. We believe that for our organisation to be successful, it needs to work with the most talented and skilled people available. We positively encourage applications from people from all sections of the community, from all backgrounds and with a broad range of experience. We undertake that all applications will be dealt with fairly and that all decisions we make will be based on qualifications, skills, experience and the ability to meet the requirements of the post.

Declaration

I certify that, to the best of my belief, the information I have provided is true and I understand that any false information or failure to disclose criminal convictions will result, the withdrawal of any offer of employment or in the event of employment, in disciplinary investigation and is likely to result in dismissal.
Signed*

Clear
Date*

MonthDayYear
Date
I hereby give my consent for personal information (including recruitment monitoring data) provided as part of this application to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998.
Signed*

Clear
Date*

MonthDayYear
Date

Person Specification Information
Please follow the steps below BEFORE completing this section. All applicants will have to fill this to be considered for the role.

1. Study the Person Specification that is on the Job Description very carefully. You must show by giving examples on how you meet the requirements listed. Applications will be assessed from the application form that is submitted. This means that the panel will be looking for evidence that you meet these particular requirements from the information you give in the space below.

2. Give all the information you can to show how you meet each of these requirements. Remember if you do not show that you meet these requirements, it will not be possible to shortlist you for an interview. Give lots of evidence and real examples. (Please continue on separate sheet if necessary).
Post applied for*
Name of Applicant*
Please follow the steps above before completing this section*
Should be Empty:

Application for Employment

Education, Training, and Work History Information

Reference

Disclosure & Barring Service (DBS)

Declaration

Person Specification Information