PEARL STREET STAFF TEAM APPLICATION

PEARL STREET

Staff Team Application Form
Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Position Information
What position are you applying for?*
What is your desired employment?*
We may not be able to cater for everyone's desired employment, but may consider job shares.
What is your available start date? Women's Wellbeing Worker role starts June 2025*

MonthDayYear
Date
Interview arrangements and availability
If you have a disability, please tell us if there are any reasonable adjustments we can make to help you in your application or with our recruitment process.*
Are there any dates when you will not be available for interview?
We may not be able to cater for all dates, but we will try to take into consideration for those who are shortlisted.
Other Info
Do you require a permit to take up work in the UK?*

YesNo
Are you subject to any conditions relating to your employment in the UK?*

YesNo
Are you subject to any conditions relating to your employment in the UK?*

YesNo
We are required to carry out basic document checks on every person we intend to employ. All successful applicants will be required to show proof of their right to work in the UK.
Under the Rehabilitation of Offenders Act 1976, are there any convictions which you are required to disclose? (For some roles a DBS check will be required)*

YesNo
Under the Rehabilitation of Offenders Act 1976, are there any convictions which you are required to disclose? (For some roles a DBS check will be required)*

YesNo
If yes, please provide details (disclosing this information will not preclude you from being considered or appointed for this role):*
References

Please add two references (at least one professional) from someone you have known for at least two years. Family members can not act as referees.
Reference 1-Name*

First NameLast Name
How long have you known them and in what capacity?*
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Reference 2-Name*

First NameLast Name
How long have you known them and in what capacity?*
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Your CV and Cover Letter
Tell us why you would like this job. This is your opportunity to tell us about your:
- Experience, skills and Interests
- Training & Qualifications
- Work, volunteering and relevant experience history
- What you would bring to the role and our team
- Anything else you want to tell us about why you'd be great for this role.
Please make sure you refer to the job descriptions on this link:
Women's Wellbeing Worker -Pearl Street Job Description and Person Spec.
Please upload your Cover Letter here.*

Cancelof
Please upload your CV here.*

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Declaration & Data Consent
By signing and submitting this form:
- I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in dismissal.
- I give consent to Pearl Street at Our House Community to safely store and process this information to assess suitability for a role I have applied for and to help us develop and improve our recruitment process. (For more information please request our Data Protection Policy).
Date*

MonthDayYear
Date
Signature*

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PEARL STREET

Personal Information

Position Information

Interview arrangements and availability

Other Info

References

Your CV and Cover Letter

Declaration & Data Consent