Heatree Job Application Form

Job Application Form
Personal Details
Position Applied For
Full Name

First NameLast Name
Date of Birth

DayMonthYear
Address
Postcode
Phone Number
Email Address
Are you related to any member of staff or trustee of Heathercombe Brake Trust, or to the partner of such persons?
If yes, please state the person you are related to and the nature of the relationship.
Education, Qualifications and Training

Please list most recent first
Please list below any additional awards, qualifications or training
Employment History
Please tell us about your employment history including any voluntary work, starting with most recent first.
Current or Most Recent Employment
Previous Employment
Skills and Experience
Please tell us about any skills and experience relevant to the role you’re applying for.
What personal attributes could you contribute to the role?
What experience do you have of working with children and young people?
Please tell us about your Christian journey so far.
Additional Information
Do you need permission to work in the UK?
Do you require any reasonable adjustments for the interview process?
If yes, please give details of any information that you feel would help us to accommodate your needs during your interview:
Rehabilitation of Offenders Act 1974

The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website: Guidance on the Rehabilitation of Offenders Act 1974 and the Exceptions Order 1975 - GOV.UK www.gov.uk.
Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?
If yes, please summarise any unspent conditional cautions or convictions
Do you have any adult cautions (simple or conditional) or spent convictions that are not protected under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended)?
If yes, please summarise any adult cautions or spent convictions that are not protected
References
Please provide details of two referees who can comment on your suitability for this role. Where possible, one should be your current or most recent employer. Please ensure you have their permission to provide their contact details.
Referee One
Referee One Full Name

First NameLast Name
Relationship to Applicant
Email Address
Phone Number
Work Address
Do you give permission for us to contact this referee prior to interview?
Referee Two
Referee Two Full Name

First NameLast Name
Relationship to Applicant
Email address
Phone Number
Work Address
Do you give permission for us to contact this referee prior to interview?
Declaration

I declare that the information given on this form is, to the best of my knowledge, complete and accurateand that it may be discussed further with me as part of the recruitment and selection process and furtherchecks may be undertaken if appropriate.

I understand that Heathercombe Brake Trust reserves the right to ask me to undergo a medicalexamination. I understand that my consent will be required under the Medical Rights Act 1998.

I understand that should I be successful in this application, I will, if required, apply to the Disclosure andBarring Service for a standard or enhanced disclosure as determined by the company.

I understand thatshould I fail to do so, or should the disclosure not be to the satisfaction of the company any offer ofemployment may be withdrawn or my employment terminated.

I understand that providing false information is an offence and could result in the application beingrejected or if I have been appointed to the post I may be dismissed without notice.

I understand that as part of Heathercombe Brake Trust‘s recruitment process, my data will be collected,processed and retained in accordance with the General Data Protection Regulation (GDPR) and asdetailed in Heathercombe Brake Trust’s Data Protection Policy.

I understand that my application may be retained for six months after the recruitment process endsunless I withdraw my consent. Should I be successful in employment my application will be retained untilsix years after my employment ends.
Declaration - Signed
Date Signed

DayMonthYear
Data Protection Act

All job applications will be stored adhering to GDPR requirements and our Privacy Notice. The information provided by you on this form may be processed for purposes permitted by the General Data Protection Regulation. You have, on written request, the right of access to personal data held about you. Heatree treats personal data collected during the recruitment process in accordance with our Data Protection Policy. For our full Privacy Policy please contact us on admin@heatree.org
Should be Empty:

Job Application Form

Personal Details

Education, Qualifications and Training

Employment History

Current or Most Recent Employment

Previous Employment

Skills and Experience

Additional Information

References

Referee One

Referee Two