APPLICATION REF NO: VOL/SEP17/00 William Morris College Eastington, Stonehouse, Gloucestershire GL10 3SH UK Telephone: 01453 824025 Fax: 01453 825807 Email: [email protected] Post Applied for: VOLUNTEER – FROM: To: Application Form Please TYPE or write in CAPITAL LETTERS THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE. Section 1 Personal details First Name: Last Name/s: Home Address: City: State: Zip Code: Country of Residence: Date of Birth: Date: Place of Birth: City: Passport No: No: Month: Year: Country: Issue date: Expiry Date: Place of of issue: ID No: Nationality: Applying for Multi-Entry Visa?: Marital Status: YES / NO Gender: Single / Married / other Male / Female Daytime Telephone No: Mobile Telephone No: E-mail address: Have you been in UK before? SKYPE ADDRESS: YES / NO If Yes: Date from: Date to: DATE of application: If you are successful, you will be required to provide relevant evidence of the above details prior to your appointment. V2 JAN17 Registered Charity No. 278760 Registered Company No. 1448003 APPLICATION REF NO: VOL/SEP17/00 Section 2 Present Employment Present Employment (If you are currently unemployed, please give details of last employer.) Name of present Employer: Address: Zip Code: Post Title: Date of Appointment: Brief description of duties: Continue on a separate sheet if necessary. Reason for leaving (if no longer employed): Section 3 Previous Employment Previous Employment APPLICATION REF NO: VOL/SEP17/00 (Most recent employer first). Please cover the last 10 years. Name of last Employer: Address: Position Held: From: To: Summary of duties: Reason for leaving: Name of Employer: Address: Position Held: From: To: Summary of duties: Reason for leaving: Name of Employer: Address: Position Held: Summary of duties: Reason for leaving: Continue on a separate sheet if necessary. From: To: Section 4 Education and Qualifications APPLICATION REF NO: VOL/SEP17/00 Qualifications achieved. Please list highest qualification first: College or University Qualifications achieved Year From To School Subjects Qualifications / Grades Continue on a separate sheet if necessary. Professional, Technical or Management Qualifications Professional/Technical/ Management Qualifications Section 5 Year Course Details Training and Development Please give details of any training courses which support your application. Include any on-the-job training in addition to formal training. Title of Training Programme or Course Continue on a separate sheet if necessary. Date Provider Section 6 Personal Statement APPLICATION REF NO: VOL/SEP17/00 Abilities, skills, knowledge and experience. Please state the qualities and skills you have that make you suitable for volunteering with young adults with learning difficulties in an education and a care environment. Continue on a separate sheet if necessary Have you had any previous contact with people with learning disabilities? If yes, in what capacity? Continue on a separate sheet if necessary. Section 7 APPLICATION REF NO: VOL/SEP17/00 Police Checks You must have a POLICE CHECK in your country. It MUST be DATED within 3 MONTHS OF ARRIVAL in the UK. Police Check certificate must be sent to William Morris College before you arrive. The original Police Check must be given to HR on your first day if not already sent. Do you have any convictions?: YES / NO If yes, please give details / dates of offence(s) and sentence: Section 8 Protecting Children and Vulnerable Adults If you have been in the UK before, a Disclosure & Barring Service check will be required. Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post? Section 9 Yes No Special requirements Please give details of any special arrangements we need to make in order for you to be interviewed by Skype should you be selected: APPLICATION REF NO: VOL/SEP17/00 Section 10 References Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly state who your referees are. Reference 1 Reference 2 Name: Name: Job title: Job title: Work Relationship: Work Relationship: Organisation: Organisation: Address: Address: Zip Code Zip Code Telephone No: Telephone No: E-mail: E-mail: Signed: Date: RETURN By Post: Human Resources William Morris College Chipman’s Platt Eastington, Stonehouse Glos GL10 3SH England THIS FORM By E-Mail: [email protected] Enquiries: Telephone: +44 (0)1453 824025 Email: [email protected] Fax: +44 (0)1453 825807 APPLICATION REF NO: VOL/SEP17/00 Section 11 Recruitment Monitoring Form This sheet will be separated from your application form upon receipt and does NOT form part of the selection process. It will be retained by Human Resources purely for monitoring purposes. To help us ensure that our Equal Opportunities Policy is fully and fairly implemented (and for no other reason) please COMPLETE THIS SECTION OF THE APPLICATION FORM. What is your Ethnic Group? Tick ONE group in each section: A 11 12 13 14 Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background D 19 20 21 22 (please give details) B 15 16 17 Mixed White and Asian White and Black African White and Black Caribbean Any other mixed background (please give details) Black or Black British Black African Black Caribbean Any other Black background E 23 24 25 White White UK Irish White non-UK (please give details) C 18 98 Chinese or other group Chinese Vietnamese Any other ethnic background Any other White background (please give details) (please give details) Gender Age Group Male 16-25 46-55 Female 26-35 56+ 36-45 Disability Disability is defined as “physical or mental impairment, which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities”. Do you consider yourself disabled: If Yes, please give details: YES NO
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