Application for Position:ReMode Assistant

Private & Confidential

Please return application forms for either position as a PDF or Word Doc to: hello@remodeyouth.org. Mark your email as ‘ReMode Project Manager Application’ in the subject heading.

DEADLINE : Midnight on Friday April 27th. PROPOSED INTERVIEW DATE: Thursday May 10th

Declaration

I declare that to the best of my knowledge and belief all particulars I am giving in this application are complete and true. I understand that any false or misleading statement or any significant omission may disqualify me from this position and render me liable to dismissal.

Full Name:

Applicants Signature:

Date:

Personal Details

Title

First Name

Surname

Address

Post Code

Correspondence Address(if different)

Post Code

Telephone (Home)

Mobile Number

Email address

Can we telephone you at work? YES / NO (please circle)

If yes, please give number

Do you hold a full current driving licence? YES / NO (please circle)

Do you have access to a car ? YES / NO (please circle)

Suitability for Position

General Information

1. We are committed to being an Equal Opportunities Employer and do not discriminate in any way.

If you consider yourself to have a disability, are there any arrangements that we can make to assist/adapt, to enable you to attend for interview and, if successful in securing this positon, that you would require in the role?Please give details below:

2. Are you an ex-employee or related to a current or previous Remode Renfrewshire or LEAP employee, Board Member, Consultant, Contractor or Supplier?

YES / NO (please circle)

If yes please give details below

Education & Training

Secondary Education

Subjects Studied Certificates / Grades Gained

Further Education

Course and/or Subjects Studied Certificates / Qualifications Gained

Professional Qualification

Professional Body Qualification and/or Level of Membership

Relevant Training

Courses Undertaken Provided by Brief Description

Current Contractual or Employment Status

Name & Address of Employer Date From : Date To :

Position Held

Salary and other benefits/payments

Notice Required

Reason for considering this position with ReMode

Nature of Post (please describe your main duties only)

Attendance

How many days sickness have you had over the past two years ? (Please give an indication of the reasons for each period of absence)

Legal Entitlement

Are you legally entitled to work in the UK ? YES / NO (please circle)

Please detail your legal entitlement (For example; citizen, resident, work visa etc)

Previous Employment

Years from – to

Employer name & address

Position held

Main duties

Reason for leaving

Years from – to

Employer name & address

Position held

Main duties

Reason for leaving

Years from – to

Employer name & address

Position held

Main duties

Reason for leaving

Person Specification, Key Skills

In the boxes below please state clearly how you meet the essential and desirable criteria contained in enclosed Job Description. This does not have to be from paid work, but can be from other experiences.

· Tell us about a project or enterprise you have been/are involved with and how your personal qualities and skills made/make it a success. (max 200 words)

· Thinking over the last 3 years can you tell us how you have continued to learn new skills and/or accrue new areas of knowledge. (max 200 words)

· What would you say are the practical skills which you as an individual have to bring to this role? (max 200 words)

Personal Qualities/Experience

Please describe why you feel suited to this position. You should include here brief details of any additional skills, experience gained, either through work or other activities and personal qualities, which you have not described on the previous pages.

References

Please give details of two referees. They should be qualified to comment on your ability and experience for this appointment and should include a referee from your current or most recent Employer.

References will not be sought without prior agreement.

Name:

Job Title:

Relationshipto Candidate:

Company/Organisation:

Address:

Postcode:

Email:

Tel No:

Mobile No:

Name:

Job Title:

Relationshipto Candidate:

Company/Organisation:

Address:

Postcode:

Email:

Tel No:

Mobile No: