Application Form If you would like to save your application process please register / login first. Login Username or Email Password Register Please fill in the form to register for The Bridge Project. User Registration Name * First Last Name * Last Email Address * Enter Email Confirm Email Address * Confirm Email Password * Enter Password Confirm Password * Confirm Password Please sign me up to vacancy notifications Please sign me up to vacancy notifications reCaptcha If you are human, leave this field blank. Please leave this blank Register Bridge Standard Application Form APPLICATION FOR EMPLOYMENT Job reference number * Job TItle * Where did you see this post advertised? * Personal Details Surname / Family Name * First Name(s) * Title * UK National Insurance Number * Address * Address Line 2 City * Post Code * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Email * Personal Phone * Work Phone May we contact you at work? Yes No UK Employability Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National? * Yes No Please select the category that relates to your current immigration status. This status will be subject to checking before interview. * Indefinite Leave to remain/enter Refugee OtherOther Please supply details of any visa currently held, including number, start/expiry dates and details of any restrictions. Visa Number Start Date End Date Does your visa have a condition restricting employment or occupation in the UK? Yes No Details of Restriction * MONITORING INFORMATION This section of the application form will be detached from your application form. The information collected will only be used for monitoring purposes and will help the organisation analyse the profile and make up of applicants and appointees to jobs in support of their equal opportunities policies. Bridge recognises and actively promotes the benefits of a diverse workforce and is committed to treating all employees with dignity and respect regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation. We therefore welcome applications from all sections of the community. Date of Birth * Gender * Male Female I do not wish to disclose Equality Act 2010 Ethnic Origin Bangladeshi Indian Pakistani Any other Asian Background Arican Caribbean Any other Black background White & Asian White & Black African White & Black Caribbean Any other mixed background British Irish Any other White background Chinese Any other ethnic group I do not wish to disclose this Sexual Orentation Lesbian Gay Bi-Sexual Heterosexual I do not wish to dislose this Religion or Belief Atheism Buddhism Christianity Islam Jainism Sikhism Judaism Hinduism Other I do not wish to disclose this Disabilities The Equality Act 2010 protects disabled people - including those with long term health conditions, learning disabilities and so called "hidden" disabilities such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that any selection processes - including the interview - are fair and equitable. Do you consider yourself to have a disability? * Yes No I do not wish to disclose this information If you are shortlisted for an interview what adjustments would you like us to make? * Are you aware of any aspect of your health which could affect your ability to undertake this job? Please note: You will be required to complete a pre-employment health questionnaire and/or consent to a medical examination for certain posts Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 The work for which you are applying involves working with vulnerable people, and is therefore exempt from the Rehabilitation of Offenders Act 1974. You are therefore required to declare any pending prosecutions or convictions you may have, and any cautions, reprimands or warnings. Bridge is also entitled, under arrangements introduced for the protection of vulnerable people, to ask you to apply and pay for a Disclosure and Barring Service (formerly the CRB) certificate to evidence the existence and content of any criminal record if you are successful. Information received from the DBS will be kept in strict confidence. The disclosure of a criminal record, or other information, will not debar you from the appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making this decision Bridge will consider the nature of the offence, how long ago and what age you were when it was committed and any other factors which may be relevant, including appropriate considerations in relation to Bridge’s Opportunities Policy. Failure to declare a conviction, caution or bind over may, however, disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light. Please enter below details of convictions for any offence (including traffic convictions and appearances before a court martial) or formal cautions by police for any offence or any cautions, reprimands or warnings. I declare that I have: * No previous convictions Previous convictions Please provide full details below: * Disciplinary History Have you ever been the subject of disciplinary proceedings for misconduct? * Yes No Have you ever been suspended from work for any reason? * Yes No Please provide full details of the above * Relationships Are you related to or do you have a relationship or personal friendship with a Trustee, Director, employee, past or current service user at Bridge? * Yes No Please state the nature of the relationship below: * Additional Information Do you have regular access to a car? * Yes No Do you have a valid full driving licence? * Yes No Would you be willing to consider a Job Share? * Yes No Are you registered with the DBS UPDATE SERVICE system? * Yes No Data Protection Act 1998 The information supplied on this form may be held on computer, and/or held as manual data. All the information supplied by you is strictly confidential and will only be used for the purpose of recruitment and personnel administration. Please note that we have the right to reject an application without giving a reason. APPLICATION FOR EMPLOYMENT Details entered in this part of the form will be made available to the short-listing panel. Job Reference * Job Title * Education & Professional Qualifications Include in this section all the relevant qualifications. Please also indicate subjects currently being studied. All qualifications disclosed will be subject to a satisfactory check. Subject/Qualification Place of Study Grade / Result Year Add Remove Training Courses Attended Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking. Course Title Training Provider Duration Date Completed Add Remove Employment History Please give details of all previous employment, including work experience training schemes & voluntary work starting with the employer previous to your present/most recent employer and working backwards. Please identify and explain any gaps in your work record since leaving school. Name, Address and Business of Employer Date Employed, Start - End Job Title and main duties Salary Reason for Leaving Add Remove Supporting Information Please use the following space to give further information that will help us to decide whether or not to invite you for interview. You should include in your statement: • Why you want to apply for this post. • How your skills/experience match the job description and person specification. • Any details of other interests/voluntary work relevant to the post. Supporting Information (Max 1000 words) References Please state the names and contact details of the people who have agreed to supply references covering a minimum of 3 years employment/training. If you are or have been employed, these should include your two most recent employers, your line manager or someone in a position of responsibility who can comment on your work experience, competence, personal qualities and suitability for the post. If you are a student please provide contact details of a teacher at your school, college or university. If you have not been in employment for a considerable amount of time but have had previous employment, then you should seek one reference from your last known employer and a personal reference from a person of some standing within your community i.e. doctor, solicitor, MP etc. Where it is not possible to obtain any employer reference at all then please obtain two personal references. Where no personal reference can be obtained then references should be sought from personal acquaintances not related to or involved in any financial arrangement with you. If you have undergone training to return to work then the academic institution should be contacted. Personal references such as friends and relatives are not acceptable unless stated previously. Please note, all reference requests will be sought through your line manager or other relevant department manager and your employment history will be verified through the organisation’s Human Resources department or other relevant recruitment function. Please ensure that you provide full contact details. Referees may be contacted prior to interview. Surname / Family Name First Name(s) Title Job Title Address Post Code Country Telephone Fax Email Address Relationship Can the referee be contacted prior to interview? Yes No Add Remove DECLARATION Please read the following statements. You will be asked to sign a declaration if you are appointed: • I have personally completed this application form and the details I have supplied are, to the best of my knowledge, true and complete; • I understand that if appointed to this post the information on this form will be kept as part of my personal file record; • I authorise you to obtain references to support this application if I am identified as a preferred candidate; I understand that details of educational qualifications, membership of professional bodies and referee reports may be verified through the establishments and individuals I have indicated; • I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the Data Protection Act 1998; • I declare that I have no previous convictions, or have identified any I have above. • I understand that, should the position I am applying for require it, I will be required to apply and pay for a DBS Certificate at the appropriate level if I am identified as the preferred candidate. Signature * I agree to the above declaration Name * Date * reCAPTCHA If you are human, leave this field blank. Please leave this blank Download Application Form