Job Application Form

In Confidence
Please answer all questions fully. Also include any gaps in your employment.

Read the below carefully:

Rehabilitation of Offenders Act 1974 (Exceptions Order) 1975: The Rehabilitation of Offenders Act gives individuals the right not to disclose details of 'spent/filtered' offences if asked about their criminal record. However, for certain excepted professions, offices and employments, ex-offenders have to disclose information about spent/Filtered, as well as unspent convictions such as in the case of working at KASBAH in any capacity, any spent/Filtered/unspent must be disclosed on the attached Rehabilitation of Offenders declaration form (if the Rehabilitation of Offenders Declaration form is not completed and attached with this job application form, or you have not signed the declaration as below (at the end), your application will not be processed).

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Which position are you applying for? (Required.)

Other

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Name

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Address

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Email

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Phone (Required.)

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School, Education, Qualifications and dates (list all) (Required.)

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Membership of professional bodies/professional qualifications and date obtained. (Required.)

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Present or most recent position (Required.)

Job title

Start date

Notice period

Salary

Employer name

Email address

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Main duties and responsibilities:

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How many days have you been absent from work due to sickness in the last two years?

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Summary of previous positions held

Employer

Email Address

Position/Title:

Start and finish dates:

Summary of respobsilities

Reason for leaving

Salary

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Summary of previous positions held

Employer

Email Address

Position/Title:

Start and finish dates:

Summary of respobsilities

Reason for leaving

Salary

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Summary of previous positions held

Employer

Email Address

Position/Title:

Start and finish dates:

Summary of respobsilities

Reason for leaving

Salary

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Continue on for longer work history, all work history must be stated from leaving school. This includes breaks for unemployment, maternity leave or being a home maker.
Please note that care checks will be carried out from time to time from previous employment where this has involved volunteering or working with children and or vulnerable people. (Required.)

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Attach your CV here

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Skills & Experience - Please explain why you think you are suitable for this post by indicating how you satisfy the criteria on the person specification, drawing on your personal and work experiences, education, training and personal interests:

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Are you able to drive?

Yes

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If so, do you have a current clean driving license?

Yes

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Would you consider yourself to be in good health? Are there any conditions you would like us to be aware of, if so, please list them.

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Have you had an enhanced DBS check in the last 12 months?

Yes

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Are you on an overseas sponsorship? (Required.)

Yes

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Do you require a Right to Work confirmation to work in the UK? (Required.)

Yes

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If yes, input a sharecode with your date of birth. This application will not be processed any further until evidence of such is provided. Click into the next field to continue: (Required.)

Sharecode:

Date of Birth:

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Attach Digital Sponsorship Certificate here: (Required.)

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Working

How many hours are you able to work per week?

Are you able to work evenings?

Are you able to work weekends?

When are you able to commence work?

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Please provide the names and addresses of at least three referees – one of which should be your last employer or course tutor (with business email address) if you have not been employed before and were a student. References from family or friends will not be accepted.
Do we have your permission to take up references before confirmation of the job offer: (Required.)

Yes

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References (Required.)

Name:

Position:

Email address (not telephone number):

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References (Required.)

Name:

Position:

Email address (not telephone number):

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References (Required.)

Name:

Position:

Email address (not telephone number):

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References (Required.)

Name:

Position:

Email address (not telephone number):

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Disclosure and Barring Service (DBS) check
Your employment is conditional upon a satisfactory enhanced children & adult DBS Disclosure being carried out before commencing employment.
This certificate will be paid for by KASBAH.
Declaration:
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 my dismissal.

Sign:

Date:

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Holding your personal data
Please note that this application and relevant forms that form part of the recruitment pack will be kept on file (even if you are not successful for this position or bank vacancies are not available at this time). If you prefer we keep your details for future suitable vacancies, please tick the opt in box. If you have not ticked this box, we shall remove your information from our systems.
Tick the below Opt in box if you wish for your details to be kept for 12 months upon receiving the application, if your application is not successful on this occasion:

I agree

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Recruitment monitoring questionnaire
KASBAH operates an equal opportunities policy to ensure that all appointments are made on merit. To help us ensure that our recruitment procedures operate in such a way as to provide genuine equality of opportunity, and for no other reason, please answer the brief questions below.

1. White a) British b) Irish c) Scottish d) Welsh e) Any other White background

2. Mixed a) White & Black Caribbean b) White & Black African c) White & Asian d)Any other Mixed background

3. Chinese or Chinese British or any other ethnic group a) Chinese b) Any other ethnic group

4. Black or Black British a) Caribbean b) African c) Any other Black background

5. Asian or Asian British a) Indian b) Pakistani c) Bangladeshi d) Any other Asian background

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Gender:

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Rehabilitation of Offenders Declaration
Disclosure of: criminal convictions, cautions or bind-overs
Candidates are required to disclose details of all criminal convictions, cautions or bind-over orders that are spent and not spent.
You must disclose all such matters but you can be assured that only those deemed relevant to the appointment, will be considered.
Please complete the following declaration as appropriate.
Failure to complete this form, or to disclose any convictions, cautions or bind-overs, may result in an offer of appointment being withdrawn, or immediate dismissal following appointment.
This information will be treated with the utmost confidence. (Required.)

Yes

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a) I declare that by completing the below I have no criminal convictions, cautions or bind-over orders to disclose.

Name:

Signed:

Date:

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b) I declare below the details of convictions, cautions or bind-over orders as follows: (Required.)

Date of offence

Nature of offence

Outcome – if known as yet

Signed

Date

Job Application Form

In ConfidencePlease answer all questions fully. Also include any gaps in your employment.

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* Which position are you applying for? (Required.)

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* Name

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* Address

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* Email

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* Phone (Required.)

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* School, Education, Qualifications and dates (list all) (Required.)

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* Membership of professional bodies/professional qualifications and date obtained. (Required.)

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* Present or most recent position (Required.)

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* Main duties and responsibilities:

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* How many days have you been absent from work due to sickness in the last two years?

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* Summary of previous positions held

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* Summary of previous positions held

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* Summary of previous positions held

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* Attach your CV here

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* Skills & Experience - Please explain why you think you are suitable for this post by indicating how you satisfy the criteria on the person specification, drawing on your personal and work experiences, education, training and personal interests:

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* Are you able to drive?

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* If so, do you have a current clean driving license?

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* Would you consider yourself to be in good health? Are there any conditions you would like us to be aware of, if so, please list them.

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* Have you had an enhanced DBS check in the last 12 months?

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* Are you on an overseas sponsorship? (Required.)

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* Do you require a Right to Work confirmation to work in the UK? (Required.)

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* If yes, input a sharecode with your date of birth. This application will not be processed any further until evidence of such is provided. Click into the next field to continue: (Required.)

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* Attach Digital Sponsorship Certificate here: (Required.)

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* Working

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* References (Required.)

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* References (Required.)

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* References (Required.)

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* References (Required.)

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* Gender:

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* a) I declare that by completing the below I have no criminal convictions, cautions or bind-over orders to disclose.

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* b) I declare below the details of convictions, cautions or bind-over orders as follows: (Required.)

In Confidence
Please answer all questions fully. Also include any gaps in your employment.

Which position are you applying for? (Required.)

Name

Address

Email

Phone (Required.)

School, Education, Qualifications and dates (list all) (Required.)

Membership of professional bodies/professional qualifications and date obtained. (Required.)

Present or most recent position (Required.)

Main duties and responsibilities:

How many days have you been absent from work due to sickness in the last two years?

Summary of previous positions held

Summary of previous positions held

Summary of previous positions held

Attach your CV here

Skills & Experience - Please explain why you think you are suitable for this post by indicating how you satisfy the criteria on the person specification, drawing on your personal and work experiences, education, training and personal interests:

Are you able to drive?

If so, do you have a current clean driving license?

Would you consider yourself to be in good health? Are there any conditions you would like us to be aware of, if so, please list them.

Have you had an enhanced DBS check in the last 12 months?

Are you on an overseas sponsorship? (Required.)

Do you require a Right to Work confirmation to work in the UK? (Required.)

If yes, input a sharecode with your date of birth. This application will not be processed any further until evidence of such is provided. Click into the next field to continue: (Required.)

Attach Digital Sponsorship Certificate here: (Required.)

Working

References (Required.)

References (Required.)

References (Required.)

References (Required.)

Gender:

a) I declare that by completing the below I have no criminal convictions, cautions or bind-over orders to disclose.

b) I declare below the details of convictions, cautions or bind-over orders as follows: (Required.)