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Beeline Behaviour Change

CONFIDENTIAL APPLICATION FOR EMPLOYMENT

Safe and fair recruitment commitment 

Our organisation is committed to safeguarding and promoting the welfare of adults at risk and/or children and expects all our staff and volunteers to share these values. We are also committed to treating all applicants equally and fairly based on their skills, experience, and ability to fulfil the duties required of the role applied for. This is regardless of an individual's ethnicity, gender or gender re-assignment, religion or belief, sexual orientation, disability, neurodivergence, age, pregnancy or maternity, marriage, or civil partnership.  

Applicants must share with us all the relevant information that we have requested in this application form, but we would like to reassure applicants that any information provided will be treated in the strictest confidence in a fair and open manner. Suitable applicants will not be refused employment because of offences or conduct which are no longer relevant, and do not place them at, or make them a risk in – the role for which they are applying. We will ensure that all our recruitment and selection practices reflect this commitment. 

Post Details

Available to start employment
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Contracted hours preferred

Personal details

Multi-line address
Preferred contact method
Do you own a car?
Yes
No
Do you have a current full driving licence?
Yes
No
Do you have any current endorsements or driving convictions?
Yes
No

Languages

Do you speak any other language other than English?
Yes
No

Education

Professional registration

Other relevant training or qualifications

Employment history: Please give full employment history from leaving full time education.

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End date
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Multi-line address
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End date
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Multi-line address
Start date
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End date
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Multi-line address

Gaps in employment, education or training history (please detail each period (of more than 4 weeks) when you were not in employment, education or training).

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Community / Volunteer Experience

Supporting Statement

Referees

Please provide contact details for at least two referees who are able to comment on your suitability for the job applied for. You are responsible for providing accurate contact details so that referees can be contacted. 

The first referee MUST be your current or most recent employer (or your course tutor if you are currently in, or have just left, full time education). 

Professional references will not be accepted from work colleagues who are not authorised to provide professional references in an official capacity on behalf of the organisation, or from people writing solely in the capacity of friends, or from relatives. 

Referee 1

Referee 2

Our organisation will seek references on successful candidates and will approach previous employers for information to verify experience or qualifications. If you are currently working with adults at risk and/children, your current employer will be asked about disciplinary offences relating to adults at risk and/children (including any conduct relating to safeguarding concerns which the penalty is 'time expired'), and whether you have been the subject of any safeguarding related investigations or concerns, and if so, the outcome of any enquiry or disciplinary procedure including any referrals to Disclosure and Barring Service (DBS), other professional bodies or the police. Our organisation will seek references on successful candidates and will approach previous employers for information to verify experience or qualifications. If you are currently working with adults at risk and/children, your current employer will be asked about disciplinary offences relating to adults at risk and/children (including any conduct relating to safeguarding concerns which the penalty is 'time expired'), and whether you have been the subject of any safeguarding related investigations or concerns, and if so, the outcome of any enquiry or disciplinary procedure including any referrals to Disclosure and Barring Service (DBS), other professional bodies or the police. 

If you are successful at interview, any offer of employment will be subject to receipt of two satisfactory references and any additional pre-employment checks. If an offer is accepted, the organisation and referees are released from any liability caused by giving and receiving information. 

Right to Work

Do you require permission to work in the UK? (you will be required to provide evidence of eligibility to work in the UK).
Yes
No

Criminal record checks

We will only ask those candidates who have been selected for interview to complete a criminal record self-declaration form or provide a written disclosure statement to give them the opportunity to provide sufficient information. At interview, or in a separate discussion, we will ensure that an open and measured discussion takes place on the subject of any offences that might be relevant to the position. We will only conduct criminal record checks with DBS on successful candidates at the appropriate level for the role applied for. 

Failure to provide accurate and truthful information is considered a serious matter. If it becomes apparent that inaccurate or incomplete information has been provided, we will need to establish why. Any finding of serious misdirection or intent to deceive will result in an application being disqualified or, if appointed, disciplinary action being taken and/or dismissal. 

This post involves working in Regulated Activity under the Safeguarding Vulnerable Groups Act 2006 and is subject to an enhanced DBS with barred list check (I.e. adults, children or both). 

Are you included in the list of people barred from working with adults maintained by the Disclosure and Barring Service (DBS) under the Safeguarding Vulnerable Groups 2006?
Yes
No
Are you included in the list of people barred from working with children maintained by the Disclosure and Barring Service (DBS) under the Safeguarding Vulnerable Groups 2006?
Yes
No

Equal Opportunities

Applicants are invited to share their ethnicity to enable the organisation to monitor its equal opportunity policy. Monitoring is recommended by the Codes of Practice for the elimination of racial discrimination and for the elimination of discrimination on the grounds of sex and marital status. This information is used for no other purpose and will be treated as confidential. 

Recruitment Policy

It is the organisation's policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age, disability or neurodivergence. 

Declaration

I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement will be sufficient cause for rejection or, if employed, dismissal. 

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