Application form

You must be 17 years or over to work in a regulated position.

Role Details

Post applied for: *

Location:

How did you hear about this role?

Personal details

Title:

Family Name

First name(s)

Address

Current UK Postcode

Email Address

Home Telephone Number

Mobile Telephone Number

National Insurance No.

Date Of Birth

Work Permit
Do you require a work permit before you can be employed in this country?

Yes
No

Do you have any disability, which may affect your application or employment?
We ask this question to enable us to consider any adjustments that we can make, either to the recruitment process, including any selection assessments/tests or in employment, in order to assist you.

Yes
No

If appointed, how soon could you take up the post?

Do you have a friend or relative that works within YMCA Central Herts?

Yes
No

If answered yes to the previous question please specify

Do you hold a current UK driving licence

Yes
No
Not required for this post

CV Section

Upload CV *
Reverse chronological order, from your most recent job to your first. Do not leave any gaps in employment or provide an explanation, e.g. career break, voluntary assignment, secondment. For those that have established their career over a longer period may wish to concentrate on the roles that relate more to position they are applying for. Supporting information i.e. hobbies or volunteering.

DATA PROTECTION ACT CONSENT FORM

/pages/data-protection-act-consent-form.html

Declaration of criminal background information

Equal Opportunities form

Please tick the appropriate box *
Gender

Male
Female

Age Range *

Up to 25
26-35
36-45
46-55
56 and over

Marital Status *

Number of Dependants *

Would you describe yourself as having a disability? *

Yes
No

(If yes, please give details)

Where did you see this vacancy advertised *

What is your ethnic group?

White

English
Scottish
Welsh
Irish
Other

Mixed

White and Black Caribbean
White and Black African
White and Asian
Any other mixed background

Asian, Asian British, Asian English, Asian Scottish, Asian welsh

Indian
Pakistani
Bangladeshi
Any other Asian background

Black, Black British, Black English, Black Scottish, Black Welsh

Caribbean
African
Any other Black background

Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh, or other Ethnic group

Chinese
Any other background

I understand that this information may be stored and processed as part of the YMCA's monitoring of equal opportunities and as part of the recruitment procedure and give my consent for my details to be used for this purpose *

I agree
I do NOT agree

Declaration of criminal background information

The post for which you are applying involves working with children, young people and/or vulnerable adults, therefore you are required to give all details of any criminal record including spent or unspent convictions, cautions or warnings. The Rehabilitation of Offenders Act 1974 sets out to help people who have been convicted of a criminal offence and have not been convicted again in a specified period. Once a conviction is spent, the convicted person usually does not have to reveal it or admit its existence; however as you will be working directly or indirectly with children, young people and/or vulnerable adults you must disclose it.

If you are made an offer of employment you will then be required to complete a CRB form for an ENHANCED CRB. If you have not disclosed all spent, unspent convictions, cautions and warnings which later appear on your CRB this may be considered as dishonesty or as an act of Gross Misconduct and therefore lead to the Disciplinary and Grievance Procedure which may lead to your dismissal. If you are a volunteer you may be prohibited from working in any area of the YMCA Central Herts.

ISA Number

Do you have any spent or unspent criminal acts? *

Yes
No

Please give details, including date, offence and where appropriate sentence of all spent and unspent criminal acts:

Convictions: *
If no please input N/A

Conviction date:

/ /

Cautions: *
If no please input N/A

Caution date:

/ /

Reprimands:

Reprimand Date:

/ /

I have read the guidance above and understand that if my application is successful I will apply for a higher level Disclosure (Enhanced CRB). *

By ticking this box you have agreed that the information you have provided above to be accurate. *

Date *

/ /

* Denotes required field.

Online Application form

You must be 17 years or over to work in a regulated position.

Role Details

Personal details

CV Section

Equal Opportunities form

What is your ethnic group?

Declaration of criminal background information