Job Temp

Donate Crisis Support

• Support Us • Work for us • Job application form • Job Temp

Step 1 of 2
Please fill in this form and submit it by the deadline to apply for one of our advertised positions.
Position you’re applying for:*

Personal Details
Title*
First Name*

Last Name*

Address*
Street Address Address Line 2 City County Postal Code Country

Daytime Telephone*
Evening Telephone
Mobile Number*
Email Address*

Do you have the right to work in this country, including the necessary permit or visa? You will be asked to provide proof of this prior to appointment.*

Yes

No
Education from the age of 16
Dates Place of study Qualification

Professional training and qualifications
Dates Place of study Qualification

Work history, including voluntary work
Dates Organisation Position Responsibilities, reason for leaving,etc

Personal statement*
Please use the job description and person specifications to explain why you feel you would be suitable for this position.
Please give us brief details of any interests/hobbies:
Please give us brief details of any interests/hobbies:
Referees
Please provide the details of two referees, one of which, if possible, should be your current or last employer. We will not contact referees without your permission.
Referee One*
Full Name Daytime Phone Number Email Address
Referee One*
Company Name Position Relationship to you
Referee Two*
Full Name Daytime Phone Number Email Address
Referee Two*
Company Name Position Relationship to you
Additional Information
Please feel free to add any other information you feel might be relevant to your application.
Rehabilitation Of Offenders Act (1974).
The Police Act (1997.)

As Mary Frances Trust meets the requirements in respect of exempted convictions under the Rehabilitation of Offenders Act (1974), all applicants who are offered employment will be subject to a criminal record check from the Disclosure and Barring Service before appointment is confirmed. This will include details of cautions, reprimands or final warnings, as well as convictions.

If you are invited for interview you will be asked to submit appropriate written details and dates in confidence of all criminal record information, including details and dates of “spent” convictions, caution, reprimands and final warnings. We will then be able to discuss with you whether such convictions may affect for suitability for this type of employment.

You do not need to disclose anything now – but if you would like to discuss any areas of concern, please contact us.
Declaration*
I declare that the information given is to the best of my knowledge correct, and I understand that if appointed, this application form will become part of my contract of employment and any false information could lead to termination of employment.
Data Protection
To find out more about how we will process your data, please read our Job Applicant Privacy Notice.
Equal Opportunities Monitoring Form
We want to make sure that we are an equal opportunities employer in practice, which is why we want to monitor our recruitment procedures. We will separate this part of the form from the application form. It will not form part of the selection process. Please tick the appropriate boxes:
Gender*
If you are undergoing the process of gender reassignment, please tick the box that applies to your future gender. I am:
Male
Female
Other - Please specify below
Prefer not to say
Other

What age group do you belong to?*
16-18
19-25
26-40
41-64
65+
Prefer not to say
I am a Carer*
Yes
No
Prefer not to say
How would you describe your sexuality?*
Heterosexual/Straight
Gay man
Gay woman/lesbian
Bisexual
Other
Prefer not to say
What is your marital status?*
Single
Divorced
Married
Same Sex Marriage / Civil Partnership
Prefer not to say
How would you describe your ethnic origin?*
White British
Irish
Gypsy of Irish Traveller
Any Other White Background
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed / Multiple Background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian Background
African
Caribbean
Any Other Black African/Caribbean Background
Arab
Any other Background - please specify
Prefer not to say
Please describe your ethnic origin

How would you describe your nationality?*
British
English
Scottish
Welsh
Irish
Other - please specify below
Specify nationality

Do you have a disability?*
Yes
No
Prefer not to say
If yes, are you registered as a disabled person?
Yes
No
Prefer not to say
If yes, please tick the appropriate box
Physical
Visual impairment
Hearing impairment
Sensory
Learning
Autism
Prefer not to say
Do you consider you have a mental health condition?
Yes – please specify below
No
Prefer not to say
Specify mental health condition

Do you consider you have a long-term health condition?*
Yes
No
Prefer not to say
My religion or belief is*
Christian – all Denominations
Muslim
Hindu
Jewish
Buddhist
Sikh
None
Other – please specify
Prefer not to say
My religion or belief is*

Dates	Organisation	Position	Responsibilities, reason for leaving,etc

Dates	Place of study	Qualification

Dates	Place of study	Qualification

Step 1 of 2

Personal Details

Referees

Data Protection

Equal Opportunities Monitoring Form