CONFIDENTIAL

Application Form
If you choose to send a hard copy of the form, please sign the declaration at the end. If you are completing this in handwriting, please use black ink. If you choose to e-mail the form you will be asked to sign a printed version if you attend an interview. (Please note that some of the information given will be entered into WAGGGS personnel database, but will not be disclosed outside WAGGGS without your consent). Further information about WAGGGS work can be found on our website on the Internet: http://www.wagggsworld.org

Post Applied for:

Please specify where you have seen the advertisement:

Personal Information
(Please complete in capital letters) Surname: Title: Address for Correspondence: First Names in Full:

Telephone (home): Telephone (work):

Facsimile: E-Mail (work):

Mobile: E-Mail (home): Yes No

May we contact you at work? we will do so discreetly General Information Present Nationality:

Nationality at birth:

I already have the legal right to work in the country in which this post is based I will require a work permit If appointed, when would you be able to Are there any dates or times when you would start? NOT be available for interviews?

If you are invited to interview and have special requirements because for example, of a disability, please contact us beforehand to discuss. Please give details of any convictions. A conviction will not necessarily exclude you from employment with WAGGGS but will be taken into consideration when assessing your suitability for this particular position.

Qualifications and Training

Please give details of your education, qualifications and training relevant to the application. Dates To Qualification/Course Completed Place of Education/Training Grade/Result

From

Continue on an extra sheet if necessary 2

Achievements, Personal Qualities and Skills

Please use this section to indicate how far you meet the requirements for the post. List experience, achievements, knowledge, personal qualities and skills, which you feel are relevant to your application. You may include paid and unpaid work, work within the home and leisure interests.

Continue on an extra sheet if necessary 3

Please complete these sections carefully after reading any supplementary information regarding the post, particularly the job description and list of job competencies. The decision to invite you for interview will be based on the information you provide on this form and how closely you meet the specified competencies.

Employment History
Please summarise your previous jobs, starting with the most recent. Current Notice Required: Current Salary:

Dates of Employment From To

Employers name, address and nature of business. (Please also indicate location of post if based outside UK).

Job Title and Summary of Main Duties

Reasons for Leaving

Referees
Give details of two people who have knowledge of you in a working environment, paid or unpaid. (One referee must be your most current/recent manager). If you are a recent student, give appropriate school or college referees. 1 NAME: ADDRESS: 2 NAME: ADDRESS:

POSTCODE:

POSTCODE:

TELEPHONE: Email:

TELEPHONE: Email:

Relationship to you Can references be taken up now with: Your first referee: Yes No Your second referee: No Yes

Declaration
WAGGGS is an organization for girls and young women based on specific principles. The applicant must be prepared to accept all principles of WAGGGS and its values. I agree that any offer of employment with WAGGGS is subject to satisfactory references and medical assessment if required. In accordance with the 1998 Data Protection Act, it is agreed that WAGGGS may process my personal data for the purposes of my application for employment with WAGGGS. WAGGGS may also continue to process my personal data for a period of time if my application is unsuccessful. This information can be stored in both manual or computer form, including the data in Section 2 of the Data Protection Act 1998. I confirm that the information on this form and any attachments is correct and complete. I understand that any information later discovered to be incorrect may result in the termination of any agreements made.

Signature: ..

Date: .

Qualifications and Training (continued)

Please give details of your education, qualifications and training relevant to the application. Dates To Qualification/Course Completed Place of Education/Training Grade/Result

From

Achievements, Personal Qualities and Skills (continued)

Please use this section to indicate how far you meet the requirements for the post. List experience, achievements, knowledge, personal qualities and skills, which you feel are relevant to your application. You may include paid and unpaid work, work within the home and leisure interests.

Equal Opportunities Monitoring Form WAGGGS Equal Opportunities Policy

WAGGGS is committed to being an equal opportunities employer and in order to ensure our policy is effective, we need to obtain certain information. Your co-operation is sought in providing this. This form will be treated in the strictest confidence and will be detached before short listing. It will NOT be seen by the panel which shortlists or interviews for the job. You are under no obligation to complete this form but if you do you are agreeing, under the Data Protection Act 1998 that WAGGGS may hold and use personal information about you for monitoring purposes. If you are not offered employment with WAGGGS, your application may be kept for up to twelve months then destroyed.

Application for:

Date of Application:

Full Name:

Date of Birth:

Age:

Disability
Do you consider yourself to have a disability? i.e. a physical or mental impairment which has a substantial and long-term adverse effect on a persons ability to carry out normal day to day activities. Yes No

If yes, What is the nature of your disability?

Gender
Female Male

Ethnic Origin
This information is used to monitor whether we treat people from all ethnic origins fairly. group. Ethnic Origin questions are not about nationality, They are about colour and broad ethnic place of birth or citizenship.

These categories of ethnic origin are recommended by the UK If this is the case,

Commission for Racial Equality. We recognise however that the specified categories may not be appropriate for everyone. please use the last box. Black African Black Caribbean Black - Other
specify below) (please

Chinese Irish

... Indian Pakistani Bangladeshi

White Other (please specify below)

Region of Origin
WAGGGS is an international organization and we also wish to monitor the extent to which our staff reflects the membership of WAGGGS around the world. Please indicate which region you are from. If you are from more than one place, please indicate the region you feel you have the closest connection to: Africa Asia/Pacific Arab The Americas and The Caribbean Europe and The Commonwealth of Independent States

Thank you for your co-operation

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