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About the job you are applying for:

*Give the full title of the job or jobs that you are applying for.

About you:

*Title:

*All Forenames:

*Surname:

Preferred Name:

*Address Line 1:

Address Line 2:

*Town:

*County:

*Postcode:

*Daytime Telephone:

Mobile Telephone:

*Email Address:

*UK National Insurance No:

*Are you a UK, EC or EEA National?   select YES NO

If not, do you have any evidence of entitlement to enter and work permanently in the UK?   select YES NO

*Date available to start if offered the post:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec  2013 2014 2015 2016 2017 2018

Education, Qualifications & Experience:

Tell us about your school/college/university?

Establishment

From

To

Thinking about your education, what grades/awards did you achieve?

Subject/Qualification

Place of study

Grade

Year

What other experiences have you had that are relevant to this application? This may include voluntary or unpaid work, community work or experience/skills acquired outside of employment, such as caring for a family member.

Experience

Dates Undertaken

Current Employment:

*Employer's Name:

*Employer's Address:

*Type of Business:

*Your Job Title:

Telephone No:

*Start Date: 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

*Reason for Leaving:

Previous Employment:

Please list posts in date order.

Employer

Your Job Title

Start Date

End Date

Training:

Please tell us about any relevant vocational or professional training, short courses or in-house training that you have undertaken.

Course Title

Training Provider

Duration

Completion

Personal Statement:

Please give a brief statement of your reasons for wishing to apply for this post. Show us how you meet the person specification criteria found in the job description. Include details of any other interests, skills or achievements not already mentioned.

Upload CV

Referees:

We will need to obtain references from two people willing to act as referees for you. One must be your current or most recent employer, or your tutor if you are a student. The other person cannot be a member of your family.

Referee 1:

*First Name:

*Surname:

*Address:

*Postcode:

*Telephone No:

*Email Address:

*Relationship:

*For how long have you known the referee?

*Can this referee be approached prior to interview?   select YES NO

Referee 2:

*First Name:

*Surname:

*Address:

*Postcode:

*Telephone No:

*Email Address:

*Relationship:

*For how long have you known the referee?

*Can this referee be approached prior to interview?   select YES NO

Declaration:

I understand that any position offered to me is subject to two satisfactory references, an enhanced Criminal Records Bureau disclosure and Criminal Offences Declaration. I understand that as this position involves substantial access to children and young people the post is considered exempt under the provisions of The Rehabilitation of Offenders Act 1974. I understand that I must inform IPOP of ANY and ALL offences, convictions, bindovers or of any pending court cases I may have.

I certify that, to the best of my knowledge, the information provided on this form is true and accurate. I understand that if any of the information I have supplied on this or any other document is false or misleading it may result in any employment being terminated.

I understand that the information provided on this form may be entered onto a computerised system. I give explicit consent that the information provided by me on this form may be processed in accordance with the Data Protection Act 1998 and authorise the disclosure of personal data when references are taken up. My personal details will not be released to third parties without my consent.

*I Agree to the above terms:    select I ACCEPT I DECLINE

Equal opportunities survey:

IPOP wants to build a diverse workforce and is committed to a policy of equal opportunities for all. In order to monitor our equal opportunities policy we need to know the proportions of, for example, males and females, of different ethnic groups and of disabled people both within our workforce and among prospective employees.

This form will be detached from your application on receipt and kept separately. It will form no part of the selection process. The information in this form will be held in the strictest confidence and in accordance with the Data Protection Act 1998.

*Gender: Please select - - - - - - - - - female male

*Date of Birth: 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Do you consider yourself a refugee? selectYES NO

Do you consider yourself an asylum seeker? selectYES NO

Do you consider yourself to be disabled? selectYES NO

Do you hold a full UK driver's license? selectYES NO

Do you have access to some form of personal transport? selectYES NO

How did you hear about IPOP?