STAFF APPLICATION FORM

You can simply email your CV and personal statement to info@21together.org.uk to apply.

If invited to interview, you will be asked to complete the form below. You may do it at this stage if you prefer.

Your Personal Statement should include an overview of why you feel your skills are suited to this role, and why you think you would be suited to working within 21 Together as an organisation.

We take safeguarding very seriously, so we do ask you to complete a full application form and follow recruitment processes such as providing references, proof of qualifications and completing DBS where appropriate.

If you have any queries or need the form in a different format, please get in touch.

Role applied for

Name

First Name

Last Name

Phone Number

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth

YYYY

Why do you want this role?

What is your previous experience working with children or young people with disability?

Current place of work/study if any?

Please list any relevant previous employment and/or voluntary experience with the dates you completed these and the reason for leaving.

If these are available on your CV then please just note this in the box. No need to duplicate here. Please remember to email your CV to info@21together.org.uk. Use the job role you are applying for as the email heading.

Where did you hear about this role?

REFERENCES

Please give two references, this may/may not be taken up at any point during the application process.. At least one reference must be from previous employment and / or education setting.

Name of reference one

Current / Most recent work / study area if possible.

First Name

Last Name

Reference one organisation name if applicable.

Reference one address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference one relationship to you

Email to contact reference

Name of reference two

If this a personal reference it must be a professional person such as teacher, soliciter, health professional or similar.

First Name

Last Name

Reference two organisation name if applicable.

Reference two address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference two relationship to you

Email to contact reference two

DBS information

Please choose the most relevant option

I DO NOT agree to undergo any additional, necessary DBS checks

I agree to undergo any additional, necessary DBS checks.

Disclosure of Criminal Convictions Under the Rehabilitation of Offenders Act 1974 (Amendment Order 1986) and regulations issued by the Home Office, the Trust has a duty to ensure that a Disclosure and Barring check for possible criminal convictions is undertaken for all those who apply for positions that give substantial access to children. Applicants are not entitled to withhold information about convictions which for other purposes would be ‘spent’ under the provisions of the Act. Have you ever been cautioned, convicted or found guilty of any offence by any Court (even if you were only placed on probation or conditionally discharged)? Have you ever been the subject of any investigation or inquiry into abuse or other inappropriate behavior by an enforcement agency? Answering ‘Yes’ does not necessarily bar you from appointment. Every application is considered on its own merits.

YES

If you have answered yes, you now have two options on how to disclose your criminal record. Option 1: Please provide details of your criminal record in the space below. Option 2: You can disclose your record under a separate cover provided that you mark a cross on the line below and attach the details in an envelope that is submitted to us via post. The envelope should be marked CONFIDENTIAL and addressed to Charity Manager.