TempDIRECT. Application for Employment. Personal Details. Availability. Hours. Location

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1 TempDIRECT Application for Employment Personal Details Title (select as appropriate): Dr Mr Mrs Miss Ms Other (please specify) Surname(s): First name(s): Previous surname(s): Address: Post Code: Address: Telephone: Home: Work: Mobile: National Insurance no. Availability Hours Full-time Part-time Evenings Weekends If part-time only indicate number of hours/day/am or pm: Location Batley Huddersfield Dewsbury Mirfield Data Protection Act 1998 applies. We will treat all information relating to your application in confidence. If you are unsuccessful, we will keep your form for 6 months before destroying it.

2 Reference remember to ask your referees for permission before you give their name. Name Address: Name Address: Post Code: Tel: Occupation: Relationship: May we contact this person if you are invited for interview Yes No Post Code: Tel: Occupation: Relationship: May we contact this person if you are invited for interview Yes No References will be requested as part of the recruitment process and will form part of the decision making process. One referee must be your present or most recent employer and both referees must be able to comment on your suitability for the job for which you have applied. Please do not give names of friends or family members. Your referees will be asked for details of any disciplinary action taken against you whilst in their employment. After a conditional offer has been made your referees will be asked for information regarding your sickness absence record during the past 24 months. If you are related to any councillor or employee of Kirklees Council or a member of a Kirklees school governing body in the case of posts in schools, please give details. If none, please tick the box Name: Job title: Relationship to you (aunt, brother, partner etc): Name: Job title: Relationship to you (aunt, brother, partner etc): The information provided on this application is true and I have not canvassed (either directly or indirectly) any councillor or officer of Kirklees Council and will not do so. I am aware that to withhold facts or falsify information could result in disciplinary action leading to dismissal. Signed: Date:

3 Work History Present Employment (or last job for applicants currently unemployed) Job title: Date employment started: Date employment ended: Reason for leaving (if applicable): Notice required (if applicable): Name of employer: Address: Post Code: Current Salary: Grade: Briefly describe your duties:

4 Previous Employment This section deals with your previous employment. Start with the most recent and please include any relevant part-time, casual or voluntary work. We need details of ALL previous employment (paid or unpaid), and also ALL periods of non-employment, e.g. child care, education etc, since leaving school. If you use additional sheets please remember to put your name on each extra page and number it. Job Title Main Duties Name and Address of Employer From To Wage/Salary Reason for Leaving If you need more space, please attach additional sheets and tick this box

5 Your answers to the questions below will tell us if you have the skills and experience to be interviewed for TempDirect. Please respond in full to all questions. If you need more space please attach separate sheets indicating your name on each extra page as well as the question you are answering. 1. Describe how you would provide a friendly and professional reception service to visitors and callers. 2. In assignment you may be required to arrange meetings. What factors do you need to consider to ensure that meetings run smoothly? 3. Give an example of when you have responded to a routine enquiry and how the enquiry was resolved.

6 Your answers to the questions below will tell us if you have the skills and experience to be interviewed for TempDirect. Please respond in full to all questions. If you need more space please attach separate sheets indicating your name on each extra page as well as the question you are answering. 4. In assignment you may be required to take payments, handle cash, deal with invoices and / or balance numeric information. Give examples of when you have undertaken similar tasks (in the workplace or elsewhere). 5. In assignment you will be required to use a range of computer systems. Tell us what computer systems you are familiar with, which specific packages you have used and give full details of your training / experience and usage: Essential Computer Skills: Word Processor Name of package if known (e.g. MS Word) Details of training / experience / qualification: Give examples of the type of work you have done on this system (this could be at work or personal use): Database Name of package if known (e.g. MS Access): Details of training / experience / qualification:. Give examples of the type of work you have done on this system (this could be at work or personal use

7 Your answers to the questions below will tell us if you have the skills and experience to be interviewed for TempDirect. Please respond in full to all questions. If you need more space please attach separate sheets indicating your name on each extra page as well as the question you are answering. Spreadsheet Name of package if known (e.g. MS Excel): Details of training / experience / qualification: Give examples of the type of work you have done on this system (this could be at work or personal use): Name of package if known (e.g. MS Outlook): Details of training / experience / qualification: Give examples of the type of work you have done on this system (this could be at work or personal use: Please provide additional information on any other computer packages you are familiar with: [ ] Other Name of system(s) used: Details of training / experience / qualification: Give examples of the type of work you have done on this system (this could be at work or personal use):

8 Your answers to the questions below will tell us if you have the skills and experience to be interviewed for TempDirect. Please respond in full to all questions. If you need more space please attach separate sheets indicating your name on each extra page as well as the question you are answering. 6. Relief Support Work TempDirect are asked to provide Relief Support Workers to members of staff who have a disability. Appropriate support could range from assisting with general administrative duties to providing personal care. Please note, your answer to the following question does not affect your application to join TempDirect for Business Support work. Would you like to be considered for our bank of Relief Support Workers? Yes No If yes, please tick the type of support you are able to provide: General Office Duties Reading Aloud Signing / BSL Personal Support Driving Lifting Please describe any additional skills and experience you have that support your interest in providing Relief Support Work.

9 TempDIRECT Application for Employment Equal Opportunities Monitoring Name: We are committed to employing a workforce that reflects the community we serve. Please help us to monitor our progress by completing the details below. Your information will be treated confidentially. Are you Male Female Date of birth I would describe my ethnic origin as(please tick): White British Irish Other White background (please specify) Asian or Asian British Indian Pakistani Bangladeshi Kashmiri Any other Asian background (please specify) Black or Black British Caribbean African Any other Black background (please specify) Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background (please specify) Chinese or Other Ethnic Chinese Any other ethnic group (please specify) Disability We have to ask you if you are disabled as defined under the Disability Discrimination Act (1995). As a disabled person, under this definition, you have a physical or mental impairment which has a substantial and long term adverse effect on your ability to carryout normal day-to-day activities. Do you consider yourself to be disabled under this definition? Yes No If you have answered No to the question above, do you personally consider yourself to be a disabled person? Yes No Sexual Orientation If you wish to, you may disclose information about your sexual orientation below: Heterosexual Gay Lesbian Bisexual I do not wish to disclose information about my sexual orientation

10 Religion If you wish to, you may disclose information about your religion below: Christian Buddhist Hindu Jewish Muslim Sikh Any other (Please specify) I do not wish to disclose information about my religion No religion The information you provide will be used to produce statistics for equal opportunity and recruitment monitoring only. Please see Guidance for Applicants regarding completing Equal Opportunities Monitoring Form below Kirklees Council Guidance for Applicants regarding completing Equal Opportunities Monitoring Form As a result of completing this information you will help us to monitor our progress around equality and diversity representation within our workforce. Please provide as much information as you can to help us with our monitoring. Kirklees council recognises its responsibility to remove barriers in our recruitment, retention and development processes. We take a holistic approach to equality and diversity to ensure that people from all sections of our community have fair and transparent opportunities within all areas of the council s control. If you have an impairment which means you identify difficulties or barriers within the job or its implementation, please indicate these in your application form and we will consider reasonable adjustments. Where groups are under-represented within the council s areas of responsibility, positive action strategies will be considered. The council recognises that all employees have an individual responsibility in the promotion of equality and diversity.

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