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Job Application Form
THIS SHEET WILL NOT BE SEEN BY THE PANEL PRIOR TO SHORTLISTING
THE POST
Post Title: SYFAB Manager
PERSONAL DETAILS
Surname/Family Name:
First name:
Address and postcode:
Home phone number:
Mobile:
Work phone number:
Email:
How do you prefer to be contacted?
Mobile
DETAILS OF CURRENT/MOST RECENT EMPLOYMENT
Employer:
Address:
Job title:
Date Appointed:
Length of notice required:
Date left:
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PLEASE EXPLAIN YOUR ROLE, RESPONSIBILITES AND ANY EXPERIENCE RELEVANT TO THE
ADVERTISED POSITION:
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PREVIOUS RELEVANT EMPLOYMENT (Paid or unpaid)
Employer:
Job title:
Dates From & To:
PLEASE EXPLAIN YOUR ROLE, RESPONSIBILITES AND ANY EXPERIENCE RELEVANT TO THE
ADVERTISED POSITION:
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Further Previous Employment & Volunteer Roles
Job title
Employer
Dates
From – To
Brief Description of
Main Duties
Reason for
Leaving
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EDUCATION
Please use this space to give details of any formal qualifications you have, giving the most
recent first.
School/College etc
Subject/Exams Passed/Qualification gained
Grade/Year
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TRAINING
Course Title and Content
Organising Body
Date, Duration and
Outcome
Membership of Professional Bodies (if applicable)
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FURTHER INFORMATION IN SUPPORT OF YOUR APPLICATION (please use a separate page if
need)
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REFERENCES
Please give the names and addresses of two people to whom we may write for references.
One referee should be your current or most recent employer, or most recent relevant employer.
If you have no previous employment record, your college, school or University.
These referees will only be contacted if you are shortlisted for the post. Please indicate
whether or not we may contact them at this stage.
First referee
Second referee
Name:
Address:
Tel:
Email:
Name:
Address:
Tel:
Email:
Relationship to you:
Relationship to you:
If you are shortlisted, may we contact this person
prior to interview?
If you are shortlisted, may we contact this person
prior to interview?
YES
NO
YES
NO
Relationships
Are you relation to, or have a relationship with, a trustee or employee of South Yorkshire’s Community
Foundation? If so, please state the relationship.
Please return the completed form marked Confidential to:
Roz Richards, Business Support
South Yorkshire Community Foundation, The Campus,
Pack Horse Lane, High Green, Sheffield S35 3HY
or email: rrichards@sycf.org.uk
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Criminal Convictions/Disciplinary Proceedings
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Criminal Convictions
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and
cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into
account.
Have you ever been convicted, or received a caution, warning or final reprimand, for an offence that
will not be filtered from the PNC by the DBS? South Yorkshire Community Foundation abides by the
DBS Code of Practice, which means any conviction disclosure would not necessarily be a bar to
employment, but failure to disclose information relating to any convictions etc, could lead to
withdrawal of an offer of employment.
Guidance and criteria on the filtering of these cautions and convictions can be found on the
Disclosure and Barring Service website.
YES
NO
If so, please give details.
Disciplinary Proceedings
Please provide details of any disciplinary actions or investigations that you have been subject to, that
are ongoing or still live on your records.
DECLARATION
The information contained in this form is, to the best of my knowledge, accurate and complete.
Signed …………………………………….. Date …………….………………………
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Privacy Notice
SYCF is required to collect, store and process the information contained about you in this
form in order to assess your application and adhere to our Equal Opportunities and
Diversity Policy. Our Privacy Policy lists your information privacy rights (available on our
website), which include the right to access the information we keep about you. Information
will not be shared with any third parties without your consent. For candidates who do not
gain employment with us, your information will be kept for the duration of your relationship
with us and will then be deleted after one year. For candidates who do gain employment
with us, your information will be kept for the duration of your contract and will then be
deleted after six years.
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