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Sample application form bad
1. Please write below why you want this job.
Please use this space to tell us how you match
with the things we are looking for
(person specification)
I have worked with people with learning difficulties for
over 20 years. I have recently moved here to be closer
to my mother who is ill. I have not been back here very
long and it’s changed a lot since I lived here before.
My communicating skills are excellent. I can be very
understanding. This is a skill I developed working with people
who are wheelchair bound. I have a lot of experience dealing
with the autistic as well.
Recently some of the new staff set up a group for parents with
learning difficulties. I support them by answering the phone and
taking messages for them during the meetings. I am quite a
private person so I tend to leave the group work to the people
who enjoy it. I don’t mind mucking in though. No one likes the
dirty jobs but they have to be done and I am willing to take my
turn.
I am very confident as I have been working with these people
most of my working life. Sometimes you need to stand up to
people or the weaker ones might get hurt.
Tell us a bit about when you worked in a
team?
In my last job I had been there longer than
the rest of the team. I was very good at
explaining behaviour programmes to new
colleagues and generally showing the younger
ones how it’s done.
2. What are your ambitions?
Eventually I want to open my own nursing
home in Scarborough. I am very
committed to seeing people with learning
disabilities being happy and having a nice
holiday is important.
What support might you need to do
the job?
I don’t need any support
really I have been doing this
for a long time now gym
every day.
Can you cook?
YES/NO
Can you drive?
YES/NO
3. Please give details of any relevant education,
training or qualifications
School, college, or other From To Any
qualification
Manchester School of
nursing
1982 85 RNMH
Work – list all the jobs you have had.
Start with the most recent.
You can include unpaid work
Date
you
Started
Date
you left
Employer Please tell
us a bit
about what
you did
Wages
Februar
y 1985
July
2006
Manchester
Communit
y Health
service
I work as a
community
nurse
supporting
mentally
handicappe
d people.
£28,000
4. The Rehabilitation of Offenders Act 1974
The job you are applying for is exempt from the
Rehabilitation of Offenders Act. It is a condition
of the job that you tell us about all convictions
(spent and unspent, including driving
convictions).
If you don’t tell us, you could be sacked.
All staff will be checked through the Criminal
Records Bureau.
If you have no past convictions, cautions or bind-
overs and no pending cases please tick here
Please give details of any criminal convictions,
cautions, bind-overs or pending cases below -
Asylum and Immigration Act 1996 – Section 8
From 27 January 1997, employers are required to
make sure that all new employees have the right to
work in the UK. Please indicate below your right to
work in the UK; applicants short-listed for interview
will be required to provide evidence to support this
statement.
I have the right to work in the UK as defined within
Section 8 of the Asylum and Immigration Act 1996.
Please tick one box YES NO
References: One of your referees should be your current or
most recent employer.
Can we contact your referees before interview? YES/NO
NAME: Simon Smith
POSITION: Team Manager
ADDRESS: Manchester
Community Health Service
PHONE: 0161 244 4444
NAME: Carole Barnes
POSITION: Personnel Manager
ADDRESS: Manchester Community
Health Service
PHONE: 0161 270 7777