Job Application Form

The New Bridge Group is committed to safeguarding and promoting the welfare of
children, young people and vulnerable adults. We expect all staff and volunteers to
share this commitment

VACANCY INFORMATION

Application for the post of: Support Worker

Job ID/reference number (if applicable)

Where did you hear about this vacancy? Online

Thank you for your interest in a post within the New Bridge Group. We would like to take this
opportunity to wish you every success in your application for employment.

Completing the application form is the first stage of the selection procedure. The information you
provide in this document is the only evidence we will use in deciding whether or not you will be
shortlisted for interview, so you are strongly advised to complete the application form as fully as
possible. Please ensure your details are accurate as they are the only way we have to get in touch
with you. It is important that you supply a National Insurance number.
Our preferred method of contact is via email to [email protected]

Pre-prepared CVs will not be considered.

DATA PROTECTION NOTICE

Throughout this form we ask for some personal data about you. We will only use this data in line
with data protection legislation and process your data for one or more of the following reasons
permitted in law:
 You have given us your consent
 We must process it to comply with our legal obligations

You will find more information on how we use your personal data in our Privacy Notice for job
applicants.

1. Pre-employment Checks

Any job offer will be conditional on the satisfactory completion of the necessary pre-employment
checks
DISCLOSURE AND BARRING

The New Bridge Group is legally obligated to process an enhanced Disclosure and Barring
Service (DBS) check before making appointments to relevant posts.
The DBS check will reveal both spent and unspent convictions, cautions, reprimands and final
warnings, and any other information held by local police that’s considered relevant to the role.
Any information that is “protected” under the Rehabilitation of Offenders Act 1974 (Exceptions)
Order 1975 will not appear on a DBS certificate.
For posts in regulated activity, the DBS check will include a barred list check
It is an offence to seek employment in regulated activity if you are on a barred list.
Where appropriate we will use the DBS check to ensure we comply with the Childcare
Disqualification Regulations. It is an offence to provide or manage childcare covered by these
regulations if you are disqualified.
Any data processed as part of the DBS check will be processed in accordance with data
protection regulations and the Group privacy notice.

Do you have a current DBS certificate? ☒ Yes ☐ No Date of check:

Are you on the DBS Update Service? ☐ Yes ☒ No

We will not ask for any criminal records information until an applicant is invited to interview.
If you are invited for interview, you will be asked to complete and return a Criminal Record
Declaration Form at that time. Any convictions listed on a DBS check will be considered on a
case-by-case basis.

If you’ve lived or worked outside of the UK in the last 5 years the Group may require additional
information in order to comply with ‘safer recruitment’ requirements. If you answer ‘yes’ to the
question below, we may contact you for additional information in due course.

Have you lived or worked outside of the UK /NO

in the last 5 years?
If yes, please provide details

DISMISSAL
If you have ever been dismissed from any employment for any reasons other than redundancy
please give details here:

Employer Reason Date

 RIGHT TO WORK IN THE UK
The New Bridge Group will require you to provide evidence of your Right to work in the UK in
accordance with the Immigration, Asylum and Nationality Act 2006.
By signing this application, you agree to provide such evidence when requested.

Do you have eligibility to work in the UK? Yes

SIGN AND DATE

Name (please print):Amadi Ruth
Sign:
Date:15/06/2023

2. Personal details
The sections of this application form that include your personal details and equalities monitoring
information will be detached prior to shortlisting. This is to ensure that your application is dealt with
objectively. Applications will only be accepted if they are completed in full.
Please complete all sections of this form using black ink or type.

PERSONAL DETAILS
Preferred title: Miss

First name(s): Ruth

Surname: Amadi

Previous surnames:
Date of Birth: 12/04/2023

National Insurance Number:

Address:

Postcode:

Home phone:

Mobile phone:

Email address:

If you are currently, or have previously been employed by this organisation, please give
details below
Role:
Date from: Date to:
Reason for leaving (if applicable):
Do you have a valid driving licence?

DISABILITY AND ACCESSIBILITY

The New Bridge Group is committed to improving employment opportunities for people with
disabilities and will interview all applicants with a disability who meet the essential requirements
of the job as contained in the person specification. Declaring your disability will not have any
adverse effects on your application. You might also be entitled to further support.
The Equality Act 2010 says that you may be disabled if you have a substantial physical or mental
impairment that affects your ability to carry out day to day activities and which has lasted, or is
likely to last more than 12 months.

Do you consider yourself to be disabled YES/NO

according to this definition?
If you answered yes, how would you define this
impairment?

The New Bridge Group has committed to ensuring that applicants with disabilities or impairments
receive equal opportunities and treatment. If you have a disability or impairment, and would like
us to make any adjustments or arrangements to assist if you are called for an interview, please
state below the arrangements you require.

RELATIONSHIP TO THE GROUP

You must not canvas (ask for help or favours) from New Bridge Group employees in order to
 further your application or give you an unfair advantage. If it becomes clear that you have
canvassed then your application will not be considered. Making a declaration about a personal,
business or professional relationship with an employee will not in itself disqualify you for
consideration unless, in the view of the organisation, the nature of that relationship and the duties
and influence of the post for which you are applying could result in a conflict of interest.
If evidence of canvassing or failure to declare a relationship comes to light after you have been
appointed you will face disciplinary action or possible dismissal.
If you have a relationship with a governor, trustee, or employee, this does not necessarily prevent
them from acting as a referee for you.
Please list any personal relationships that exist between you and any of the following members of
the New Bridge Group community:
 Directors/trustees
 Staff
 Pupils

Name Relationship to you Role within the Group

CARING RESPONSIBILITIES
If there is anyone who relies upon you for care
and attention AND who you assist with their daily
routine, please give details here:

3. Employment History

Please list all jobs held starting with the most recent, including any previous or current employment
with The New Bridge Group. There should be no gaps in your employment and education history.
If this is your first job after leaving education, give the school or college’s name in place of
employer’s name, and your date of leaving and disregard the other items.

CURRENT OR MOST RECENT EMPLOYMENT DETAILS

Name of Employer

Employer details (name, address, email

and/or telephone

Position held:
Salary including any
allowances/overtime
Permanent or temporary

Date from (dd/mm/yyyy):

Date to (dd/mm/yyyy) (if applicable):

Period of notice required (if applicable):

Reason for leaving:

Please provide brief details of duties

and responsibilities:

PREVIOUS EMPLOYER
Name of Employer

Employer details (name, address, email

and/or telephone

Position held:

Salary including any

allowances/overtime

Permanent or temporary

Date from (dd/mm/yyyy):

Date to (dd/mm/yyyy) (if applicable):

Reason for leaving:

Please provide brief details of duties

and responsibilities:
PREVIOUS EMPLOYMENT
Please provide details of all previous employment. List the most recent employment first. You should also include any voluntary, part-time, casual and unpaid
work you have done. Please continue on a separate sheet if necessary.

Name of employer Position held Dates of Annual Salary Please provide brief details of duties and Reason for leaving
employment - from including any responsibilities
and to (dd/mm/yyyy) allowances/
overtime
UNACCOUNTED PERIODS
If there are any periods of time that have not been accounted for, for instance periods of travel or
caring for others, please give details of them here with dates. The information provided must
provide a complete chronology from the age of 16; please ensure that there are no gaps in the
history of your employment and other experience.

4. Education and Training

EDUCATION AND FORMAL QUALIFICATIONS

Please provide details of your education from secondary school onwards and the qualifications
you have gained, ensuring that you do not miss any identified in the person specification or you
may disqualify yourself at shortlisting.
If you are awaiting results, give the expected grade and make clear that this result is still
unknown. If called for interview you will be asked to provide evidence of your qualifications.

Dates attended (month and Name and location of Qualifications gained

year) school/college/university (including grades)

Training and Professional Development

Please give details of training or professional development courses undertaken in the last 3 years
that are relevant to your application, even if undertaken outside of your formal employment.

Qualification
Course dates Length of course Course title Course provider
obtained

Current Membership of Professional Bodies

Type of Date of Membership

Name of Professional Body
Membership Membership Number

5. References

Please provide the names and contact details of at least two referees who can comment on your
suitability for this position. One MUST be your current or most recent employer.
If you are not currently working with vulnerable adults/service users but have done so in the past,
the second referee should be the employer by whom you were most recently employed in this
capacity.
References will not be accepted from relatives, or persons who only know you as a friend.
References will be sought prior to interview and will ask your current/previous employer / tutor
about any disciplinary offences relating to safeguarding.
Please let your referees know that you’ve listed them as a referee, and to expect a request for a
reference should you be shortlisted.
The New Bridge Group reserves the right to seek any additional references we deem appropriate.

If either of your referees knows you by a different name, please state:

If you don’t wish us to contact your referees without your prior agreement, please tick this box: ☐

Reference 1 - Current or Most Recent Employer

Referee name:

Job title (if applicable):

Organisation:

Address:

Postcode:

Contact Number:

Email address:

In what capacity do you know the

referee?
Are you related to, or the partner of this
referee?
Is this your current or most recent
employer?
Reference 2 - Other Employer for whom you worked with children.

Referee name:

Job title (if applicable):

Organisation:

Address:

Postcode:

Contact Number:
Email address:

In what capacity do you know the

referee?
Are you related to, or the partner of this
referee?

6. Supporting Information

Skills, Knowledge and Experience

This section of the application form is where you explain how your experience, training and
personal qualities match the requirements of the role as set out in the job description and person
specification

Read through the advertisement and the job description to get a clear view of what the post
involves. The person specification describes the necessary skills, experience and qualifications
we are looking for. Pay particular attention to those areas on the person specification described
as essential.

Those that are emboldened are the essential criteria which must be supported by evidence
on this application form. This may be from your current or previous job, from community or
voluntary work, or from skills transferable from other life experience, particularly if you have been
out of paid employment for some time. Please provide any additional information relevant to this
application. You may wish to discuss additional skills or relevant special interests

Maximum 1½ sides of A4 in a font no smaller than size 10.

 7. DECLARATION

Declaration / Confirmation of Details

Please read the declaration below and sign and date to confirm that the information that you have
supplied is complete and truthful, and that you agree to the information being processed and used
by The New Bridge Group for the purposes of recruitment, monitoring and (if appropriate)
subsequent employment.

By supplying the information on this form, you consent to its being processed for all employment
purposes as defined in Data Protection legislation and its use in any verification checks that may
be made. We have a duty to protect public funds and may use this information to prevent and
detect fraud. We may also share this information for the same purposes with other organisations
that handle public funds.

I certify that to the best of my knowledge that all the information I have given is correct. I
understand that by deliberately giving false or incomplete answers I will be disqualified
from consideration for this post or, in the event of my appointment, may be dismissed
without notice. I also understand that the appointment will be subject to satisfactory
medical examination, references and criminal records checks (as appropriate).

If this is an electronic application, please tick the box to confirm that the information you
have supplied is complete and truthful and enter the date below. Please note you will be
required to sign this form should you be called for interview.

Online Form Declaration

Signed:

Date:

8. Equalities monitoring
We’re bound by the Public Sector Equality Duty to promote equality for everyone. To assess
whether we’re meeting this duty, whether our policies are effective and whether we’re complying
with relevant legislation, we need to know the information requested below.
This information will not be used during the selection process. It will be used for monitoring
purposes only.

EQUALITIES MONITORING INFORMATION

D D M M Y Y Y Y
What is your date of birth?

☐ Male
What is your sex?
☐ Female

☐ Male
☐ Female
What gender are you?
☐ Other
☐ Prefer not to say

☐ Yes
Do you identify as the gender you were
☐ No
assigned at birth?
☐ Prefer not to say

How would you describe your ethnic origin?

White Black or Black British
☐ British ☐ African Other Ethnic groups
☐ Irish ☐ Caribbean ☐ Arab
☐ Gypsy or Irish Traveller ☐ Any other Black ☐ Any other ethnic group
☐ Any other White background
background
Mixed ☐ Prefer not to say
Asian or British Asian ☐ White and Asian
☐ Bangladeshi ☐ White and Black African
☐ Indian ☐ White and Black Caribbean
☐ Pakistani ☐ Any other mixed
☐ Chinese background

Which of the following best describes your sexual orientation?

☐ Bisexual ☐ Other
☐ Heterosexual/straight ☐ Prefer not to say
☐ Homosexual

What is your religion or belief?

☐ Agnostic ☐ Jain ☐ Other

☐ Atheist ☐ Jewish ☐ Pagan
☐ Buddhist ☐ Muslim ☐ Sikh
☐ Christian ☐ No religion ☐ Prefer not to say
☐ Hindu

Pregnancy and maternity

Are you pregnant? Have you given birth within the last 12 months?
☐ Yes ☐ Yes
☐ No ☐ No
☐ Prefer not to say ☐ Prefer not to say

Are your day-to-day activities significantly limited because of a health problem or

disability which has lasted, or is expected to last, at least 12 months?

☐ Yes
☐ No
☐ Prefer not to say

If you answered ‘yes’ to the question above, please state the type of impairment. Please
tick all that apply. If none of the below categories applies, please mark ‘other’.

☐ Physical impairment
☐ Sensory impairment
☐ Learning disability/difficulty
☐ Long-standing illness
☐ Mental health condition
☐ Developmental condition
☐ Other