Application Form Step 1 of 9 - Job Details 0% Position applied for Where did you hear about this vacancy?FacebookIndeedGumtreeTotal jobsReedJobcentre plusGoogle job searchReferred by a friend/colleagueUniversity/college careers serviceOn-site posterRecruitment agencyOther Forename (as per passport) Middle name (as per passport) Surname (as per passport) Address Street Address Address Line 2 Town/City County Postcode Email address Contact numberNational insurance number Do you have a right to work in the UK?Please selectYesNoPlease note we do not offer sponsorship opportunities with employment.Do you hold a current UK driving licence?Please selectYesNoN/APlease provide further detailsWe ask this question to consider any adjustments that we can make to support you during the recruitment process or within employment.If appointed, how soon could you take up the position from the date of the offer? Do you have a disability which may affect your application, interview or employment?Please selectYesNoDo you have a car you can use for business purposes if required and appropriate business insurance to cover this type of use?Please selectYesNoN/A FOR POSITION APPLIED FOR YMCA Bournemouth is a Christian organisation with a clear Christian Ethos (see our Ethos statement). All staff are required to be supportive of this Christian Ethos, even for positions where being a practicing Christian is not a requirement.Please state your opinion regarding the YMCA Bournemouth Ethos statementWhere the job description has a genuine occupational requirement (GOR) for a practicing Christian, please answer the following:What are your religious beliefs? If you attend a place of worship, please provide details. If you are involved in Christian-related activities, please give details. Please provide details of two referees, one of which must be your current or most recent employer, or school if you have not been employed before. We will accept a character/personal reference (family members will not be acceptable) as the second reference, if further employment or educational references are not available. Please advise if you were previously known by a different name. With your permission, references will be sought on shortlisted candidates prior to interview, as part of our safer recruitment procedures. Employment will be subject to satisfactory references, DBS and right to work check.Referee 1Name Position Company Address Street Address Address Line 2 Town / City County Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact numberEmail address In what capacity does this person know you? Permission to contact pre-interview?YesNoReferee 2Name Position Company Address Street Address Address Line 2 Town / City County Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact numberEmail address In what capacity does this person know you? Permission to contact pre-interview?YesNo With reference to the person specification, please explain how you are suitable for the available position, providing examples from work, studies, volunteering or life experiences, and why you are applying for this role.Supporting detailsCVMax. file size: 512 MB. All candidates applying for a role at YMCA Bournemouth are required to complete the criminal background declaration form. The information within this form will remain confidential and will only be used in appropriate circumstance related to the hiring process. We actively promote equality of opportunity for all with the right mix of talent, skills and potential and welcome applications from a wide range of candidates. The YMCA undertakes not to discriminate unfairly against any applicant based on a criminal record or other information revealed. We do however ask all applicants to provide details of any criminal record. The Rehabilitation of Offenders Act 1974 sets out to help people who have been convicted of a criminal offence, who have not been convicted again in a specified rehabilitation period and a conviction is considered to be ‘spent’ meaning you do not then have to reveal it. If, however, the post for which you are applying brings you into direct contact with children, young people and/or adults at risk we will take steps to assess an applicant’s suitability for such a position of trust and you need to declare all ‘spent’ and ‘unspent’ convictions. Having a conviction will not necessarily bar you from consideration for a position with us but failure to reveal information that is relevant to the position sought could lead to withdrawal of an offer of employment or lead to subsequent dismissal.Name and surname Position applied for Please provide details, including the offence, the date of offence, and where appropriate sentence of all criminal convictions, cautions, reprimands and final warnings (spent and unspent).DBS I have read the statement on applicants applying for a role which involves working with children, young people and/or adults at risk (as above) and understand that if my application is successful, I must apply for an appropriate level DBS check where necessary. The role has a statutory, occupational requirement to ensure the safety and welfare of all children, young people and adults at risk that they may come across using our services. The post holder will take responsibility for ensuring safeguarding children, young people and adults at risk as a priority and follow both YMCA Bournemouth safeguarding policy and BCP Safeguarding Children Partnership and Dorset Safeguarding Children Partnership statutory guidance. I declare that the information I have given on this form is correct and complete. False or misleading statements may serve grounds for cancelling any agreements made, or for disciplinary action to be commenced. I agree Have you had any assistance with completing this application form?Please selectYesNoPlease provide details As an equal opportunities’ employer, YMCA Bournemouth are committed to the active promotion of equal opportunity in the provision of services and as an employer of paid and unpaid workers. The following form allows us to monitor our equal opportunity policy in recruitment and selection procedures. The information you provide within this form will not form part of the selection procedure and is used for monitoring purposes only.Position applied for Gender Age What is your ethnic group? Marital status Number of dependents Would you describe yourself as having a disability?Please selectYesNoPlease provide further detailsDo you have a military or medical background?Please selectYesNoPlease provide further detailsMonitoring of equal opportunities I understand that this information may be stored and processed as part of the YMCA’s monitoring of equal opportunities and as part of the recruitment procedure and give my consent for my details to be used for this purpose.