Recruitment Monitoring Questionnaire

Family for Every Child’s formation is guided by a diverse Steering Committee of 15 national civil society organisations, with the international NGO EveryChild providing practical support.

Family for Every Child and EveryChild, who provide us with HR support, are committed to equality of opportunity in the recruitment, retention and development of our workforce in order to ensure it reflects and attracts talented people from the diverse society within which it operates. The purpose of this equality monitoring form is to ensure that our policies and procedures do not inadvertently discriminate on any specific group, and are fair and transparent.

We would like to assure you that any information you provide in this form will be kept confidential and will be processed in line with the requirements of the Data Protection Act, 1998. Your data will therefore be only used for statistical purposes. No information will be published or used in any way which allows any individual to be identified.

Whilst completing this form is not a mandatory requirement, your co-operation in providing us with accurate data would greatly assist us to promote equality and diversity within our organisation.

Position Applied for:First Name:Surname:Date of Birth:

Disability

Under the Disability Discrimination Act 1995 (DDA) disability is defined as any physical or mental impairment or long-term health condition which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.

Do you consider yourself to have a disability as defined by the DDA 1995?

Yes No Prefer not to say

I would describe myself as having the following:

Gender:

Male Female

Ethnic origin: (Please tick)

White Mixed heritage Asian Black or Black British

Chinese or other

British White & Black Caribbean

Indian Caribbean Chinese

Irish White & Black African

Pakistani African Other (please state)

Other White & Asian Bangladeshi Other (please state)

Other (please state)

Other (please state)

Where did you see this post advertised? …………………………………………………………

Application Form

Please return completed application form to: PRIVATE & CONFIDENTIALMaria Tsang, HR Advisor Post: 4 Bath Place, London EC2A 3DRFax: 020 7729 8339 (FAO Maria Tsang)

Email: recruitment@everychild.org.uk

Position applied for: Research and Advocacy Officer

Closing date: 12:00 (GMT) 18th March 2014

1st Interview: Wednesday 9th – Thursday 10th April 2014

2nd Interview: TBC

Personal Details

Title:

First Name:

Surname:

Address:

Email address:

Contact phone number:

Holiday arrangements planned:

This position can be based in the UK or overseas. Please confirm the location that you intend to work from and that you have the relevant work visa to do so.

Intended work location: Work visa: Yes/No

The first interview is due to be held on 9th – 10th April 2014. Are you able to attend?

Where did you hear about this vacancy?

Education History

School

Name of SchoolDates attendedQualifications and grades

College/University

Name of College/UniversityDates attendedQualifications and grades

Other training

Name of Course/TrainingDates attendedQualifications

Employment History

(Starting with most recent first)

Name of Employer:

Job Title:

Dates position held:

Main responsibilities:

Reason for Leaving:

Name of Employer:

Job Title:

Dates position held:

Main responsibilities:

Reason for Leaving:

Name of Employer:

Job Title:

Dates position held:

Main responsibilities:

Reason for Leaving:

(Please continue on another sheet if appropriate)

Supporting Information

Please tell us how you think your skills and experience meet the criteria outlined in the job description and person specification. You should provide enough information to fill an A4 sheet.

Have you applied to work at Family for Every Child before?(If yes, please state which job applied for)

Current/Last salary

Do you have pending or have you ever been convicted of a criminal offence (other than minor driving offences) which is not a spent conviction under the Rehabilitation of Offenders Legislation?

If yes, please give further information (use separate sheet if necessary):Family for Every Child from time to time requires its employees to work overtime which is unpaid. Would you be able to work overtime? Never/Occasionally/Frequently

Supplementary Information

As a matter of good practice for organisations that work with children, all staff at Family for Every Child are required to consent to a background/ police check.

Please delete as appropriate:

I give consent to a background check/I do not give consent to a background check.

References

If we offer you the post we will want to take up references immediately after the offer is made, but not before. Any offer of employment will be subject to our receiving satisfactory references. Please state the name of at least two referees below, one of who must be your present or immediate past employer.

1. Name:

Company:

Job Title:

Contact details:

Relationship to you:

2. Name:

Company:

Job Title:

Contact details:

Relationship to you:

Declaration of Applicant

I confirm that the above information is correct. I understand that any false information or deliberate

omissions will disqualify me from employment or may render me liable for dismissal

Signature: _______________________________________ Date: ________________________

Data Protection: Your signature on this form authorises the Personnel Administrator to process this personal data and sensitive personal data for the purposes of your application for employment with Family for Every Child. It will be treated and filed as confidential information. It will not be made available to a third party without written permission from the applicant. If you are appointed to the post your application form will be kept for the duration of your employment. If you are not appointed to the post, the form will be kept for 6 months and then destroyed. I understand that the personal data which I have provided on this form may be stored in paper or electronic form in accordance with EveryChild’s policy on Data Protection and with the provisions of the Data Protection Act 1998.