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Application Form

To apply for this post please complete the application form below.

You can save the form for completion at a later time.

Job title(Required)

Job Reference(Required)

Please indicate where you saw this job advertised:

Independent Lives website

Recruitment agency

Other

Section one: Personal details

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City Postcode

Mobile phone number(Required)

Home phone number

Email address(Required)

Do you have a full British driving licence?(Required)

Yes

No

Independent Lives operates a guaranteed interview scheme (GIS) for disabled applicants who meet the essential criteria for any vacancy. Are you claiming the GIS?

Yes

No

If the answer is yes, please let us know if you are requesting any reasonable adjustments to enable you to attend interview. If you have a disability and have claimed a guaranteed interview, you will need to meet the essential criteria for this job at the application and selection stages of the recruitment process in order to qualify.

When are you available to start work?(Required)

Section two: Further information

How do you meet the person specification?(Required)

Give us details of how your knowledge, skills and experience fit this vacancy with practical examples, which can include paid work, voluntary work or leisure activities. Please note that Independent Lives does not accept CVs as part of job applications. This is the main section we will use to decide who we will invite for interview so please make sure that you address each aspect of the person specification clearly.

Why are you interested in this role?(Required)

What previous relevant education/training do you have?(Required)

Section three: Your employment history

Present or most recent occupation (Paid or unpaid)

Job title:(Required)

Employers name and address:(Required)

Dates worked from(Required)

Day

Month

Year

Dates worked to

Day

Month

Year

Please provide a short summary of your main duties and responsibilities:(Required)

Please provide details below of your employment. Please also explain any gaps in employment

Other employment

Position	Actions

There are no Employment.

Maximum number of employment reached.

Please provide details below of your employment. Please also explain any gaps in employment.
Click "add past employment" to add each job. You can continue adding more jobs as necessary.

Section four: References

Please provide a work referee (paid or unpaid)

Name

First Last

Address

Email

Phone

Relationship to you

Please provide a work referee (paid or unpaid)

Name

First Last

Address

Email

Phone

Relationship to you

Section five: Declaration

Declaration(Required)

Yes

I confirm that, to the best of my knowledge, the information I have provided on this form is accurate and that I have not altered or omitted any facts which may have a bearing on my application.

Privacy Policy(Required)

Yes

I have read and agree to the recruitment privacy policy

I have the right to work in the UK(Required)

Yes

As an employer we have a legal responsibility to ensure all employees have the right to work in the UK. You will be required to provide proof of your right to work in the UK at interview. Find out about details of acceptable proof

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Contact us

Independent Lives
Southfield House
11 Liverpool Gardens
Worthing, West Sussex
BN11 1RY

Phone - 01903 219482

Email - info@independentlives.org

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