Application Form Step 1 of 6 16% Job TrackingJob Reference Number*Please SelectCS018 - Sponsorship ExecutiveCS019 - Finance AssistantCS020 - HR ApprenticeEV016 - Events Production ManagerEV018 - Events CoordinatorEV019 - Junior Events CoordinatorEV020 - CleanerEV021 - Security OfficerEV022 - Events Sales AdministratorHW023 - Social Prescribing Link WorkerHW025 - Health and Wellbeing Project ManagerHW026 - Project Manager - Weight ManagementHW027 - Health & Wellbeing CoachLE030 - Personal TrainerOP005 - Facilities ManagerPA015 - Parks Stakeholder OfficerPS011 - Administrative OfficerSpeculativeWhere did you hear about the role?* Personal InformationName* Title Dr.MissMr.Mrs.Ms.Prof.Rev. First Middle Last Address* Street Address Address Line 2 Town City Postcode Phone Number* Email Address* Supporting StatementIn your supporting statement outline the skills, abilities, experience and qualifications which are relevant to the job description and person specification of the post you are applying for. Please keep your statement to a maximum of 2 to 3 sides in length *Would you like to add any supporting documents? (e.g Cover Letter, CV etc)*Please SelectYesNoPlease add here: Drop files here or Select files Max. file size: 256 MB, Max. files: 3. Do you need a work permit for employment in the United Kingdom?*Please SelectYesNoPlease specify which type of work permit and expiry date Education and Work ExperienceQualificationsPlease list your qualificationsInstitutionCourseStart DateEnd DateGrade Work ExperienceJob Title Current / Most recent Job DetailsEmployerStart DateEnd DateSalaryTask and ResponsibilitiesReason for leaving? Notice PeriodPlease SelectImmediately AvailableUp to 1 WeekUp to 2 WeeksUp to 3 WeeksUp to 1 monthUp to 2 monthsUp to 3 months3+ monthsAdd Second JobPlease SelectYesNoJob Title Job DetailsEmployer NameStart DateEnd DateSalaryTask and ResponsibilitiesAdd Third JobYesNoJob Title Job DetailsEmployer NameStart DateEnd DateSalaryTask and ResponsibilitiesAdd Fourth JobYesNoJob Title Job DetailsEmployer NameStart DateEnd DateSalaryTask and ResponsibilitiesAdditional InformationMax. file size: 256 MB.Please add anything else you wish to share with us RefereesName of First Referee* First Last Job Title* Organisation* Relationship with referee (e.g. Line Manager) Contact Number* Email* May we contact your first referee before interview?* Yes No Name of Second Referee* First Last Job Title Organisation Relationship with referee (e.g. Line Manager) Contact Number* Email* May we contact your second referee before interview?* Yes No DeclarationYou are required to sign the declaration below certifying that all information provided is accurate. Providing incorrect information or deliberately concealing relevant facts may result in exclusion from the selection process or, where discovery is made after an appointment, in a disciplinary process. I declare the information on this form is correct and I have omitted nothing that, to the best of my knowledge, might affect this application. I hereby declare that I have understood and complied with the above* Tick Equal opportunitiesEnable Leisure & Culture is committed to recruiting, retaining and developing a workforce that reflects, at all grades the diverse communities that we serve. It is vital that we monitor and analyse diversity information so that we can ensure that our HR processes are fair and transparent. Any information provided on this form will be treated as strictly confidential and will be used for statistical purposes only. It will not be seen by those involved in the selection process. No information will be published or used in any way which allows any individual to be identified.Are you currently employed by Enable LC?*Please SelectYesNoWhat's your current role? GenderWhich of the following best describes your gender?*Please SelectMaleFemaleNon-binaryPrefer to self-describePrefer not to sayOption to self-describe Do you identify as trans?Please SelectYesNoPrefer to self-describePrefer not to sayOption to self-describe Sexual OrientationWhich of the following best describes your sexual orientation?*Please SelectHeterosexual/StraightBisexualGay or LesbianPrefer to self-describePrefer not to sayOption to self-describe DisabilityDo you consider yourself to be disabled?*Please SelectYesNoPrefer not to sayUnder the Disability Discrimination Act, a disability is defined as ‘a physical or mental impairment that has a substantial and long-term adverse impact on the ability to carry out normal day-to-day activities’EthnicityWhat is your ethnic group?*Please SelectArabAsian or Asian British: IndianAsian or Asian British: PakistaniAsian or Asian British: BangladeshiAsian or Asian British: ChineseAsian or Asian British: OtherBlack or Black British: AfricanBlack or Black British: CaribbeanBlack or Black British: OtherMixed: White and Black CaribbeanMixed: White and Black AfricanMixed: White and AsianMixed: OtherWhite: BritishWhite: IrishWhite: OtherAny other ethnic group or you prefer your own definitionPrefer not to sayOther AgeDate of Birth* DD slash MM slash YYYY EmailThis field is for validation purposes and should be left unchanged.
