APPLICATION PACK

Live Well Wakefield Advisor

12 February 2019

Dear applicant

Thank you for contacting us for information about the Live Well Wakefield Advisor vacancy. You will find the following documents included in this pack:

Background information about Nova Wakefield District LimitedAbout our application processBackground information about the post you have enquired aboutA job profile and person specification for the post you have enquired aboutAn application formAn equal opportunities monitoring form

If you require an alternative format please contact Nova via the details below.

The post is offered on a 12 month fixed term basis initially.

The closing date for applications is 5pm on Monday 11 March 2019. Application forms and the equal opportunities monitoring form should be emailed tojobs@nova-wd.org.uk or posted to:

VacanciesNova Wakefield District Limited11 Upper York StreetWakefieldWF1 3LQ

As we are a charity with limited resources, we are sorry that we will not be able to respond to applicants who are not shortlisted for interview. If you have not heard from us within a week of the shortlisting date please assume that you have not been shortlisted. Interviews are currently planned for Friday 22 March 2019.

Please note this post requires an Enhanced DBS Check to be carried out.

If you have any questions about the process, please contact me on the number and email below. If you would like to have an informal discussion about the post, please contact Rebecca Bibbs, Nova Live Well Wakefield Manager, on 07768554697.

Yours sincerely

Karen NicklinAdministrator

About us

Nova Wakefield District Limited is the voluntary and community sector support agency for Wakefield District, formed by the merger of Wakefield District Wellbeing Consortium and Voluntary Action Wakefield District in 2013. At the time of writing, we have 321 members, with numbers rising on a weekly basis.

Nova offers three areas of support to its members:

Structured organisational and business development, enabling Nova members to assess their organisation strengths and weaknesses supported by a programme of training, consultancy and peer learning to address identified development needs.

Providing an influencing platform for the local voluntary sector, enabling identification and aggregation of issues and opportunities for the sector (and its beneficiaries) and ensuring these are shared with policy and decision-makers.

Acting as a special purpose vehicle and accountable body for contracts and grants, which are delivered by Nova members on an individual or collective basis.

Our work is therefore different to many other voluntary and community groups in that we do not provide services directly to the public, but to other voluntary sector organisations (often called infrastructure support). In addition, we are a key player in the district in terms of strategic and partnership work to ensure that the role of the voluntary and community sector is maximised.

Nova receives 'core' funding from Wakefield Council and NHS Wakefield CCG. We also generate income from various other sources, including contract management fees and paid-for services.

Working at Nova

Nova is a small, focussed organisation with a flat structure working in an ever-changing environment. This means that staff members have to respond to both internal and external opportunities, sometimes in a short timescale and on their own initiative (although always with the support of colleagues). As a result, the pace of work can be very fast and we expect staff members to take responsibility and be accountable for their specific role at Nova. We have an informal working environment

and the organisation is very friendly. Staff members working at Nova have many opportunities to develop their skills and experience and to prioritise and manage their own workload on a day to day basis. We are therefore looking for people who enjoy a 'can-do' approach and are able to find ways and means to undertake work when solutions may not always be initially obvious, and people who relish a busy working atmosphere. We have a committed and supportive board of 12 trustees/directors, drawn from our membership, who provide strategic direction and oversight to the organisation.

Terms and conditions

An Employee Handbook exists which covers our written terms and conditions. For information they include:

25 days a year holiday, plus bank holidays (pro rata for part time staff), plus three days between Christmas and New Year

5% of salary contribution to a pension scheme

Flexible working

Job share applications

All full time posts are available for job share.

If two people wish to apply as one candidate both should complete the first five pages of the application form and you can then decide whether to respond to the specific questions on one form or on two separate forms. Please provide a covering letter explaining how you have completed your application.

Organisational Chart – January 2019

Nova Core

Nova Services

Nova staff = 5.51 fteMacmillan Project = 0.6 fteBBO Hopeful Families = 1.6 fte

Nova Members

Ian CockerillCEO (f/t)

Karen NicklinAdministrator (f/t)

Sarah Moverlay-Brown

Finance Manager (.2)

Rebecca BibbsLive Well Wakefield

Manager (.2)

Julie BakerNova Adviser –

Community and Enterprise Development (.8)

Natalie JonesNova Adviser –

Communication and Evaluation (f/t)

Steve RobinsonContracts and Performance Manager (.4)

Mary RocheNova Adviser –

Community and Enterprise Development (.8)

Board of Directors

Vicky RingerMacmillan Childrenand Young People's

Brain Tumour Outreach Coordinator (.6)

Paul JacksonBBO Hopeful Families

Community Enabler (.8)

Elizabeth ElliottBBO Hopeful Families

Community Enabler (.8)

Sonia BegumCleaner (.11)

About our value based recruitment process

The person specificationOur application process is based entirely on the person specification which is contained in the information about the particular post you are interested in. It is therefore very important that you read this document to see how you feel you meet the requirements we feel are needed to enable someone to meet the job profile.

The application formThe form has been designed to be as easy to complete as possible. Therefore please ensure you read all the instructions and provide all the information requested. If you are hand writing the form, please do so in black ink and write as clearly as possible.

Do not include a CV as these will not be considered as part of the process.

ShortlistingWhen shortlisting, we will go through the specification and look at all the criteria listed as being identified in the application form to see whether you can show you meet them. It is therefore useful to give as much information as you can within the space allocated. For example, if the spec says 'Experience of preparing accounts' please do not just say something like 'I can prepare accounts' but rather 'I have experience of preparing accounts having been responsible for preparing the books for ABC Community Association for 3 years. This work included preparing the budgets, undertaking all the bookkeeping, producing regular reports of our income and expenses against the budget for the management committee, liaison with the Auditor and presenting the audited accounts to the committee'.

In your supporting statement you should provide information about how you meet each criteria listed in the person specification. Many people use the criteria as headings and provide a short paragraph about each one.

InterviewThe interview is geared to find out how each candidate meets the person specification. For some posts we may ask candidates to give a presentation or to undertake an active task at the interview, or there may be a short test or some pre-interview work. If this is the case we will tell you about this when we invite you to interview.

ReferencesWe reserve the right to take up references. Any offer of employment is subject to our receiving satisfactory references.

Unpaid workPlease remember that unpaid work experience can be as important as paid work experience. For that reason we include a specific page for this.

Eligibility to work in the UKEnglish law requires that all employers check that everyone they employ is legally eligible to work in the UK. As an equal opportunities employer, Nova will therefore require all successful candidates to provide this proof prior to starting work. The Home Office has provided a detailed list of what documents provide the proof. If you would like to discuss this further please do contact us.

Background information about theLive Well Wakefield Advisor post

An exciting opportunity has arisen to work within an established community based service which has been set up to support adults aged 18+ to improve their health and wellbeing. You will work within a highly skilled and motivated team, delivering a well-respected, high quality and personalised referral based service across the Wakefield District, supporting health, wellbeing and independence. You will work with clients to empower them to access non-medical social solutions to address their needs. In turn working to reduce attendances to general practice, hospital admissions and providing an alternative to medication.

You will have a good understanding of health and social care services and the community and voluntary sector and the influence these can have on improving a client's health and wellbeing. You will possess the skills to create rapport, influence positively and support clients to identify and achieve personal goals.

You will work closely with clients, GPs, community anchors, district nursing teams, housing associations and other health and social care professionals across the Wakefield District and therefore will be required to be a confident and natural communicator with excellent organisational skills to coordinate the multiple aspects of this job role.

Live Well Wakefield Advisor

Job Description

Responsible to: Nova Live Well Wakefield Manager

Responsible for: No line management responsibilities with this post

Salary: £22,349.00 per annum

Hours: 37.5 per week

Holidays: 25 days + bank holidays + three days between Christmas and New Year per annum

Employing Body: Nova Wakefield District Limited

Place of Work: Wakefield

Type of Contract: Temporary initially for 12 months

Job Purpose

To contribute to the development of the Live Well Wakefield Service working to achieve agreed objectives and shared outcomes.

To work in a multi-disciplinary environment to help facilitate and build the infrastructure of integrated teams developing community resources and networks between the voluntary sector, health and social care.

The role will develop an up-stream preventative approach to complement the proactive support of citizens.

To lead on development work in a specified locality, working in partnership with community, voluntary and statutory services.

Work collaboratively with partners to identify and coordinate health improvement and preventative activities and initiatives to improve the health and reduce inequalities, wellbeing and quality of life of adults in the Wakefield District.

To work with stakeholders to identify vulnerable adults at risk of reduced independence and provide timely interventions to reduce morbidity and maximise future health and wellbeing.

To undertake home visits or one to one reviews in community settings to review factors that impact on a person's health and wellbeing and work with them to facilitate the implementation of appropriate support services.

To undertake targeted work in key areas of deprivation.

Main Duties and Responsibilities

Client focused Treats clients as individuals, respecting equality and diversity whilst taking a

flexible and personalised approach to meet their needs. Responds as promptly as possible to client requests and promised actions. Advocates on behalf of clients where necessary to ensure best outcomes in

relation to long term health and wellbeing. Manages a caseload, undertaking reviews of clients needs and setting

goals, using a person-centred approach. Promotes independence and enables clients to exercise choice over issues

that affect their health and wellbeing. Facilitates empowerment by providing and discussing information with the

client to enable them to make their own informed decisions. Ensures that clients are given the opportunity to be seen at home or in a

venue of choice within the community.

Partnerships Work collaboratively with local voluntary sector and community

organisations, to develop a multidisciplinary team, to support adults with their health and wellbeing needs.

Establish links with local community members both individually and by relevant organisation (e.g. voluntary agencies, health centres) to identify and support existing community activity for adults.

Manages/co-ordinates commissioned projects aimed at improving the health and wellbeing outcomes for specific groups within the community.

Build working relationships with a variety of organisations, both statutory and voluntary, to improve the range of services available promoting the independence, health and wellbeing of adults and adults with physical and/or sensory impairment.

Maps current activity and key people involved in health and social care provision for local adults to inform the development and publication of information resources.

Service development Co-ordinate and deliver information and networking events and workshops

within the area, to improve awareness of services and increase joint working between voluntary sector agencies, health professionals and community members.

Work with multi-disciplinary teams and wider partners to increase take up of preventative activities and services e.g. social activities to prevent social isolation.

Prepare and deliver presentations to professional meetings, health and wellbeing events, health networks, community and staff groups to secure support for the aims of the work, and champion the needs of adults and adults with physical and/or sensory impairment.

Record, monitor, evaluate, analyse and record work to ensure that targets are being met, information is recorded accurately and best practice is developed.

Identifies gaps in service and activity provision and work with voluntary sector colleagues to address these gaps.

Communicating and influencing Confidently and competently adapts written and oral communication to meet

the needs of the intended audience. Contributes effectively at meetings utilising diplomacy and influencing skills

to elicit best outcomes. Participates in duty rota, acting as first point of contact for new referrals and

providing specialist knowledge of local services to colleagues in other health and social care organisations and to members of the public.

Utilises communication skills to effectively review need, identify root cause and promote best outcome.

Uses skills such as motivational interviewing and behaviour change to

promote self-management and ownership of own health and wellbeing as appropriate.

Administration Maintains accurate and timely records using a variety of media in line with

service policy. Orders and monitors stationery and petty cash claims in accordance with

funding requirements. Produces health and wellbeing information and written materials appropriate

to differing audiences. Develops and maintains a database of up-to-date contacts and information

relevant to supporting the needs of local adults, acting as a resource for relevant organisations.

Performance management Contributes to the production of regular reports and case studies as

requested by management and commissioners of the service. Seeks new and innovative approaches to providing high quality, needs led

services. Aware of the need to continually evaluate service in order to work in a

competitive, innovative and cost effective way, ensuring best practice and best value.

Demonstrates resilience and reliability. Takes responsibility for own continuing professional development. Embraces change and new challenges with a positive attitude.

Expectations

A) To attend and contribute to supervision, appraisal process and staff training and any other training identified as appropriate for the role.

B) To ensure that all responsibilities and activities within this post are consistent with the terms and spirit of Nova's Equal Opportunities policy.

C) Report any concerns regarding the safety or wellbeing of children, adult service users, members of their families etc., in accordance with Policy.

D) Understand personal responsibilities with regards to data quality for any information which they create, use or process in accordance with the Data Protection Act 1998.

E) To travel to meetings throughout Wakefield District and beyond.F) To occasionally work unsociable hours, e.g. attending evening or weekend

meetings.G) The nature of the post will require flexibility in undertaking the role and will

require the post holder to undertake other duties that are compatible with the nature and grade of this post.

H) To contribute towards maintaining Nova's commitment to environmental sustainability.

This is not a final and complete statement of the duties attached to this postwhich may need to be amended from time to time in accordance with

the changing needs of Nova.

Live Well Wakefield Advisor

Person Specification

ATTRIBUTES ESSENTIAL DESIRABLE METHOD OF ASSESSMENT

QUALIFICATIONS Educated to degree level or can demonstrate equivalent competence.

Educated to degree level in a field related to health and social care.

Application form Interview

TRAINING Evidence of Continued Professional Development (CPD).

Application form Interview

EXPERIENCE Experience in report writing. Experience of working with

communities of interest, individuals or groups.

Experience of partnership working. Experience of undertaking direct

work with people to help improve health and wellbeing.

Experience of community development and needs assessment within communities.

Experience of planning and delivering projects either on own or with others.

Experience of coordinating publicity activities/events.

Experience of producing promotional materials.

Experience of monitoring and evaluation methods.

Experience in managing a caseload and prioritising need.

Application form Interview References Presentation

SPECIAL KNOWLEDGE/SKILLS

An understanding of health and social care issues for vulnerable adults that are linked to adverse outcomes.

Understand the issues relating to

A sound knowledge of principles and practice of Health and Wellbeing and preventative approaches.

Displays an up to date working

Application form Interview References Presentation

ATTRIBUTES ESSENTIAL DESIRABLE METHOD OF ASSESSMENT

Health inequalities. An understanding of the principles

of health and community development.

Understand the principles of Multi-Disciplinary Team (MDT) working.

Demonstrates an understanding of the importance of confidentiality and safeguarding.

Good presentation and facilitating skills.

Good interpersonal, oral and written communication skills.

Ability to create good working relationships with a variety of people and community groups.

Good organisational skills. Computer literacy and keyboard

skills. Basic IT skills (Word, Internet and email).

Ability to develop project work with partners.

Ability to manage time effectively, prioritise and work under pressure to meet deadlines.

Ability to maintain accurate and concise records.

knowledge and understanding of national and local priorities.

Knowledge of local health services, voluntary, statutory and community services relating to vulnerable people.

Understanding of the NHS and Social Care.

Knowledge of motivational interviewing and behaviour change techniques.

Ability to engage with and motivate local people.

Skills in using Microsoft Excel, Access, Publisher, PowerPoint.

Demonstrates creativity and innovative approaches to solving problems and developing service.

Ability to recognise, assess and deal with potential risk in relation to client and personal safety.

Uses reflective practice to improve service delivery.

ATTRIBUTES ESSENTIAL DESIRABLE METHOD OF ASSESSMENT

PHYSICAL ATTRIBUTES

Ability to undertake the duties and demands of the post.

A satisfactory sickness record over the previous 2 years (subject to the need to act with fairness and equality of opportunity, particularly where the sickness is related to a disability and/or pregnancy).

PERSONAL ATTRIBUTES

Ability to work independently under own initiative, but also to be a proactive and willing team member.

Ability to work under pressure and to deadlines.

Ability to travel between sites regularly.

Ability and willingness to work flexible hours including evenings and occasional weekends.

Full drivers licence and access to a motor vehicle.

Application form Interview References

Nova Competency Framework*Denotes a core competency for all rolesPlease note for this role Level 2 of the Nova Competency Framework applies to this post

Cluster Competency Individual contributors(level 1)

Managers(level 2)

Senior Leaders(level 3)

Performance Accountability* Takes accountability and ownership. Is positive and proactive. Has a 'can do' attitude. Takes responsibility for own actions. Shows integrity and delivers on commitments.

Takes accountability and ownership. Is positive and proactive. Has a 'can do' attitude. Takes responsibility for own actions. Shows integrity and delivers on commitments. Ensures team members are clear on their role and responsibilities and holds themselves and others accountable for their actions.

Acts as a role model in taking accountability and initiating action. Is positive and proactive. Role models a 'can do' attitude. Has the courage to make bold and timely decisions and take risks. Shows integrity and delivers on commitments. Ensures others are clear on their role and responsibilities and holds themselves and others accountable for their actions.

Delivering performance

Sets high standards for themselves. Consistently delivers high levels of personal performance. Shows determination to achieve results. Shows resilience and persistence to overcome obstacles. Looks for ways to do things more efficiently and make best use of resources.

Sets high standards for themselves and their team(s). Challenges themselves and others to improve their performance. Gives constructive feedback and takes prompt action to tackle poor performance. Shows determination to achieve results. Shows resilience and persistence to overcome obstacles. Drives efficiency and optimises use of resources.

Acts as a role model in setting and delivering high standards. Challenges themselves and others to improve their performance. Gives constructive feedback and takes prompt action to tackle poor performance. Shows determination to achieve results. Shows resilience and persistence to overcome obstacles. Drives efficiency and optimises use of resources.

Alignment and planning

Plans and prioritises own work effectively, focusing their time on activities in line with organisational goals. Sets appropriate and realistic deadlines. Is methodical and accurate with detail. Monitors and tracks performance against plan. Ensures deadlines are met.

Aligns own work and that of their team(s) with the Nova vision and strategy. Sets clear priorities and plans to enable achievement of organisational goals. Sets appropriate and realistic deadlines. Monitors and tracks performance against plan. Ensures deadlines are met.

Ensures own work and that of others is aligned with the Nova vision and strategy. Sets clear priorities and plans to enable achievement or organisational goals. Sets appropriate and realistic deadlines. Monitors and tracks performance against plans. Ensures deadlines are met.

Learning and change

Is open and flexible to change and new ideas. Identifies opportunities for improvements within own work area. Shows lateral thinking to solve problems creatively. Shows commitment to organisational change initiatives. Is flexible to adapt to changing circumstances and new ways of doing things. Is keen to learn and grow, actively seeking out feedback and learning from experience.

Is open and flexible to change and new ideas. Identifies opportunities for improvements within and beyond own work area. Shows lateral thinking to solve problems creatively. Shows commitment to organisational change. Is keen to learn and grow, actively seeking out feedback and learning from experience.

Creates a culture of openness to change, innovation and learning. Initiates and embraces change. Identifies opportunities for improvement across the organisation. Shows lateral thinking to solve problems creatively. Is seen as a champion of organisational change. Focuses on the possibilities afford by change. Is keen to learn and grow, actively seeking out feedback and learning from new

experience.

Insight Breadth of perspective*

Shows interest in the Third Sector. Looks beyond own role and shows understanding of other parts of Nova. Acts in the interest of Nova as a whole – taking a one organisational perspective. Understands own role in contributing to organisational success.

Shows interest in the Third Sector and the external factors impacting on this. Takes a broad and long-term perspective. Shows understanding of other parts of Nova and acts in the interests of Nova as a whole – taking a one organisational perspective. Understands and emphasises the role of themselves and their team(s) in contributing to organisational success.

Shows interest in the Third Sector and the external factors impacting on this. Thinks strategically, looking ahead to the long term. Is outward focused and sees the bigger picture. Acts in the interest of Nova as a whole, encouraging others to see Nova as one organisation and act accordingly. Emphasises the role of themselves and others in contributing to organisational success.

Making effective judgments

Analyses effectively and makes balanced and objective judgments. Asks probing questions and consults appropriately. Thinks about the equality, financial and broader impact of decisions. Takes into account stakeholder needs. Is able to think on their feet and make a quick judgment when needed.

Sees to the core of an issue and makes balanced and objective judgments. Asks probing questions and consults appropriately. Thinks about the equality, financial and broader impact of decisions. Takes into account stakeholder needs. Is able to think on their feet and make prompt decisions when needed.

Fully understands and analyses an issue and makes balanced and objective judgments. Asks probing questions and consults appropriately. Thinks about the equality, financial and broader impact of decisions. Takes into account stakeholder needs. Is able to think on their feet and make prompt decisions when needed.

Applying specialist knowledge

Is knowledgeable and keeps up to date in their area of specialism. Uses expertise to achieve goals. Shares own learning, knowledge and expertise across the organisation, the Third Sector and wider relevant networks.

Is knowledgeable and keeps up to date in their area of specialism. Uses expertise to achieve goals. Shares learning, knowledge, expertise across the organisation, the Third Sector and wider relevant network.

Is knowledgeable and keeps up to date in their area of specialism. Thinks both tactically and strategically about how best to apply expertise across the organisation, the Third Sector and wider relevant network.

Engagement Working collaboratively*

Develops positive working relationships with internal and

Develops empowering and enduring working relationships

Develops empowering and enduring working relationships

external customers and stakeholders. Networks effectively and show political awareness. Actively seeks to work with a diversity of people, taking into account people's diverse backgrounds. Is open and respectful when working with others, within and across teams. Demonstrates equality and respect for diversity. Listens and responds effectively. Shows empathy towards others.

with internal and external customers and stakeholders. Networks effectively and shows political awareness. Actively seeks to work with a diversity of people, taking into account people's diverse backgrounds. Encourages a culture of openness and respect through their own actions. Ensures equality and respect for diversity through their own actions. Listens and responds effectively. Shows empathy towards others.

with internal and external customers and stakeholders. Networks effectively and shows political awareness. Actively seeks to work with a diversity of people, taking into account peoples diverse backgrounds. Inspires a culture of openness, transparency and respect through their own actions. Encourages cross-team working. Creates a culture of equality and respect for diversity through their own actions. Listens and responds effectively. Shows empathy toward others.

Communicating and influencing

Communicates in a confident, clear and engaging manner. Chooses the appropriate form of communication for a situation. Varies style and content to suit the audience's needs. Influences others effectively through the style and content of their communication. Makes a positive and credible impression as an advocate of and ambassador for Nova and the Third Sector.

Communicates in a confident, clear and engaging manner. Chooses the appropriate form of communication for a situation. Varies style and content to suit the audience's needs. Makes an impact and influences others effectively through the style and content of their communication. Makes a positive and credible impression as an advocate of and ambassador for Nova and the Third Sector.

Communicates in a confident, clear and engaging manner with people from all levels and backgrounds. Chooses the appropriate form of communication for a situation. Varies style and content to suit the audience's needs. Makes a strong impact on others effectively through style and content of their communication. Makes a positive and credible impression as an advocate of and ambassador for Nova and the Third Sector.

Empowering leadership

Contributes to and supports the team vision, purpose and direction. Engages and inspires others. Is comfortable taking a lead when appropriate.

Takes the lead. Unites the team with a clear sense of purpose and direction. Engages and inspires others. Varies leadership style to bring out the best in people.

Takes a strong visible lead. Sets a clear and compelling vision and direction. Engages and inspires others. Varies leadership style to bring out the best in people.

Empowers and motivates others. Acknowledges and celebrates success.

Empowers and motivates others. Creates an environment that encourages others to perform at their best. Coaches and develops others to realise their potential. Acknowledges and celebrates success.

Empowers and motivates others. Creates an environment that encourages others to perform at their best. Coaches and develops others to realise their potential. Acknowledges and celebrates success.

Application form no:

Application Form

Live Well Wakefield Advisor

Nova Wakefield District Limited aims to be an equal opportunities employer and will ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, disability or any other protected characteristic or factor irrelevant to a person's ability to do a job.

Please note: The first three pages of the application form will not beused as part of the shortlisting process.

Name

Address

Postcode Email

Tel home May we call you on this no? Yes No

Mobile May we call you on this no? Yes No

Tel work May we call you on this no? Yes No

Please tick the box if you are applying for / would consider job share

Application form no:

ReferencesPlease provide the details of two referees who can comment on your suitability for the post. One referee should be your current employer, or if you are not in employment your most recent employer. If you have not been previously employed give the name of a responsible person who knows you well but is not a relative. References will only be taken up after a conditional job offer has been made and with your knowledge. Referees will be asked to comment on your honesty, professional competence and sickness record.

Name

Position

Address

Tel

Email

Please say in what capacity you know this person and for how long

Name

Position

Address

Tel

Email

Please say in what capacity you know this person and for how long

Please confirm with your referees that they are willing/able to supply references before you give their names to us.

Application form no:

Reasonable AdjustmentsThe selection process consists of this application form, a test and an interview. Do you need any adjustments in order to be able to participate in the recruitment process? (If so, please specify.)

Further InformationIf you are shortlisted for interview you may be asked to complete a form declaring any unspent criminal convictions. If your application is successful you may be required to undergo a Disclosure and Barring Service check, which Nova Wakefield District Limited will pay for. The need for this check is post dependent.

Where did you see this post advertised?

If you wish to make a complaint about any aspect of this application process, please contact the Chief Executive Officer.

DeclarationI declare that the information given on this form is true and correct to the best of my knowledge and belief.

Signature Date

Application form no:

EducationPlease provide details of your education from high/secondary school starting with the most recent.

Name of establishment Dates attendedFrom To

Subjects studied / Qualifications gained

Please continue on an additional sheet if required.

Training and Professional DevelopmentPlease provide details of training you have undertaken starting with the most recent.

Details of training provider

Dates Details of training undertaken

Please continue on an additional sheet if required.

Application form no:

Employment ExperiencePlease provide details of your employment experience starting with the most recent.

Datesfrom / to

Name of organisation

Post held and brief description of responsibilities

Reason for leaving

Please continue on an additional sheet if required.

Length of notice or date you could start

Application form no:

Community and Voluntary Work ExperiencePlease tell us about any voluntary work experience you have gained, or about your involvement in community and voluntary groups, which is not given on previous pages.

Datesfrom / to

Name of organisation

Details of your work / activities / responsibilities

Application form no:

Please describe how you meet the person specification for this role. You can use up to 2 sides of A4 and a minimum of size 11 font.

ConfidentialEqual Opportunities Monitoring Form

Nova Wakefield District Limited is committed to recruiting, retaining and developing a workforce that reflects the diverse communities that we work with. It is vital that we monitor and analyse diversity information so that we can ensure that our HR processes are fair, transparent, promote equality of opportunity for all staff, and do not have an adverse impact on any particular group. Any information provided on this form will be treated as strictly confidential and will be used for statistical purposes only. No information will be published or used in any way which allows any individual to be identified.

1. Gender Male Female

2. Are you married or in a civil partnership? Yes No

3. Age 16-24 25-29 30-34 35-39 40-44 45-49

50-54 55-59 60-64 65+ Prefer not to say

4. What is your ethnicity?

A. WhiteEnglish Welsh Scottish Northern Irish

Irish Gypsy or Irish Traveller Any other White background

B. Mixed/multiple ethnic groupsWhite and Black Caribbean White and Black African White and Asian

Any other mixed background

C. Asian/Asian BritishIndian Pakistani Bangladeshi Any other Asian background

D. Black/African/Caribbean/Black BritishAfrican Caribbean Any other Black/African/Caribbean background

E. Chinese or other ethnic groupChinese Any other ethnic group

F. Prefer not to say

5. Do you consider yourself to be disabled? Yes No Prefer not to say

6. What is your sexual orientation?

Heterosexual/straight Gay woman/lesbian Gay man

Bisexual Other Prefer not to say

7. What is your religion or belief?

No religion Buddhist Christian Hindu Jewish

Muslim Sikh Any other religion Prefer not to say

8. What is your current working pattern?

Full-time Part-time Prefer not to say

9. Do you have caring responsibilities? If yes please tick all that apply.

None

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person (65+)

Secondary carer

Prefer not to say

By completing this form you have helped us better understandhow we, as an employer, ensure equality of opportunity for all.

Thank you for completing this form.