Community Support Worker Application Form

Please note that this is a long form that may take some time to complete. You can save your progress at any time by using the orange 'SAVE YOUR PROGRESS AND CONTINUE LATER' button towards the bottom. This will allow you to save your progress and return to complete the form at a later time/date.

Personal Information

Details entered in this part of the form will be held by the HR department and access to this information will be withheld from the short-listing panel.

Monitoring Information

This section of the application form is not made available during the short-listing process. The information collected is for monitoring purposes only and will help the organisation analyse the profile and make-up of applicants and appointees to jobs in support of their equal opportunities.

Criminal Convictions

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become “spent”. During the rehabilitation period, convictions are referred to as “unspent” convictions and must be declared to employers.

Before you can be considered for appointment we need to be satisfied about your character and suitability.

Family Support Wales aims to promote equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of race, gender, marital status, religion or belief, disability, sexual orientation and age. Family Support Wales undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.

Anyone applying for a position which involves a regulated activity and certain controlled activity from 12 October 2009 will require an enhanced Disclosure and Barring Service check and that disclosure will, where appropriate to the role, include information against the Independent Safeguarding Authority barred lists for working with children or working with adults or both

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975

In order to protect certain vulnerable groups within society, there are a number of posts that are exempt from the provisions of the Rehabilitation of Offenders Act 1974. As the post you have applied for falls within this category, it will be exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

Applicants for such posts are not entitled to withhold any information about convictions or other relevant criminal record information which for other purposes are “spent” under the provisions of the Act. If you are successful with this application, any failure to disclose such information could result in dismissal or disciplinary action. Any information provided will be confidential and will be considered only in relation to posts to which the Order applies.

From 12 October 2009 under the terms of the Safeguarding Vulnerable Groups Act (2006), all positions involving regulated and certain controlled activity with children and vulnerable adults and which are carried out frequently, intensively or overnight will require an enhanced Disclosure and Barring Service (DBS) check. Where appropriate to the role, the DBS disclosure will include information against the Independent Safeguarding Authority barred lists for working with children and/or vulnerable adults.

Equality and Diversity

Equality Act 2010

The Equality Act 2010 protects disabled people – including those with long term health conditions, learning disabilities and hidden disabilities such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that any selection process, including the interview, is fair and equitable.

Application for Employment

Section 1: Qualifications

Education & Professional Qualifications

Include all relevant qualifications, please also indicate subjects currently being studied.

Training Courses Attended

Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking, together with the date completed or due to be completed.

Membership of professional bodies (if applicable)

Section 2: Employment History

Please record below the details of your current and previous employment, including periods of unemployment, voluntary work and parental/carer responsibilities, beginning with the most recent employment. Any gaps in employment must be explained in writing. in the box provided further below.

Current employment

Previous employment

Please record the details of your previous employment, beginning with the most recent first.

Section 3: Additional Information

Section 4: References

Please state the names and contact details of the people who have agreed to supply references covering a minimum period of three years employment/training. If you are or have been employed these should include your two most recent employers, your line manager or someone in a position of responsibility who can comment on your work experience, competence, personal qualities and suitability for the post.

If you are a student please provide contact details of a teacher at your school, college or university.

For all positions you must provide a minimum of two references.

All referees will be approached prior to interview unless you indicate otherwise below.