Resources Assistant Application Form Nov 2024

Application Form
CONFIDENTIAL
Please complete this form clearly in type or black ink and return to:
Mind in Camden Recruitment, Barnes House, 9-15 Camden Road, London NW1 9LQ or by
email to recruitment@mindincamden.org.uk
If the form is not legible, it will not be considered. Also please note that CVs will not be
considered.
Application for the post of: Resources Assistant - 28 hrs
Closing Date: Thursday 5th December at 13:00
Interview Dates:
Please note this is a two-round interview process:
First Round: Thursday 12th December 2024
Second Round: Wednesday 18th December 2024
You will be informed if you are offered a second-round interview
PERSONAL DETAILS
Title & pronoun
First Name
Last name
Address & Postcode
Email
May we contact you via your YES NO

email address?
Telephone numbers
(home/mobile/work – ideally
more than one)
When may we contact you by
phone e.g.
day/evening/anytime?
1
EMPLOYMENT HISTORY (YOU CAN INCLUDE VOLUNTEER WORK)
Please give details of your current or most recent employment. CVs will not be considered.
Name and address of employer: Type of business:
Your job title:
Your main duties and responsibilities:
Basic salary p.a:
Dates of employment: Notice period required:
Please give details of previous employment beginning with the most recent.
Name and
Dates Reason for
Your Job Title address of Main duties
employed leaving
employer
Please explain any gaps in your employment history:
2
TRAINING AND QUALIFICATIONS
Please give details of relevant training and qualifications obtained, including dates.
Title of training programme/course

Certificates/qualifications gained & date
and brief description
PROFESSIONAL ASSOCIATION MEMBERSHIP
Name of professional association Year of membership Grade/level
3
PERSONAL STATEMENT
Please answer the questions below and confine your answers to the word limits. CVs will not
be considered.
Please describe your key skills and strengths, with reference to the personal statement -
no more than 500 words
Please describe your experience of handling a varied workload in a busy environment,

and comment on why you would be a good fit for this way of working - no more than 500
words
REFERENCES
Please provide details of two referees. One referee must be your current (or most recent)
employer and the other a previous employer. We would like your references to cover the last
three years of employment.
If you have not been in paid employment, your referee may be the head of an educational or
training establishment and/or the manager of a voluntary group for which you have worked.
Please do not use friends or relatives.
Referees will not be contacted unless you are offered a position at Mind in Camden.
First Referee Second Referee

Full name
Capacity in which they

know you
Job Title
Organisation
Address
Telephone
Email
RELATIVES
4
Are you related to, or have friendships with, any of the trustees or staff employed by Mind in
Camden? Yes No
If yes, please state their name and your relationship to them:
Name: ___________________________ Relationship: ___________________
ELIGIBILITY TO WORK
Do you require a UK work permit Yes No
If yes, please give details:
CRIMINAL RECORD CHECK
Our work is with children and young people and vulnerable adults and we are required to
undertake a criminal record check for all posts. This will only be done if you are offered the post.
Have you had any criminal convictions? Yes No
Have you had any convictions for abuse, or been the subject of any abuse enquiry or
investigation? Yes No
Please state where you heard about this post: ……………………………………..
DECLARATION
I certify that, to the best of my knowledge, the information I have provided on this form is true
and accurate. I understand that if the information I have supplied is false or misleading in any
way, it will automatically disqualify me from appointment or render me liable to dismissal
without notice.
I also confirm I have completed this form myself. No artificial intelligence (AI) has been
used.
Signed: _______________________________ Date: _____________________

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Application Form

Application for the post of: Resources Assistant - 28 hrs

Closing Date: Thursday 5th December at 13:00

Title & pronoun

Address & Postcode

May we contact you via your YES NO

Name and address of employer: Type of business:

Your job title:

Your main duties and responsibilities:

Basic salary p.a:

Dates of employment: Notice period required:

Please explain any gaps in your employment history:

Title of training programme/course

PROFESSIONAL ASSOCIATION MEMBERSHIP

Name of professional association Year of membership Grade/level

Please describe your experience of handling a varied workload in a busy environment,

First Referee Second Referee

Capacity in which they

If yes, please state their name and your relationship to them:

Name: ___________________________ Relationship: ___________________

Do you require a UK work permit Yes No

If yes, please give details:

CRIMINAL RECORD CHECK

Have you had any criminal convictions? Yes No

Please state where you heard about this post: ……………………………………..

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