contact: 0161 947 3550
If you are interested in joining the team at City Response please download the application form below and return to:
Irving CourtBroadgateOldham Broadway Business ParkChaddertonOldhamOL9 9XATelephone: 0161 947 3550
You can aslo send you application straight to us via the below online form
Please list relevant educational or vocational qualifications
Professional or other qualifications (including membership of professional bodies – give dates)
Name and address of current/most recent employer
Nature of business
Brief description of duties
Please give the names and addresses of two referees, one being your present employer. No approach will be made without your permission. Wherever possible, employment references should cover your last three years of employment.
Please give a summary why your skills and/or experience are relevant to this position. Please indicate why you want this position.
Please give details.
How would you describe your ethnic origin?
Please tick the appropriate box
Thank you for completing
this form, which is voluntary. If you choose not to answer, your application
will not be affected.
Do you have a disability?
definition of disability has expanded as a result of the Disability
Discrimination Act 1995 and now many conditions are covered which weren't
previously classified as a disability.
meant by disability?
The definition of a disability in
the Act is “a physical or mental impairment which has a substantial and
long term adverse effect on the ability to carry out normal day to day
considered normal day to day activities?
These are activities which involve
functions which are carried out by most people on a fairly regular and frequent
basis. For example:-
Here are some examples of conditions
which are now classified as a disability under the Disability Discrimination
in addition to the more traditional forms of disability e.g. hearing/sight
impairment, physical disabilities. The above are only examples and don't
include all conditions which might be considered as a disability.
Progressive conditions, such as
cancer, multiple sclerosis, muscular dystrophy and HIV infection are considered
to be a disability from the moment the condition leads to an impairment which
has some effect on ability to carry out normal day to day activities, as
Do you consider yourself to have a disability or
long term health condition?
If YES, what is the nature of this disability?
Any reasonable adjustments which you feel we could make to the recruitment process to assist
you in making your application
Any reasonable adjustments we would need to make to the job itself which would assist you to
carry out this role if appointed.
such as tattoos or piercings
City Response Ltd welcomes applications from ex-offenders as part of its Equal Opportunities Policy and a criminal record would not necessarily be a bar to obtaining a position. However, it is important that we check whether you have been convicted of a criminal offence (other than a spent conviction under the Rehabilitation of Offenders Act 1974) which may affect your suitability for this post.
This information is not passed to those short listing, which is purely based on your ability to do the job. If you are short listed a member of the personnel team may contact you to discuss any relevant information on this form to ensure it is possible for you to be considered for the post. The interview panel may wish to discuss this further if you are offered an interview.
Please complete this form
Have you ever been convicted of a criminal offence or
given a formal reprimand, final warning or caution by the police?
If yes, please provide details
Date of offence
Nature of offence
Sentence or nature of police sanction
NB: Failure to declare a current conviction may disqualify you from employment or result in summary dismissal when the dishonesty comes to light.
I give consent for personal data divulged in applicants and forms for employment to be kept on files (both manual and computer) for recruitment, monitoring and employment purposes. Information will be stored securely in line with the Data Protection Act 1998
Please note that anyone offered a post that requires working with children or vulnerable adults will be asked to apply for a disclosure from the Criminal Records Bureau, in addition to any information provided above. Any offer will be conditional on a satisfactory disclosure which you would receive a copy of.
Further information about the Disclosure Scheme can be found on www.disclosure.gov.uk.
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