Aids & Equipment Support Worker Application Form

Aids & Equipment Support Worker – Application Form

Job Description
Application Form

Job Description

This organisation is committed to supporting people challenged by sight loss. We aim to enhance the lives of those with visual impairment and expect all staff and volunteers to share this commitment.

This organisation is committed to supporting people challenged by sight loss. We aim to enhance the lives of those with vision impairment and expect all staff and volunteers to share this commitment.

Job Description

ORGANISATION: East Sussex Vision Support (ESVS)

LOCATION: County HQ – Hailsham, East Sussex

JOB TITLE: Aids & Equipment Support Worker

HOURS: 21 hrs per week over three days, Monday, Tuesday & Thursday

CONTRACT: Permanent

RESPONSIBLE TO: Aids & Equipment Officer and Chief Executive

MAIN PURPOSE OF JOB: To provide an installation service for specialist Aids and Equipment to our clients.

SUMMARY

A key element of the work carried out by ESVS is the delivery (in conjunction with our colleagues at Eastbourne Blind Society and Hastings and Rother Voluntary Association for the Blind) of essential services on behalf of East Sussex County Council. Part of that contract includes the delivery and installation of equipment, via a requisition scheme, to Blind and Partially Sighted People across East Sussex.

We are looking for a positive, caring and outgoing person who can deliver the service for us. You will need to be mobile, with your own transport, happy to visit people in their homes, not be afraid of setting up and demonstrating electrical equipment and comfortable using computers.

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Application Form

Personal Details

First Name

Surname

Address

Postcode

Home No (leave no space between numbers)

Mob No (leave no space between numbers)

Email address

Date of Birth

Transport

Do you have a car?

Yes

If no, how would you travel to work?

Do you have a current driving license?

Yes

Do you have any endorsements?

Yes

Health

Are you in good health?

Please detail any health conditions

Previous Employment References - one must be previous or current employer

First Referee Name

First Referee Company Name

First Referee Position

First Referee Email Address

First Referee Contact No. (leave no space between numbers)

First Referee Address

Second Referee Name

Second Referee Company Name

Second Referee Position

Second Referee Email Address

Second Referee Contact No. (leave no space between numbers)

Second Referee Address

Further Education & Training

University/ College Name

Dates attended

From

Type of course

Subject

Qualification or class of degree

Secondary Education

School name

Address

Dates attended

From

Examination

Subjects taken

Grades

Hobbies & Interests

Hobbies & Interests

Community & Volunteer Experience

Charity or organisation name

Charity or organisation address

Dates you were involved

From

role

Duties

Work Experience - Please start with the most recent first and ensure this covers a minimum of 5 years work history.

Employer 1

Address 1

Dates

Start date

Date left

Title/Position

Reason for leaving

Duties & Responsibilities

Salary on leaving

Work Experience continued

Employer

Address

Dates

Start date

Date left

Title/Position

Reason for leaving

Duties & Responsibilities

Salary on leaving

Work Experience continued

Employer

Address

Dates

Start date

Date left

Title/Position

Reason for leaving

Duties & Responsibilities

Salary on leaving

Vetting & Barring Scheme

Some jobs involved working with children/vulnerable adults and are classified as ‘regulated activity’.
You may not apply if you have been barred from working with these groups.

Are you barred from working with these groups?

Criminal Records

Due to the nature of the work, this post is exempt from the provisions of the Rehabilitations of Offenders Act 1974 and associated Order. You are there obliged to disclose any details of any criminal record you may have. You will normally have the opportunity to discuss these details during your interview. Criminal records will be taken into account for recruitment purposes only when the conviction is relevant. Having convictions will not necessarily bar you from employment. This will depend on the circumstances and background to your offence. Information will be kept confidential and will only be used in relation to the application for the post. If you are successful in your application, you will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. This will be done by requesting a ‘Disclosure’ and you will be asked to complete a Disclosure Form. The level of disclosure required for this post will be identified in the recruitment information. Disclosures include details of cautions, reprimands or final warnings as well as ‘spent’ and ‘unspent’ convictions.

Have you ever had any convictions, cautions, reprimands or final warnings given by the Police?

If yes, please give details at the end of this application form.

Please use this section for any additional details you wish to give in support of your application:

Recruitment Policy

It is the charity’s policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, national origin, sex or marital status or disability. I authorise the charity to obtain references to support this application once an offer has been made and accepted and release the charity and referees from any liability caused by giving and receiving
information. Declaration: I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed dismissal.

Signature (Please type name)

Date

Thank you for your application.

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