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Youth Mentor Application Form
Job Details
Post applied for
(Required)
Personal Details
Title
(Required)
First Names
(Required)
Surname
(Required)
Address
(Required)
Post Code
(Required)
Home Telephone
Mobile Phone
(Required)
E-Mail Address
(Required)
Employment
Name of present / last employer
(Required)
Address of present / last employer
(Required)
Job Title
(Required)
Date commenced
(Required)
Are you currently working for this employer?
(Required)
Yes
No
Please provide date and reason for leaving
(Required)
Please give a brief description of your duties and responsibilities
(Required)
Previous Employment and Experience
Please give details of previous employment. For each job, please provide date of employment, employer, and duties undertaken. Please start with the most recent first.
(Required)
Education, Training, and Development
Please list any academic and other relevant qualifications and or training and dates passed starting with the most recent.
(Required)
Supporting Information
Please detail how your skills and experience meet the requirements of the role.
(Required)
Why do you want to work for YMCA Milton Keynes and Northamptonshire?
(Required)
Eligibility to Work
Do you need a Work Permit before you can be employed in this country?
(Required)
Yes
No
Please give details
(Required)
Additional Information
If appointed, how soon could you take up the post?
(Required)
Have you had any previous contact, or do you have any contact with the YMCA?
(Required)
Yes
No
Please give details
Are you related to or do you know any employee, board member or resident at YMCA?
(Required)
Yes
No
Please give details
(Required)
Declaration
(Required)
I declare that the information I have given on this form is correct and complete. False or misleading statements may be sufficient grounds for cancelling any agreements made, or for disciplinary action to be commenced.