APPLICATION FOR THE POST OF
ECUMENICAL DEVELOPMENT OFFICER
FOR CHURCHES TOGETHER IN OXFORDSHIRE

Please complete this form either in black ink or on a computer. You will need to e-mail it to us.

PERSONAL DETAILS	PART A

Surname (BLOCK CAPITALS)

Title	
Other names in full	

Permanent address

Post Code
	
Telephone Numbers
 
Home 

Work

Mobile

e-mail address

State of Health

Are you aware of any condition that might affect how you carry out the duties of the post?	YES/NO

If yes, will you need any special arrangements to be made to assist you at the interview?	YES/NO

Do you suffer from recurring ailments?	YES/NO	If yes, please supply details.

How many days off sick have you had in the past year?

Are you free to remain and take up employment in the UK with no current immigration restrictions?    YES/NO

Have you ever been convicted of a criminal offence, other than a
spent conviction under the Rehabilitation of Offenders Act 1974?	YES/NO

If yes, please supply details.

Transport

Do you have your own transport for use in the job?	YES/NO

Do you have a current full driving licence?	YES/NO	If the licence is not clean, please detail offences:

Where did you see this post advertised? 

What period of notice are you required to give your present employer?
	
EMPLOYMENT HISTORY	PART B

List all employers starting with your present or most recent. Please account for any gaps in employment.

Dates
from/to
	
Position held	
Brief description of responsibilities
	
Name and address of employer	
Reason for leaving	
					
EDUCATION AND TRAINING	PART C

Please look at the job description and the person specification and list details of any education and training which you consider to be relevant. Please be precise about awarding bodies, grades, types of membership and dates.

EXPERIENCE	PART D

Please look at the job description and the person specification and explain how you meet the experience required.

SPECIAL KNOWLEDGE AND SKILLS	PART E

Please look at the job description and the person specification and give details of any special knowledge and skills you consider to be relevant.

SPECIAL QUALITIES AND ATTRIBUTES	PART F

Please look at the job description and the person specification and give details of any special qualities and attributes you consider to be relevant.

	PART G

Why are you applying for this job?

Please describe how you would work in the post.

REFERENCES	PART H

Please give the names of two persons in addition to your present employer from whom references can be sought. (Please obtain their permission.) One of these three referees should testify to your current good standing with your denomination.

We will contact the referees of short listed candidates before the interview.

1	Name 	

	Address 	

	Occupation 		Tel		
	e-mail  		Fax 	

2	 Name 	

	Address 	

	Occupation 		Tel		
	e-mail  		Fax 	

Present Employer	

	Name 	

	Address 	

	Occupation 		Tel	

	e-mail  		Fax 	

TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION SUPPLIED BY ME IS CORRECT.

Signed		Date 	

Please return your completed application by e-mail and by post, to arrive by 9.00 am on 16 December 2016 to:

The Revd Dr Martin Wellings, Wesley Memorial Church, New Inn Hall Street, Oxford, OX1 2DH.

Please mark the envelope CONFIDENTIAL. 

You are also required to e-mail it to martin.wellings@oxfordmethodists.org.uk with the subject line: CTO application.

All applications will be acknowledged within five working days. Late applications cannot be considered.