Sightsavers Application for Employment

Thank you for your interest in employment at Sightsavers.

Please complete all sections of this application form in order for us to assess your skills and
suitability.
We will not accept applications by CV.

As an equal opportunities employer we actively encourage applications from all sections of the
community. Qualified people living with a disability are particularly encouraged to apply. If you are a
disabled person and require adjustments to be made to the selection process, please contact us on
+44 1444 446622 to discuss your requirements. Please let us know if you require the documentation
in an alternative format or by email. The application is available in large print.

Application for the post of (please specify):

Location of post:

Please state where you saw the advert:

Do you know anyone who works at Sightsavers? If so, what is your relationship to them?

Personal details

Forename (s): Preferred name:

Surname:

Title (i.e. Mrs, Miss, Mr, Dr):

Home address:

Home telephone:

Mobile telephone:

Email:

Nationality:

Incorporated under Royal Charter Registered Charity Nos. 207544 & SC038110 Royal Commonwealth Society for the Blind
Education, qualification and training

Dates Qualification Subject (s) Grade Name of

From (m/y) To type School/College/University
(m/y)

Current or most recent employment

Name of employer:

Job title:

Dates employed:

Notice period:

Contract length (fixed term/permanent):

Current Salary:

Reason for leaving:

What do you want from your next role?

Any additional benefits or allowances:

Please give a brief description of the nature of your current employer and role (e.g location,
industry type, function of role, company size, team size, reporting line/s):

Please summarise your current responsibilities, key skills and achievements:

2
 Previous employment

Please list your previous employment in chronological order.

Dates From Name of employer and nature Position held, responsibility, key skills
(m/y) to (m/y) of business and achievements

3
 Additional skills and experience

Information Technology Please detail the computer systems/packages that you have used:

Languages
Fluent Conversational Basic

References

Please give references to cover the last three years of employment/studies. One should be your last
employer and any gaps of more than one month must be covered with a personal reference.

References will be taken up only on offer of employment, unless you give prior permission to be
taken up for short-listed candidates. Appointments will be offered subject to satisfactory references.

Name: Name:

Position: Position:

Address: Address:

Working Relationship: Working Relationship:

Daytime Telephone: Daytime Telephone:

Email: Email:

Period covered: Period covered:

The reason for your application:

4
The experience and skills you have gained that would be relevant to this application (Please
make reference to the job description):

5
 Additional Questions

Do you have the eligibility to work in the country where this role is based? Yes/No

Have you ever been convicted of a criminal offence, other than a spent conviction? Yes/No

Data Protection Statement

All personal data provided by you will be processed under the principles set out in the International
Privacy and Data Protection Legislation. The information that you provide on this form and that
obtained from other relevant sources will be used to process your application for employment.

The personal information that you give us will be used in a confidential manner to help us monitor
our recruitment process. If you succeed in your application the information will be used in the
administration of your employment with us.

By signing the application form we will be assuming that you agree to the processing of sensitive
personal data as described above.

Declaration

I declare that the information given, to the best of my knowledge, is accurate and true. I understand
that providing misleading or false information will disqualify me from appointment, or, if appointed
may result in my employment being terminated.

Signed* Date
(type name if submitting electronically)

* If you are submitting this form electronically then you should note that in the absence of this signature the
emailing of this application constitutes your personal certification that the details are correct.