Completed applications must be received by the closing date. Applications received after this date will not be considered.

Title: Job Ref: 079 – National Citizen Service (NCS) delivery staff 2020

Fields marked with an asterisk (*) must be filled out before submitting.

Job Ref No. *
Where did you see this post advertised? *

Personal Details

Salutation *
Name *
Surname *
Email Address *
Date of Birth (Format DD/MM/YYYY) *
National Insurance Number *

Contact Details (please use the address where any correspondence would reach you)

Address Line 1 *
Address Line 2
City / Town *
County *
Post code *
Mobile Phone *
Home Telephone *

Your Current or Last Employment

Name of employer *
Job Title *
Brief Outline of Duties *
Start Date (Format MM/YYYY) *
End Date (Format MM/YYYY) *
Reason for Leaving (if applicable) *


All appointments are made subject to the receipt of satisfactory references. Please give names, addresses and telephone numbers of 2 referees, one of whom should be your present employer. They should not be related to you. If you are not at work please give the name of your last employer. It is our practice to contact all referees prior to interview. If you do not want us to contact a referee prior to interview please tick the box. We may need to contact you to discuss this.
Name of Referee 1 *
Referee 1 – Occupation
Referee 1 – Address
Referee 1 – Email Address *
Referee 1 – Telephone Number *
Please tick the box if you DO NOT want the named referee to be contacted prior to interview.
Name of Referee 2 *
Referee 2 – Occupation
Referee 2 – Email Address *
Referee 2 – Address
Referee 2 – Telephone Number *
Please tick the box if you DO NOT want the named referee to be contacted prior to interview.

Additional Information

Please give details of any reasonable adjustments that you feel should be made to either the recruitment process or the position to assist you.
Do you hold a current driving licence? *
If NO, are you able to travel if necessary? *
Are you currently eligible for employment in the UK? *
Have you ever been convicted of a criminal offence? *
If YES, please give details *
* Documentary evidence required in accordance with the Asylum and Immigration Act 1996.

Information issued with this form will indicate if the post for which you are applying is exempt from the Rehabilitation of Offenders Act 1974 (Exemptions Order 1975). If it is you must declare any pending prosecutions or convictions you may have, even if they would otherwise be regarded as “spent” under the Act. You must also declare any cautions or bind overs.

Motivation & suitability for role

Please tell us about any previous experience you have of leading a group of young people. *
Please tell us about your interest or previous experience of working with young people. *
What skills do you think you will bring to the role? *
Please tell us why you are interested in working for Inspira supporting the delivery of the NCS programme? *

NCS Specific information

Are you an NCS Graduate? *
Have you worked on NCS previously (for Inspira or other Organisations – if so please specify employer and dates worked) *
Although no formal qualifications are required for these roles, please provide details of any qualifications you hold that you feel relevant to the roles (including if you hold a valid First Aid qualification)
Please provide details of your current employment situation, or if you are a student, your university, course title and year of study. *


I declare to the best of my knowledge and belief, all particulars I have given are complete and true. I understand that any false declaration, misleading statement or significant omission may disqualify me from employment and render me liable to dismissal. I understand that any job offer is subject to references, verification of qualifications, verification of employment history, probationary period and enhanced DBS disclosure, all of which must be deemed by the company satisfactory.
* Please tick to confirm that you have understood and accepted the declaration

Equal Opportunities Monitoring

As part of Inspira Cumbria Limited’s Equal Opportunities Policy, we aim to ensure that all applicants for posts receive equal treatment irrespective of age, gender, ethnic origin or disability. In order to monitor the effectiveness of the policy and to assist in its development we would be grateful if you could complete this section. The information you provide in the Equal Opportunities Monitoring Section is separated from the application prior to short-listing and is not seen by any of the short-listing panel. This information is for monitoring purposes only, and forms no part of the selection process.
Ethnic Origin
If other, please specify
The information you supply as part of the application procedure is handled according to the requirements of the Data Protection Act 1998. Information you supply as part of the application process will be used for recruitment purposes, and if you are successful, for subsequent employment purposes. If you are unsuccessful, your application is retained for a maximum of 12 months from the closing date and then destroyed. We will not provide this information to any third party unless required to do so by law or other regulatory purposes or with your consent.