Job Application Form

Job Application (Outreach Adviser)

Personal Details

May we contact you at work?

Education, Training and Work Experience

Please include the Date, the Education/Course/Training and the Qualification obtained
Please include the Date (from & to), the Job Title and Name of Employer and the Nature of Work

Supporting Information

This information will be treated as confidential. Please be assured that we will be supportive in discussing any adjustments with you at any stage of the recruitment and selection process.


Please give the details of TWO referees who can comment on your suitability for the post. These should not include relatives or people who do not know you in a professional capacity. If you have been employed we would expect to seek a reference from your current or most recent employer.


Applicants for this role must have permission to work in the UK.
Have you ever committed an offence under UK Immigration Law?

Data Protection

As part of the recruitment process we may collect and store sensitive personal data about you. We are required by law to obtain your consent to such data being recorded. It is our policy to store data relating to recruitment procedures for a maximum of 12 months after submission, for internal auditing purposes. Any information of this nature will be treated confidentially.

Sensitive personal data is defined as information relating to any of the following: racial/ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.

For the Purposes of the Act the Data Controller is Citizens Advice Barnet.


Diversity monitoring information form

Monitoring Information
Age *
Gender *
Sexual Orientation
Ethnic Origin *
Do you consider yourself to be disabled under the Equality Act 2010? *

A disabled person is defined under the Equality Act 2010 as someone with a ‘physical or mental impairment which has a substantial and long term adverse effect on that person’s ability to carry out normal day-to-day activities.’

The information on this form is for monitoring purposes only. We follow the social model of disability which believes that it is the barriers created by society which disable people. If you require any additional support or equipment in relation to the recruitment process or that would enable you to carry out the role, please tell us on the application form or during the interview.

Is your gender identity the same as the gender you were assigned at birth?
Religion or belief

If you have given us any information about your health, disability or access requirements, under data protection law we need your explicit consent to hold or use that information. We will only use it in order to allow us to make reasonable adjustments and/or to keep you safe, and it will be held securely.