Job application form

Name*

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Daytime Telephone

Evening Telephone

Email*

Enter Email Confirm Email

Are you legally entitled to work in the country where the role is based?*

Yes
No

Self Help Africa is committed to the safeguarding and protection of children and adults at risk in our work. We will do everything possible to ensure that only those who are suitable to work, engage or volunteer with children and adults at risk are involved by us in our activities. Subsequently, consulting, working or volunteering with Self Help Africa is subject to a range of vetting checks, including this self-declaration of criminal records.

Self Help Africa recognises that some people involved in our work may have criminal records. We would like to reassure all our potential consultants, employees and volunteers that we judge everybody primarily on their skills and experience. It is part of our standard application process for all positions to ask potential consultants, employees and volunteers about their criminal record. For successful applicants, we may undertake additional background checks prior to entering a contract of employment (where applicable). We will determine the most suitable method of these checks and these may involve local police checks or checks involving adverse media which reveal criminal convictions.

Self Help Africa will consider only those criminal convictions that are relevant to the activity it is intended you will be involved in and will disregard those that are not relevant. A disclosure of a criminal record may not prevent you from joining Self Help Africa, however we will consider its relevance to the role/activity and whether it poses a risk.

Do you have any criminal convictions (past or pending) of the following nature which would prevent you from working with children or adults at risk:*

• Offences against the person including, but not limited to, murder, assault, harassment etc.
• Offences of a sexual nature including, but not limited to, rape, sexual assault or sexual harassment.

Yes
No

If yes, please provide further details:

Do you have any criminal convictions (past or pending) within the last 7 years of the following nature:*

• Offences involving financial abuses including but not limited to fraud, bribery, extortion, theft etc.

Yes
No

If yes, please provide further details (but only if the conviction was in the last 7 years):

If you have a previous conviction of the type listed above and wish to proceed with your application, Self Help Africa may contact you to give you the opportunity to clarify the circumstances around the conviction in private.

I declare that my application, in its totality, is accurate and true, and that I understand that any false, incomplete or misleading confirmation as to my conduct, character or personal background may result in my consultancy, employment or volunteering offer being withdrawn; or if I am appointed, may be treated as a matter of gross misconduct which may lead to disciplinary procedures, up to and including dismissal or end of involvement with Self Help Africa.*

Yes
No

What is your salary expectation?*

What is your notice period?*

How did you hear about this role?

Please specify how you heard about this role

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