EP*9{x ]Uyw>DiCρ\LAE[I|.C|&*Ӊh[iNkG+E籝=w>7rO&ӝz>L˲N>VRsv\Nc,IE/ʲiW^=-{Ѭ,{ sHEӊ";w̖euFin̶-f,;i:B{6f/歀-9Fv/nl%re|v0?iIy842 k|0~v۠)\$m,.yAfo<=$kfWOځvw~_LtLJW?{Xtү6;Vf{է-ۻgs}Q~ԽU{R݇uLw8Ⓡg,/{rO?^Sx>ytCo'v{?ӽ>$ⅮXd9w'?̟0c%A!ٯqa1_ޥl c%W_nɶQ9픍p=2D:,f<~ΏUN#-(ʭB~+k,kLǑy0 %N]L#tXz綜=k໕/ʲ?'W:1ꖠMDujt:̲3;">,n!)}yu+o۱ԋ?Nz?A~&ZnF6 *XsUgѮOz\X^Z (vC ]<A2VzՅ6$qK:1s*[<|J?)27C O9Ai3LG/s3X;D'}Y¿'.ƨu!y\M2s3~M~IvN*ڳȺ幇4 ?`<d@bm&zs玽,ʡ<\٤琬73,p\>ql։դn8OKtrߨp5Zŕͭ~X9'NG?feP>>S-33ɣܖׄ |Ճ~2/4R7=D*V1 ։]1RwMR`9e3}wFZ׉VcK6{Xpl}} Lc^`ec-SgӞǾ4juh+#a/iCuet1ftd[璆9?>ı(r+rϵ\%X_bS։UwڲFB)q0x-|Nh:mց|_2e2X\e$2,$zM>[kK}iFoϭ\}Gu+K<.ʺqMfD?W:yڻ|MߌܒG>qyۺ^p<]S(7i]/<LT%wT wysmOzyN( qS٭'f:i/{qWMR9z Q/4]uywYǻdκ{^y鈝؉g+ j'd~dzg8>& =]b-Ϋ𭨿{_Lsues>en6ꖱ4+6Iy`ֺ4yʮf)#i#c=3Es+ZR\?ʹQv a!9:塺<˨k6e>e=S='*~緋6zeZGw=M2UvZ+Xᴼb2_ɧ <8Oj[Z3iwZ'\l'7zح1/rQg^@Z2^{+HCK\[t,S)/yȑ>A:䔇tkEYey\=^Sn'xߊ"6-%봥i\;Ba+ۭν!x˂WV\ӍՍؖ3C߹pm#GkVpZ]ki,63w̙+{g"޷5y;oʹNU/b御jss&2Ofasq^Sim>󰋸iI^'cO##'cl s|鹹uC.|6&ts۳*_N5'p}P;NA{i=Řҡ -h}mۧ_)-8ٛ>б`u,H3 ǂ}(TlA[i27m"%$>u1IyVoo:iz*6|{::=M>yeꓥZn8Sɟm;J]Ch} ~ ޶6E툿}]D[W}+b\8.k:urzXY@2>;b(U}8zq?#W6Ap)70>:}cŧ+Z듒-_zX봧~ xK}cC1-*{,_e .5[)D[#ƭ,C)8-+oјl HXZڰ++ڲY"7zKH}5YEF)Q+τUjoаI&}qRz?IIi5~gנ?O(/gE{hkw 1=zUDVk}Qy'~vp/6Ӻ&eyCwr.{b}5b㡼?ӯ8)f7_IGrV'໦B'S}!oNVf+ c>7}`]?uw+ǀ7-\r8dz ou[:9Z-+ڰ~zїsWSy&Ҿ:q.0uB_W?[ߺ^7h?xq}b1_VgAͽ~$=FTt6 Lbs"6]m[uЛkn.gmoŶtDl Ϸ\-:͵|FlAX9-:X>h=Dd2͸ M!6}؂6Klڛ؂7&]E=Ip998.R.m{$֛ L^Yدw]Uq$g5hTRdZC7/ /q{2qin7dݸY^ZbumݢUmmum;-,H>cV6ߦY'B^!}dVmۋOB} ۳vKJ +izΩeZ6wqsci<G.09i:yk.Qg<;!H팣ȩ\h=`?dU}.vK`!/Ŭvo!q!Yn7 /[MΠ.fxc_WڽeqyQrպtiox5m/6o]?9W(88QtgP'rҺ%TL%/t]ԓ gT9{Fb .{Fbs ͸W9V[!ҁf[46}3[u3=ޓ#{Fb 9="g$렷x=#]=#^l؛޹pT΅؞CCb3.-:`f-~ck`'8Γ#Ô6}}g 혪8R.}B dC^աs9!,뮣!9Sʵ>c,]4Fnd:[_!XG.9{3֕\rϫpFנ݇.R3p~GYjMb|z}N{ c??']/z ։ľ4=] aڥvQcIt?E 2CZΗȿ߳sK s1c&Kib5ApK6i.,/5 >6]Jp>:}.kg-Qzy{HUI)ow1YU[eoYG2=ccJXnW5x(nһIӸ.X( ycܽtɽH&[Kw{~F\;6sL 5zU/zgʗI8JO6SJ|G3^ǽc~t? 6ϛ5Nߺ/1w>=oqEE{֥-_}Lͷ=}o6RVNl̟Gcm'0}$͏Dm*bI*l l t]7=iuf܏t]͉ǭޜ4u} =Mk.$n\Wo7|N5_l;^>O(?㊵ʵk*cmX5(K*Z'Vwkn\F~/u RLEߐֈqsgɍ6oZDZ+e[uY#M"6׈uћT,t]ֈbs ͹@]P,֦Шtc5\#-hq [<u(FTo.P,1o}Plt-ӸF[uY#7b3.ތύ΅OՓԛ؂7&rdOke,}ܹHo/hs]H{כZ960կkwZ]\c(;A|:`yXZg΃uK+[w#eWkni=`kxƷ2kd -F;#=m}u\C"[z] yW. +/ƯB_ŕ3]iʥ JBkKui$Ma5EGY$y]SuҶ'/xϵy&/9cMmzQsgba/Z};(n C>J> &e4յ멻 (;+;?s_˘\=OSQڴmW,m:}jZ}9zFCKHHӍMG)؂Z_lU֗VgAX -؜Ӊ9]];7r,8W $6&XB|_αa3pVnIj;o-3gNjsn9} u/Oؒ/6g{}e;ڲzTmM쥤: ;J_O;Or^GʹVమW9N~G &ϒ4x3t۲e |*pXw8r C9߃I:SFH?G)sDg24}:˲Z_%҈]/)G](c:Ǽ됷,J^ -/*2Tɺ^eʶ]TcyK,gGٖ-.ayXfW9oՖ[JV>C|Q\OM1~CFVİ}ilem]/iW"=׾/\[Taz=7vj{^C\ZLAX[b H·uzr.ՙizs)6b .j>ú؛:˱+hsT=M-~cdO.mxnp{K;iMji<~w#$Ǭm1~mJtɾөYճu]= Y׺z2Y=M`q߽Ocuߣy}ݸvpU{ɔ<`Aqn>TѮuKֵ,ow\Ǟe]?җ}\_&MSOXQlA%M!6z]Ÿ.f|.z~Шq]lMlMؚNS=\"w}JA5q]륽Zc5Lޥ? Tp>N#_B[|nWV\gymiz{X?Q`zubg7Ln}e62SSi1_,(6t]bXb3EoMt]b،]b3vEoھ1`Lu"MMIl2&(WI?bcXo2+mOܘ/^o+16iY9*93}k6zs7ƊJLNX*W_SהTWmLSijJmN[G#KӇE" ^}DM}DH6 S^zj,3I2Z¨OAGOQw"zO>\~md>協i| -9;m'@_~G+jEٶxzAglT3ǠL{ןIԔ\=&gG[}\6^F?zi7Ĥ?{hShQջl%>eIß}2w)[:~fyy|P<Я9JS Nb;ol-(SMR/cX2mHBX<뤽^zc406A[sY7\Yqϣ39v.*9:F=_ai%ctĩ{vv=6C&>{9r.ԯqȭE{~_fڞuXIۋ=RS֥_O18ӼgL;S.}+󏓯"Zh~Ot6؂˾z3~}Iiufb6{[wl،E7ǪS-EAmLb3-:M_*67hZElAAoZ@^Am*M!KRlS]lSol(:3AEd3H$߂K Ю7^9T٦*ڔvAڟx^ڒ6V%Ǒ˪gesDA\zeu\| ܯwܐ͟쥔|xh7> לmėd?ͷZ1|6>Jg5u4]ٟk|*uAW摴r_90)< e#K(SW9¶A/;6g*}q]AtbNLd]1-qs)oR_n8ijoI;~͋g:ؖ%?J]#k/{HKq]^ǺÑW;ࡼoɺʫ O+O%m|Riߪʿ0;b$NƏS_`Xazh7ƿQ'[o̿]# X_c.C)({<)xRS82 >ri4U19YuJql]KSKSS.uȹ}ҸZKŢN.R溴.z3.u؂˺Tlw|.zs1%.1JlK7}X\-躬KFlaꢷ}3B^A3|kbsJ}(TlA;JQK 9/N݃KIqKVhסQ/my\ߏ9n`0^Eb8Z=P6סE]< p֦9uRw䏐[)" wW[oɿ_Y0ڶ&YL|>=p뇽*`nn!$lBp^ SFXWWS^.C?cn;Yg{b!Uơý ^a{ֽ5{^W_ܐϠ2>G4Mb!6eS.Cz3~u؂˺Clg|.zs!b .뎺-]w-躬;ԓsT'뢷}3C^AC=4Ub^`SOufqA^ ،Ub Z\ƦĦ[o >qq-AS7V [3I;]+nGn0,,Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 1 of 8 0510G PRIVATE & CONFIDENTIAL Please read all of the application form before completing all sections in black ink. Please note that you must sign and date the declaration on page 6 at the back of the main application form. Position details Position applied for Have you applied for a job with Integra before?  Yes  No Same role or different?  Same  Different Were you invited to interview?  Yes  No Location Cardiff Advert reference Are you interested in working  Full time  Part time If part time, how many days? How many hours? Please return by Please return to Integra Community Living Options, The Maltings, East Tyndall Street, Cardiff CF24 5EA Personal details Title  Dr  Mr  Mrs  Miss  Ms  Other (state) Surname Previous name(s) First name(s) Full address Postcode Home phone Mobile May we contact you at work?  Yes  No Home email Work phone Work email National insurance number xV[lTU]gJB$j&dibKZPJTRZqJ5Q411)+iJHM2g"?c1fq3ɄLb7YY>gY@ `^p9Jt#\} >e*WBgƾw0c!L+8f'.\r̆lF:T1TU,?/<,PIYy5 2U/c?/wƞTn:6n zzKۂp-Ts7Ch5aggѤϣ1-g:v.z 5xTvr0nCMB?T VuĿ[W{UJ!O{ x|Ealը7_q~-O,Dr8cZLUy>ѮC FPu)sJ1CƾPƤA=_CZЧLsveϟ)g+홶vz+q֖XjWz;;[h`>Ѿʞar,w )#S>b}j!joAc%1d]W/Ю#wۘT&ۉ)"u Dw9-Gۜa[eG}vbXu+kס".y Z!7-b;a m\*4y ;c_cN}/2n9p[i5qNJZz D#~E#Fv2X"!1V:!r#i#N7Ӯ"GWމ|:nK\nywnj1yFǭ^ [Mut?}lyPw.G̀lcN'#l3:!cokؙ`d+1vv-3~ϒ9hsŶK۳lgL9KfS;şiۖ{ru ׁ,+@|iMicrosoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  / ///(16`929//0V14z{<6x ]EOw'C Y!Fh$@2\ 4cF|t IHDyYf̀*ff70c Ύ +;".c:Ywu޾yS筪ֿުz:#Iݢ9#I~Hnj$t$IGHgһECy{OtwğܑG9gw%g}`Z4YMnP9hu^bU>d$[|.v:Ug߾} :).+S& =*g; aa iJVA* Fi Y1,Y'f'IuE]~}undg?vYত.ED:Qx]IE-xæ_E&&_sz]\vZ uIk՗oV\Mg:q&Ê_|7wKor>5ӿN#k^!!y4Er\;}].:D5Q.*>֙$:M*_&RGlzdǓDE,0i:nEH~B2sQl'`VG&o(ۨ&NQFܯoF{7'oz,dl׊N GZ;' V!-̴]g^;gc{w ͎z;T|Y п7y)&uݥ0_ўرFkҮ \"Kٍ OGim 6ꇑiE؁ɏoY@;'߸Sa7Hoרox.9AyzE$ać9x"Ej}Α= tE<ͱTPmě}18W~0,}^~Z!:DڏD2 J[*{^~s m̼"p](Fy G;U|d-\5iDCX۴ TaVغ.ԃQ-"B_N# @kxQ#)F*t7~3+ikĭTN|K v1SG^Oם8&CFXyUR^Q#=|]i,d~@&ieeWK؞1lgS9]{B7zߨVbTjSz)IگY\!tަ&EۃI|q9ӞA{Eu/j.QUi#\ EB^{}r2W+$X8 F bo.\- }Ow4/iԗPu\[[oTuY\ ol# ,PmqW{D!^Ω f o`& 5c-9#> "7.T,5Җ?;7u~ήSǴiGꀎrN!c>+i`URC:`oEwNuU>:-(IWؐT?l@GAIXge:GЎo7p(o:a|uAFRF6{yqA}3)Br/Rc\үVi^mJcF?\W۱1:g yB"sNve}ׄ-MZ}wi c̻ dVV&x{EbTѺ]I }FmD:S\E]7$ 2 9ZO1G-C+qV\e@X&ied5x-M dVFfdZe)IZ2|m.6;iT7Ьva."?=|@>ie0lR>^EW֐CDq"6'4;tBWutяNUy=ē?<3GưPeL0\+nWzoݳIrϒ$< \?SvQ=9;ϣ}Ey虺BS]쩬mzӯ7=‰E>OumAOcιJfټ½Kgkg7*%zF{+DDB;t8|v9?!|aº7_hҟy|lWӶ1'YQ0)׶_M|-cxl}r}jujՍɹqJCǴvp8v9bLIACLؿTD;|@<~>6*#ɺ5H{!z~1v۾U[j[ƶ4lqS-m(amɏ|V}Ga,4ӏݟcIW?+c="y((2uH%at}b} + + q}&rNk 䓆|Yls}YW_ 2\fB|50Qsx|w:<8b?x٠R. s(甩+znUWs&kqn- q`AroM:_R_aO'NYs}'}Eߖ|zxH,kgHiKxjlfB\3g*I|&t*l]~.2/ɤaӘ7V;w n٠l)OZR[3?z[^T'7ە8a?Pԙ؎cy(QN8&E>LOZ& \zDf:^ m _X礠Χ ^-Oݶ7oW=~4dD'KL(y_x x`]?|l6$0ϱI Gh*hD= sԬX1Xo_![o mWMͱR)1ћ*荹loW f zWdf 荹l_˱ތؘXK1gn4nsf 6UF6Vc:T{̡<ǜ}~XM#}-W:w' &=;U^Q5G2?g tBo25ʫN$0횝9g%1/*d|_kyPɸ^_z~&-!Gb2{zs}mg黶2 -q؊VSxcvKDj;xN؞FMF8W-yU]aVmu8XL6Wݧ|ǧ/4n S{Bx}_f1{DH~;apôw뇴Cϐʟ!}X>iW1sSꍀQ'%_~Şe,%929~aU܇zM4'; X>iW&ۥz7`AWdFPw7"IٗuPm(i=y Rټ“g6u#zdҖ`Ƃ9%BsN<Ӝs~yMfʴG*y\1W'ࣿD"mQxB:m~$W~zcl/׿5:X_6U_6>`c-U1?Qm#96.\5OY7kڔylnl~N,`3_,}oGVe2Gcbl^M]+ l76l)̷,u/ =w^I'tVAyez/+B8q Op> J|I;Vqy5,ޢau<]a +>Byrg-zkYX:%'Jz_Vk2[z׊̷m\d<' RS0MYq5QQ"F'NF|ҐO/UZ*:?S1fҐ~bfH<Ȫ'9ye}ql=yZз#t?G/>p'iepp]y"U}Hj|{U/Zò>(׿x1X#We 66`a 6UY 6|5+XXÂmX` 6ְ`3ӶS֬`c-6*|\b6j76l->" ۆ3z'Lo2^0\%*|j>/O)T=>ygvoJ_#<2-vԟ"Lgnw;B7?ܦ 1~Y*'\sA%2o40?i GfE3K6/viwp ޸k"ME]"Y?ibU}`h5ZE L Ynn;Evy }bE)M4č]\w 7=X!5rSõXxOEiuJ%kgW,4ӦK,}y2x+.!U9觌vJ&}mׇiJC']ICMB>W\ʷ͚s_U1GiH!<j܊ |6}F`3_u)XVEoj`a:m 6]Bk1̓~fch,'7o5^]EZ'gTXwgr؋ i-듬nQ L=3 ?.8_%G gsn6_FK՚xk#{v/{ _B?"o$i >07v;n+# ٣3*16*/XF޼W 6UؘG7>6M3O5~2Ǯ]0&A̋ټN[OE`;8ͷZ*/a狦Rv9Ƕ\ 3'?Rnˉpػ_w¶+T3^:?|F!zo.}# N8y}jO+$_?? +b)M{:|1jPHϴݐ̯]$ =HF'>;_7s Es}Whk ǟ ;ł:VF/ 2Kv ޫb-9LF0gN2&cb~cGJ/3¿Ḙ[yBjv3-|0.;|uy` !k@ 'x=b 8Xϔ (~X3#|>)9@/~PöxFߴDGz8H?@yCq7i:B33gu!oL'fxm;$kă)=mZ-1tmW3GezDcgFϾ㝟4ˀww!Nhe"_ILPۉ2Jkvn7rBޘN;~NT_,)|6n!(T:J=)U:Ybݡ[ckS/C1~ʦ_,_Q//7]q5NՊײݬStn}9E6m }U]&V:*,4%Q×\ LҐ5dަaE32wYgf=@N~ hh'i{DZ%2_%#(i5Nk_ fW 1#m$8H;v~D2O.5v& lT7cϰ؆#m5C~׆c S=xs ;O*nq77R];GDQm,b\iE5N+ȏ..B~W.)n򿧴eIk7hNl6fō=cdA`hlKKÿ@lgyJ'І葐zݶoe82ݧ3Bwz# ˚HonYcN(+{>ԈIn3@O ӟ8{SA{V߿S,='/oΛg o';8CVF6> nƴyWTqG3 ff|ucO}JN|Jˀܾ ߏxH/̲sM9VE} _)pkt|vI3o|6CO^96ؘf zcl00V?̓zTǹ*++ l l[WXTdV\Tf1vT'5nҚ6W<ie䧒\l.w!L2N'ƌWHI.)OZY؍2갭֍\iTɘ+ܱ|Ґ?%6p?MQ(ިieJc2K1"|)F><Ԭ"Eh/nlY>WAỏ`c6Ana? 6U}_hlsUv" l l[W8Tduu3 axB'*?Ė[މ_*!Cg7/}F0cHnNtx%0)D@|n=:nG%':듻 w%}̶[U>}?^fQ{N Y7ߢ}w|} +]S_xv3סG6hs;&%'5a"giye0d~6\N˴CƃۡHjt v=ܑ|ScI^9ha˭ްM{qԃsGw%$sB:[4ѳy#~6h`ñGۥ3suެ,RvQ=Tt<8j]]d_TͷE~>ZXo'E|=RHGGMA8^/ۢKɢ;K4@1oQSy:?_QeXwɽ6$}_iN<\K}} %aGԑ4ꨪ6@|^QUW0_uTƌeu-;1{w1UEoڏ eYNۋ= l櫀 6lWlS6> `3jlE~޹€80ߞ|X>~`,`@c"?0oxBl<}j- ~ Wvlɪ> @6l8ذUc,`3_?l/`c~ްA``Z*z+<^~O~`,?00~ cfER-o@E}``N ;Yѧ6U 6*zc?ll/U6,`3_?l}`cްۄ;]Ęo|ʛ%1W'ݢذo`3_l aCf `c|XVcUR3#ǵQ!=<FBtM;@Ėm0<RA$ ŢzyP^TlfFᙂ"p/܏BvW#γ:/c<=cZYmf%SD;޼{og!^p7i.pY~3~3 g> QxB*=Ƹj>c̻/ ̅`en*_l`3?վǘ/+8ؙn ze-6`3?kX1_W|㓀|Zl̷`3__a˙)6$j/o l l[ZE5ߓ*'"{uu#/!gQ Vij>QvQ=b?t@?D˿wз3n/1I~#ykD=i~QŎ;}rkd1Y.4FaJ?Q{pQY/ZkD߶Wa;L(N^u +k<D׸|n}s;u~0ߧwϜ&%Ô|HÁ|'vxg:?v}Q[{\N}7j}Hjt 0ܗp_g^L;h<Վӡ*&kHD|T|S~<{x+~"e?(K Ҩ}@ۅo~E!;>}Aq#Գho7oƼ1ɾ5>0`o lxpω#"58H2Ei|aZG/f!nrv ř#B6:BoK\4x>%]G=Aw|@uCf]FkTǥJKE|uQE c~U5,d>"#IOUFw(-~uBmoH#9_[CҋEɰG DSf}wS|sڏ1@::4x6q\g9 # r9a\G9]6qPz/q lߠҏI|nrFޤ< aY*EXs(@W(D̉5oP>xÓN找h#.bcT;&߬,D><.bg^uHu5Ϟ)+v}y󰍱w%W  9mB~=!_{).Yo}}n#"vyȋ= VDEX*>QN#x./ #q`Ѕ[l9}}L!PG%i``ۓcnlaWf\Ƹ̿Q>QOƜ6U}\al͜+Ec= |*/ppTX5" _Q/O~xp˄بe$9ݾ_!zX1u 9m|R }nkuPh/UMxaTO~xV0aS> R)i6\-<{BlʿVMFiK;+zAν?{^P6i Fe۞M^nسnسX~3{F߭^EUž{6T`Uڳ/ 4u*:W3xÓN[e=;5RAس9+z=۪>Grp+g:C\Ɇ 5h7l9 gm1}rio]/(ܭ^EUb,l샀{6A7}샀|UAsؘ_󌅍f s'Nϱ z=v 6=1Nћyv 6l̃ذ!`3?ebCxtq 6f mj,S{0K="l v,,Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 2 of 8 0510G Are you required to hold a work permit?  Yes  No If you already hold a work permit, when does it expire? Do you hold a current valid UK driving licence  Yes  No Type  Provisional  Full  Other (please specify) Details of penalty points (if any) with dates Do you own or have regular access to a vehicle?  Yes  No Parental leave How many weeks of parental leave have you taken? Under the Parental Leave Regulations 1999 , and the Employment Act 2002, parents are allowed to request leave where certain conditions are met. The number of weeks taken is cumulative across employers and it is therefore a requirement of your employment to inform Integra of the total number of weeks you have taken to date. Commitments Do you have any Armed Service or public commitments (are you a JP or Councillor, etc)?  Yes  No If yes, please give details Professional details – membership or registration with professional bodies NAME of PROFESSIONAL BODY LEVEL or TYPE of MEMBERSHIP REGISTRATION NUMBER DATE of EXAMINATION Employment history Current or most recent employment – please state if you are currently unemployed Name of employer Full address Postcode Telephone xWoLUe@ &cCJHLʅBh2&E-jFVfjkK\S?TX9̾X\[Qs=s}7s}=<9yWVHV'.ck(WvKPӗFʜ^añLԬ. APqF ٪"lPsH=8uKjuj>ux^&\PVg V}+ 9L-܀&KXMs<5h<QI0P%sG~u|Z5_pΫLl~n]Jp]x% 8QwQRG(Gwbvo~c:vھә'%W_+M"K /)\=iWRWCIXj9-*X9$VЩ za/=*7? ':-%>C8C)גwmw?/"b6 D.8gjk-zVd53D[n~ }h|k7m"øYI DqYg,ggS ashs"zp̔\Ŵ@<{y`y8-D/H9>9ܹk#o2NF]ROB-%w9!k]$~[hPzBֿ؉"o!'q~'J 7"z16 cp_{U۹rL. ~JG_Ce]Y8!I@մ-# Qj;Zak-׮!GPͺq2m֋ܹzqw׸Zަo$M̝h׹yE[QN!}S;vANS1uϝΖLd~Z-t8r_w}wps=Bk7$sȽCC?KZ~"RTRHU U7D0 *Wop0eMicrosoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  o: 5oo(16z2z/o1u{xfU}](K$lj)ҖuE`\p5C; $iȤRj 5M;1NƦմ8aIfɄ~?{}ϳ>\Ξ;sw~ιQ%}NIwwhtt*^WFGnyQ?=v4ڒziOwǞ0ݓԣ.;ͣtѕFWGW{Vruuot<Û~;Oݹ.ڝz҉IuR(>ݷ;ߚ~y5GaGomםH__ߢ0g}֘?j/zNl׎rv]k|<܍W͛>i|w仯I[r?Io<}:س^|gDRΤx'1݋Gd./ety{[/,#e;svX/ ޔ_뮈oI=r瑩e9:9键50ukUsu iWx`-'Mm5$]yܗK7Z|iIs荑;-Ԥt~IOmI%__xhuʗKLX+_eas >i|u7sy}X~ozagMɇ _m>Hf䟊u||344uo r4zE%9{KD9~ҋ'uRmltG_6>lwBMޗ udC4(_rrYN-#~P WGg`KRar\%1'Ɂkc#@õ?/H[sDWM&Of;9RI1Sԝ{pe$bH ]rwӁ0?uK6?rCI]Ir6_ڎA6٣It=)xcgӮL{X\snu,a+iΛS[i,ƾ}208 .ʕ}kekc|p^T\ؕIڬ>mrM_jK>4e{ɬ6,m~qBfm_HN'm`~8~-@?moOݫ"uoʜ珖2Ks4zmdG#mcdd.j>̷VSe'5xPX~=sԎEXOpIdWxXzl>4|DfnDK6k,5ݒT|*^(7{~#4{3x}}yxe-e,/29;#8+ԜM)}L֤>^",V&`Vst wI_$6)уSpbʦrOΏ<ߋ>ͣ1Q6? OLXXWy4Ơ98'ś>siiYՒ%==a;p'g|?/{-GQs:ssVıcg~K>n-{=!Zzw`Muڌ9:Yܾ)7>"k^v-nu]զu6_mͥQjGӖ6΄6Yy]NhS,mksW/׶cW͈AGڅw9 Ň4}u`^nn)ƭk_ٓ]I֐KIG%3Lx ԧ?rW%]V/"cS=Gַ8.^\+nrF^vZ9ݣW\qJ'Hڗqql4?R?Rvݶ'#[!]']scg2|zRbF|D>0/&'I& "\WTN)3rsOcW_wh)sj'^ouC$s#iֺ}p[CI-u0$m^`o_3Fum7q_<>z|wg_HGc%/ Ҽdkf^||1)[p-Da+%F`VVXC>h|OmmFKO!Vzc[5I0 ّ -\̄v=ZYb&m̤|gRL0'Oa3yؖd}OLW k?n(5Oܝ'89SILMٜNDIWEZWz,'k<lrsT}rDa}IRUOڏ}/tWV,ӆݵU7YڟņS?'y9]d`C؊J878ggod/ |Q)/jRVzc[L3|Nj~NG5ЮGmy?GlFǡb -]ڟi86*_ -ָ062X$8_]WO)WFnť9y^rw2=IWIpڐҖ.m9\O gM>?f/oH,|=*A=Ud-jr:+ס]V/'na:}t/Hy~v#/gou;E:cp:+$w'oeW5 s 7d'"ɛ(bHh)nHoBZi>^l0۝۱kߗ2?efOu%Ú}Mݥy{'a{VPr|aLZ$(X* ^/Ok:~+5'P78Ҧo5If1IKIG%eXl- 汖B۟A?Vbv^9ݝT}Z3!5=i2V|O{ybN; }# N䭾dܜa{y| ғGݠJ_{JvT->u="ck,gyey杌z Ϟjm:'O_\e͟< kÃumh6"=W;gHTLTb &/Y9'qZ;(Y!'}ޟ '9Sݟte;S7+y/^N,vWs/lEVѷ_2^}ޕxDŽGW5ceNjZkv`)[;dJ6͡\]9Uo;X)9$23]6dE[7km:Աv غ⩜lmJ?q΄ԵCٶϧ [ۦm2ֶ'kWYIv?v'=d?ɋJ [,-= ۃ6 ؊s/|^h<7x[Cy Mxts.ج`+z&ƇVh/ob>= VlbM؊Jy [OaݧZn{ށv=Z{Nzؙ~F}w#e鏌}p]}6x}]MsLvoOܭ#Vaƾn_l^zJo:צy8/}:&m Եb*}fվjnǬmǻcz<'Ӱu [CM|M\؊^llbB`;@@s 1Mk`[z%lPc۶;+؊k[VPz`N: =ہ^lEoہ^lEou`+z({=foPobޢ龤yż=kI_!`3S؊^olaGi??枢-h9r\]V/)L{rlƊ!s{&f?)gߜ:ȍǞVR!x ɾ7%/:S7lK^j+ V)؋_kJ\ [CYOul6z|bT"/I[j>oؖ%]δ"k;C枢KrRozzy?ir}j;j=qY=iwY_^+Hy7IpSN nTwR[sڏ#/LG䢎caOuN5|\|^FXŪVa=7uKI[վmڟުHNW`1F F +闌c,v7zX ƧƧ7Wh%-: `7zc[θLtw=bѮ}?1˻~|PLt]#5_==X?8'X^Yv>B|r?^|֔_'&Nʯ~SůR׶?.&gv$gj~caa#`ׇ7~a`㟆7vs~6| m9cOW3Y;#ŔRϯ]V/˯DgOaߖmK[[ƱQk|OX=d~} [R4+uRt֓P=F͍sTu>4:MPkw}MǷcs5tacCC; [CUUCPt9WpBڳYGK ٝ`7؊^ol;]}jץ-g09v=Zwo0S{#//\v`׻<9u}ϥPa[gK{K)lE9͜Vzc[Lc}gr~'uɭoѮG^^OL׵]#u}ַ{;z{#pn Nߴ{CYߞ21dſAnĿh%ܾi~C6i+F>ؚVִmִme'3 Xv4:] "Fa#Ȱ17:#obbXȰ=612lbȰ=SC[}Sl^ol{:;E|;\.y GH~Ry7TߪOro{ƎipNJnE7TyҜS--IC+ S雞JlM7sR7=훞m߾I}M_$E i|DZ'9鯹HJ^4{"KWZ,-= =M [gX[zvq'P؋Si|5>[/Ihl7؊[KWa۱9' rƝ.gڟE~,/Y墿r_xQO]V/'yODgHݟ_S/X=#pIpw5qÉ)ZHnI9 ީh+Ӱ}y?CI/.hW׶?=)1:]-o#lEot0-]M,0 X=X6> 6>m(|#|]+; `7؊^ol{)xipO$ErChף]/+~}++9 =2dߛ<ٚXZ'7b{[-_/,v_>޶ϯïٲOΖ :,GůFƯod~a`㟆7vs~6| m9cOW3{m;~UWl鮜~Vuuzus{T33V|Gٯ_[Gw5~/Svݕy| l1 pO{>߶m>^ͮ}2j>c@^o$,|c_\v]_X&: ]h{+r7s˃ӷߚ<ٚX㲔է=oϷM`ؙtx`EѾxmA~ o wɵwb&h9W@^^.&Ţ 4]g}XpGd N[# |d[n1}km_])skY|x:}g%/:fb8ll;z(8,:lbq&`+z(#`s7 6v6# 6X`+C0g-w:v]lirHѰ3iғ8_갡·b{oE["u7 Z46ς;Shl|=ip-ZOa7h76> ! `Oa+[4O҅Z.o[C²V2/a5u[8}l<,,Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 3 of 8 0510G Job title Responsibilities Current salary Benefits Is your current work  Full time  Part time If part time, how many days? How many hours? Date started in post Leaving date Notice required Reason for leaving Previous employment – list in order, beginning with most recent Name of employer Address Job title Responsibilities Salary Hours per week Date started in post Leaving date Reason for leaving Previous employment Name of employer Address Job title Responsibilities Salary Hours per week  xUMHTQolɐ0Q#²_0Fk."EEWVbQ`+@u"jY d@" )ݾf"Ys=89 ; 8B%zg\#SjJJI8:ɹb^$ x Fd:rusF<嶚D|v̬"cyKjWGC&zbsbaFh7(1L"6 !vƜxrjG/^gH,8+Dܵso#6ǶJxoKا6W!i _Mk [7!i(\Y [Ƭ-N%v#=\9Kz|Ʊ':!d9&%'dc\ ^ Ab8m;qɫQGDtAfEf3@(goOK-.$gy7\rFo8ysib#9 䜟x7ȯD.m=gvKm9kCtWmyjE Wݪg@+Zw\7o<_`}ǸN}@Microsoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  l{ '\d(16j2/r1{x WY`3@HFzo` @B-*B ILB Ik ch, mTV@.kOE"-~j v̤Mu-;<3{=iOf~w};9f4ݜvoi; Fc3r+_:3nj񉣑Kv\w чsC?I3cG珮]=zcYI7n d>Ǟ9:uX>WyJl ;2ZMQɺt??n۾v?Fc_(mGO붏FIoo=nn8n_L[IۛvlZ}~a׾{Xw>]_sO6GsuX_kCH3W<>8^|p޿8Mip'c"Jc%4,uY\./[^ڧl Zu^߮9 jp.הϬĥv1iPwœSx(OWGBzP~Lۖ|Kg}Z c/^:̞G+Ys2zegG#5T_ߐf/j?췆6n~S瞐c߷!vg rG]1kQZs.g{ Zݾ0gY|PgnMԮb拏ZqݑVr*Y8oNzΆ5f枵^Yٻ;xdg蹑\S{V>p1;ӆx[+ '`6s\Evi;`i^?8)fr.>Ўݑv1c=0Gk imO~_ _n5C3pe|siyNNo;5ڲf%+%~'e}ƻ/[!csS}?c_o=p F.81`O%?{_ӧә'[1HuYy˗ŗ^} c7{Xܿ]vyl'?\5Pً^ۑƾwLk~/F~ x)їv\ɜ0 3?7FgG5_tZ֑[!N\]ٵ3^u>>he{+Z1"SuiYWΜtϞЛG9KFTrpXn=f<;W]u\b^E9,)k0f 3s bJ=] _X9.WowߋofC/Jώuhףý}eN]qx mzx\]!B>]79Y+.zW]={ N;[6Fwyo>{c͗^1Gvlqٱ:.{zVxtLZ{j1 iw)ߒs>l5"8lpA?;gߕh_3-ƖޕW Qr+}9^i`+eca{zl*痍M, Z666~܊>7`M&FʲƗ {[a%tE6>{fOahlS|zB }j Om۳I~h#'`i87MYMyQ =m_3_iE˂k^iŎa]vd#w; s{nLs~59=v@_0'~ðkzڿʨ{jiGOVuZCsOݵZ .OkqZfᮚG7{'myJz~?Kk^wȍoE[ѽﰉM{a&EnuoP[/q-'էwe7~S ײWR4\ק+vrjYr`#7fݙjg,G+iߗCE+2}C3K}yLs/ 0|: xN^ֱ=eRx23G;1sfͦW2CߚX?s=9ͼ|1g+zi4cU͹Y•4uFX>?_ ;`+zV-]8'a/:K<6-"|GZz7l ؊k؆VgoҳFnEc[3ՆYеwCŅ2~ hpqƧ<_ZyLlސke׎4sO[Fͮڴ ֢u?pkiہN6 Kﺊƞs'= ~_p{ʵH{z{$X\wi3sqx\7m|y=-zoyBv1j2f.507ʼomCzS<i9{Η|n2mvK<٥Yk3$/ڕ9kk9Oå`؊``+:K{˽~M5kF+&7v ;C)lE/FC&^ sOz/hs G9a>Z_6kDzrG\珤տ̹1޼$׿e ZuZSծUgq}Wh]ѮGa߅I>ZkWUorG\7:'o7k؆=7/nɿbo7b*{=ܳUշ-mKrϤcoa`ѽԷ`S"7y,[؊M UXlER&^En-,[؊M-Z"WRt̷6v ;EbOa+zV/rCx}׏wý9OW=g"c5'x,o}Zx=mfJg֢:|fk"Z'JF^;}u?9ݛC+}߾&6Αs#sx"9[墎͹Yr3isړT~0?e+- 90lEoubmi(Gh2Ֆ)׺w(GΑ[94*6^tr3&Ρ[94ʩac^tr{a9lEc| 6 ݃r.7(s 6rEc[ͺ3冞| Ɠc;ELΣ29 hp&1qGs櫲VrG ;><9wRεwT/ɹ~3(1iKMNXYXk/mk|x(ָ;٭4ASgǠ]6/Ž ˎ>Zǐ1=?wwZݵK6zu3ﴙ;mik{h7ҳ=wik㹋{A#HL譮9w=ՐMf2&^譮)MM[=ȍƦ`+zkirS&.VtrWaSVt/5!lj6׾?X^FѰݸd.ac6{=Ech+N .~7NhzUѮ&ɜ0*WAzrG\[;mҧ[W6Y[a7z#Ͻ$x ﴵ\k+։]&ЖP.NOqhz֫%ء:zq}}Y{YZ:};:@tN띶Vw,mCz6.#}|ikN[k+|U{4՗=[Z=^/`o`+66g/raQ{Vt/'lrZ䴽ȍ¦`+66g/rKaQ{Vt/'l)ȍc]6v ;EbOa+zV/rCJ\؆U?y^m՞hףm uZ{ғ;c8>8_҇\W{Q̹Yu6kx5xj 5k /OW22Wʞ9-O(^vvEm\__}&.h]Wʾs7޴S.;mN[;w}a[,E sR9gHӆiSLE 6vcK .6V92r^Z8[[#rlirQlU :n*] {=UN x[ѽذ`=ȍ/ra6 6rC/j֞6;}NѯzֿN9 hryɜ9 zN9͝8 Nd˹rno0ϥ79K~Xៅu{Ng.c[Z>1,#}MXL.WcЮGaDžIeEcvL螟;mt;mZW6zu3ﴙKSd]sf]z.ڌv)Z|?fӽ4sזn [[]s imM xW)a+zkir?`S3Vt /]*ll f&llE 7~65!lER¦D 7V5톴e^v ;C)lE/j$Sn^w_!nG#ɸzzq}}yna?^e-bfl6'gU>;k-z ?n}]p[Ws[N ik1x M|W:o?:=SS/j vxUѮGaIgEC6$gUϢ{CD᤻wou!۰>Fzq;mN[;wZ[i+[<;mߑW{Q{$?k{=aaS{"79 ,jO؊MN UXlER{&En|),jO؊M:rW~QtwEܺ{-+@IaS؊=͞VF.rCV/zߥ=ѮG^__Dn[į_ |՞w'wz^xN /vt:{XC{68><%{{Ӧ}zO"գ714uv\|}VsXx` X.Vnea?:݉|h:֫eu0h"|Ea{EcʬV_W7ऻޏkue[{ {Co"ޏ)s=^,_ܮX{Uk踆.jeX$wt/2,r ʽMZ{a&Enl6[ѽʰW{ Z{aSWEn|9-l6v=ŞVf_2ޏ{Vߠ7s=ے¬ЮUF+MT=5'|~&[:7ͮ\q'`:̭/|ts['U=xSn͊-P7e[Ɵ&[3G{账a߶}wmۯal`hS:ҋ8722vzM{_?gxٳkrOJwr݃ksvx%gŻ5}Cޘ﯆7I{\zcS\]ؘE띫5\O]G.UYuSdjLdZЮ\3ܳ#p:o>~p{&7\yAsO[G47 2o8hnwJ|59G\7:a7d]g|pWPfܯ`Kǟ.=&_+_?ɹ.egx? Iiv&rڼ|Saoͽ؊{/-֖ݽruoT[\{3fZ94UM{=սܻ譾wʱսہZ`ԑ˽rs6y:jR]Y4l?dDNlE/j֝6[Mp}<}NїOhӻhߟ:1qlyy0V#bi%O1u+N\3fJ䫆3E.[a UHd#48ߚ۳?>rNhOM>F}/L|y2gռ_y_j|iߐ&գzX5TN M?5 w4k1f-uJ u_N}/kyמ]iӷSV~R<4a95xBSP\͵֌8Vt>ك=GOdէKzuΫyb7jx{e\cml[4tln4$2]̫ۨ>5_Xνi!LV,?a4؊W/rjira`+C=K %lY'r=wBs_SysƧP{F_2r~oZD0|g3/m^zZxWX+Z&kE[ Ӷrоㆲσ=ܾSzskOƇyi2F s3~(ך'ҷs3Gs4h5-Vd=/hӳFm\_N>J63}8QGhr&_fEW8N ^'}nCk} :MlE-_cML~9Ļ×M5gICm\__M7eN6Q̽ow}n:έwdtZrM[V r&el^mCGw_k!>M\sG{1y}j5XV ~ޖ W%(c y9sQ:g9ۘ޴cNwhr\0J xQ0(W㗍rx֋2)\zl9Jv k`6v*oo?3-,8n@N7'GMǧfcl`On_0ne^vjofݏZɕ<~9}goZ鉵f样f3ܾS9/eĜ+{>?"^zy<ʋU-RrWpSYxVvM"|+o NmRL~7}Mp?=>Ygov_3.&{=vc氿d߽8g9+Ǖ'՗O31ׯo2\S[;9\—7'( 9|t8;9eEed/m+}r%OCĢ?uWO VMxeL+{Cɸ8k]0r9~[Ze͒91;}XV{CabгҋAh-3]XԛK Enl&lENJհݰM״e_z{7aW&@ 7>&lERo&MӋXԛ݃ʿ`Vt&ބ^M䊰=Mlv?hnX?aOa+lblblEMM\6 6 {gƇVMԔ ҧ[Wo?9zf_?zf_?zf_?zf_?zf_Gy{>^ Bmm&lERo&>&>"76 z{cjn؊k2M [ѽԛ+`W{ z{7a&Enb,M؊N_`+}`SoVt/&lrE&,bJ~P]4l7.61 61 {&&.VtZ^؊[=`3`C`+zf՛/5ӭ7LzlIzlIzlIzlIzlϣ\|bЩ 4֖/aQoVt/&l#lc/rc7a+&>"76 z{cjn؊k2M [ѽԛ+`W{ z{7a&Enb,M؊N_`+}`SoVt/&lrE&?XN\hz7aOaO{&F"fVtr``+l|-l|/lE?!hlo ҧ[Wozrn3&͖z$&͖z$&͖z$&͖z$&͖z?zqO :9t[[fE [ѽԛȍM¢ބX6隶L}k`SoVt/&l Ƈ¢ބ^M~Xvov{ ps YlSr|Rۼ%* K(""(v!R  1籌cL@+20>Ȑ͟WF0%m7lQQTNK͉.uѮm(&e&9ճjLK%9_WliF+/ٯQ"DF>!Dsj"q}?Ls}x8mb`'-!ԈSB3OЮ%Ff3N,cJo7;!%j6Gc:U9gmuuѮցZz*Bwjh_,~iwsW6wN{Yw}j˿jcB懚CjY4o>٤UYU\ + } 0"Microsoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37   Q2(16>2t/~1x {yx WU'i4 bh5aH7$$1MFGB:NeT\Fq:qAEdF# >1:kҍ 0KgLV[IU{}o!Ss{}Nj`0xM z|b#׺|ZcB'eHKvOJ?rr٫01ddMʟlۙ}H_&߬2c N>ϥK:]lO-+\{cewlܪ[~ /] mo})}UݮCЎ1z{l{v/\y4w?opwcĖ_?+]8ؗ=XPcSKu_k {ոt*݃-L\MGڼ.%с\B]lMEq0(?4ym_[61o Rx> \VmU!Ͼ~U_ܯnm+qSlj͡+37c;Rkٶ66fͧ=/gv`pZڞzr1/i;5T'ϧѶR"˄U5ls}_uM;֑+RR*){/6oul_Kt|c몴]x`88;]hyurـy.{zdzKpNl 1SMY۸U&m? .__lMK9i؆YQksB(oXp5Tlec'ڗfYA4F<v3t]lBk%}}KIivpq.J<.ylb[_ _vtҟ6d$o ,)z}Mev]݃ac'bXxp7#6%λ6=68*4 fݍ_|348 U^;7, ٯ {Sa6sWcW,>2&rO?=XFBPÙ̒)fSdj[LByϬGr}01yZI)o-B?k/O۹KGs{a+2aFU}ofz06"ur\|o׮Su͵O]3sԎEؿk.gxzm(,^ZICWc̩6sjϜ]y6`3|k3ھP}!=?#o効YFVvҵ9'?\9D|E6kwSpk[w̟˼mLm+ BHb[4փ ^d}Ƹne;)B|L89 3Wk9xQiA濉r[V"s-YdpLm+52K˼jLm+99gD枱Lym;vmdL;g_U+Z)pBn޲O. CCґnKy(T|074JJi܇w?^/ݼ6Hy{6>"'7yGYqZ=WWiOFn.Fά`ɫ/u7iQSiX~1c}TZ/KkMZ.x鹏A69_NgJ=\Eq!v N4G~i|ȞYs?}o5~~N#C؏:/ӈUW.:[q'?k&[vQccxa{Rjk3~uQچ!xwQl9|Rz}Hsys}ssOS|Zz2/+m4󊔭=\|8\oL7E[$͑-Nmd>#β|Y{iX禿syi]Ή/:#=>`M~/ϊn\IsvT~t^ȵP:Uj'O OĿ݇l' _Ӯsc޿#et+^Oʅu~k*}Ro-wSޞxo@k[tłPCo=z+^7oY?a1{#6/g rm-s[~/l[m!cO=|d[!a(pF;H*/$ D}܃^QW,>0wçreF搾c%{+5u[hurV"֛ͮ7R^2RN[STiNؕ=9OF{a>{m荹WoKM)f·!B_/ M?Br ^צ>w?^?:8R)LM??~ d<_=vbv[]sn禝ܝV'FJ|#OIo KrxzzDa1}LߙѼޕk\rڗ[ZZ:<5ѱolnmW=%ךa 9dz ҎxR+}aڇO5_ Js#\;zc[΁8wu/?:[!}JD6bGʧwd|SV/b0PmoHISɧ}.{˂},=)ߗqoܧﻂ)P}j;'uǧ|z+>+W|o2-.E_'_r7v]r{pgShYxWǺϏ473yf{;}(Sթv>o \.~,Ҿxp[FsUOL4w5ʊ⟹'cᇃ O|+/$?)7?6u|JkSw?^޿0}4}9?=Ro9;kihŖb9b7bŹ>'{s]FEe}ǔm_ڜ`'>ęN=էZ~P碛+BGs=%Y?f}>k ҧ?}~*ػe|dr٦qk1e3hF{z+~@Ye)}hk󀶏'1ps6gn- Ό`;0V<\fOsz+޹Ǽٷv[p6{ z+?Gcl`̓MLo˙Ma+yc˿rZ˽F94X?aV|جQY`+>sכu6lMM셭go6161䞸#t|uʏLt^urt/k[R꼟gZZ>%])'\+_[+_ŏVl*qVV~{/eO/e+_[+ֹ,#[Sg7_I8[}s9f [7a>ƿ7wIX7a+7kkZR<YOa+l(جY˹:u{&&V|37؊[m~Оٗo2ŲsuG$~թkfIf+~/Bo7[ooʷlfIf+~[95Ohk%,~6#l^'a߄Xk5ln؊M~{o&M<&b [7a&EoX7a+?&\ެyoV|/M䊰7wY kI[MجYO=`Fb͂Y`.V|Z^؊x[=`3`C`+~ozoLlqݑ7VʷlfIf+~&|Vjo7[ooʷl~g >5϶Ѽofe 6c/z㓰oV|y6k7lų54O{k`߄^+`W{Л &l߄MY`߄T| {7kl~6"lrE|z,x9Z?aV|جQY`+lج 66{&&V| ؊_ol'ef̔)7O~|Vf+5M7[7ɷloW$~o_~|Vf+-wF֠)Ax_b [7a>f}Eo|M؊!Vf톭xiob l~6yl |zCa߄^y`7k,߃ʿ`V|f̓~{o&WMAoCbIraMجYO=`Fb͂Y`.V|Z^؊x[=`3`C`+~-$nc\R^^17x͡;xruOI9hNSwkߞFwq_ǽ4S5_r˴7Xn]R7aӥ-~Ŝz^$UAO= t]k׶6Y-{ \7ݡw,ѩ\>@}b=:{wS*V~bi3!8?}~bmi?(<6 <[~^n`/:olV-?MN塰߃^G|DǖW93rh؋A+`s~[_ q@{Ы 䮰l&=M!Ǘm-so[~l[m!cO=֔P2>5m/s<P*8Z\Ȓnr8c56FcdQdSi|CʍFjힴyoֳW;V;VmobfG91,ʾo M7lMwBn('=w}=l7⭗6W;UZg/mnOڦ6b6͡}*rNU+cD_M;L{;Uys g}$%ӞoOsϺ^1^Pkwa+߉>>glwCmjc'徲MsŮ w~aN~N~跦5*6l~=Qεܣtkg:ν~_չׇ1h3IjPk -VGo*o{OU l3o6Wtm/a_];c}]_Z2^/s)_:ong巆ڛ_x+߁/r%%iG>?gi}|߯hkk:%w(?!ZZMz䟖eN[{)R6м@䁰䁰O|zcӰa+<6161UX䁰K6K/z`V|/y l>^&>2צ,>fߋ&&{&f"V|%l{a ئ9rw<)S,?>;<|y`+__MHyjdm ky ꍧB>ұ+},sKGs{-q)K7σ g~;viSMM{Sas yV壧x a\ L݃sW{Ynp੩7{}z6WJ? 9'z˜w]'Pz+sMFs{6u%!+9ꪽP3޺ׇ~k7n97. VߛfMR? =!qbS:`;MY˟MmeC5/mZX`KN MKy'Xa%]ǣSwnfi;5zZ,r+>h-L!k'O.O`w8zО jx#Yc.7Xe1=pMR^:[*fSٚiegؗѤ=⽿?i׮pv_}.RTș_}+52J~a&G]ݣ<:nCǛ977d۹f*MioH h1^>1 Zk-ϨAaKwCh\o2]OЍ'=yC5SmZ`C[,\K>"ΝyaʰɹͲӶ<a18 XhsyVQO*'-VaqEM^ivZ<|mU]դM=I;;t,ėUя"U;lwYOS^_oY(mÐﳉQW7;LYsV[a;43؊?ڟ1X[~3:3|[?sy"a/L6QVcOӫP؝^|zl`+0`sn S{ЛX QlwZ썞`7؊_ol {\y5%nۛ{1Ds#}Ti ֿ+Bk6YLJλbj5+XV^(KIU ;5718_SzOj-uky79gD'GܫplЦ3иBer}I(u0 붐[$o^J:#她~ve]&-(֜=sGߝ VH@G ]ml^zqSw: su< d{y獼|ztAÇʟUlÞͳxW3>q˺l^ON?1.Vr ykN~xzzga?ߚy'=gfFzW_άXW[Xi%kJOvjSuYi *ߜ㣞س=~x<=Vɇ˷~{fŧ,R-d8ІPjt[rRUy[vcV}"@lC|)Lzzǵmopm WoKɆ*ԱsŮŹ+~[>3x|K}𔾴K*?ؒ{^τ!{-~sH}0列+mJL}[?:g93?VR@'M+;AfEg{#`:}?^|CkO-gkC;:>͞ 6g߃䌰Vμ&W!l7lrP؊[or(1V|zV&֛6g߃Zk,X[_{37؊[=`㗰S؊ۇ/VzccV9)O Kǎ9)Fv(i6kIʟu2K()[Z?#ܔ|mv0c*ų 4<6y lX{a'a'=M"^@p^WaV|/y lج/M `+<6kl־^&^{~p/3go6161{/a㧰6_6-O L,qݑ[Vj@偭|y`+5y V<y^R,³ 4X$E[䁰M"^@p^WaV|/y lج/M E[䁰Y`7{+^=g``+lblbl_Oa+ll6PmV`S,1;<|y`+__MHR,³ 4X$E[䁰M"^@p^WaV|/y lج/M E[䁰Y`7#>+^n灰oo!6~ ?}lů7Yy )?0;<|y`+__MHج}M=3,~GBڒ͡@Xl 6 {&f&V|%l{a f-䁛{ӦH@偭|y`+5y V<<|y`+__i~ڗ DnL gmp?ޒ`{W;=+ s}q' Nglg_94 b1 w{?zp†Q̼[6=zgn~̙"1Eչ'޻\o0Wk>y-n}z_I5}Q6t<<~fa<N+dn8yqn8z5ŏ|jq%Л?޴ћg C0Ϗe>oL vg\߃^9yǖWq;6gK9:lak{ЛX Nlw&Wh-QyMX_Mp_p˽ dC{k{'sŮ* 8~C[F9? ݭ|ڼOoҟ60Z5o f<͡? >ikE^487vNgj:U7|]Shg%)%<,-y05)ZWtVPA؊76{e؜V|zCf_[G|ڜas[=M|Y4ɷ`s [={9͙-lY|zk8bEx2kcmO7 6 {&f&V|%l{a &Ϯ+L٧)/L*Ov޸Vk;'WJ4HsIﻃ|mA@}w#&cŢ)ghy l@<q6Aoly l&&7 <{af}Eob,@؊%ݙx)ޗ,^ g``+lblbl_Oa+ll6[mZ#`~8eey#ɗ偭[Vj@偭|y`+-W?)LghH<{a'a'{E[䁰ᰉ药"^@ج/Y_zћ<{afEow&*޻RJ37؊[=`㗰S؊ۇ/Vzcy1<3elYqݎWzH{E[䁰ᰉ药"^@ج/Y_zћ<{afEow&}.ޫ_uy%y ,{ {Xzf'k˚ެY͚`7 {YO͡ԜZO{SX 6z+9f^zsh7^zފaNC`+<C̩<9`{rm:UxMsR널6p,,XIntegra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 5 of 8 0510G Further and higher education – degree, diploma, BTEC, City & Guilds, NVQ or equivalent FROM TO NAME and LOCATION of ESTABLISHMENT SUBJECT and LEVEL of STUDY GRADE DATE of AWARD Please state any voluntary work undertaken FROM TO NAME of ORGANISATION ROLE and MAIN DUTIES Other relevant training and/or short courses, personal development Please state all qualifications gained and training completed since you finished your formal education (i.e. since school, college or university). Include all relevant internal and external training courses Please continue on a separate sheet if necessary. DATE TRAINING or QUALIFICATION WHERE ACHIEVED LEVEL or GRADE Current training and/or short courses – please state all training you are currently undertaking DATE STARTED TRAINING or QUALIFICATION WHERE UNDERTAKING LIKELY FINISH DATE *x[HTaY\o[b[ ԆQQaA*ªyC ̕.AQQJ/Pbq=al3|wٙA P{<8 ~.3i鵙v`0":c cfo10&drZV0{l4`;hK_I<sVykWnUAەMS3S1-uIeF쥾U_.,6NUjp"[-%ЧP]PC>>L/ƨ^ @> ?s0ge͛:rG0~6tg7usݔg6p^#s}h\<:NӤ FU(fc 7_q9]>RIS߃\V ɽ$=҈ߍܻFvPS&ӿ\gzM#Ø'iAC5NіWm<<~ y+B-q#w/%qO;i0BJ4Cc$tC\#o{>yG;O.tν ]Db]! F- P׵-3jZf? ֺԒtEӾ\s`b{Ҭb3{I1dƴJK5οؼ+V7{}u{R"_"/y^`9x SMicrosoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  f O4(16 2 /^1X*jH{xpuW Bt\#N 1]$!A VNNԙI`0mIt$6h-')qJW]==yp{g{j.!63}ftG4e7\E-ЧhY[U@oQt@=#|^K֘E=-ZmM'&#F\)Q4Б:7sرs3:CաC0S*u}Y}٩1˄ n5c}G wѨϴ%}zGlRޜ,>Ū ɽϱL7C?]?ʾQ Gp|UB{NYrŎS@'U4?d~͵]m|ߞQۘ%ؠyܦoVmh'Q6Ŀ%AEh|>E DH0OpV/ Z@V #̴m]w^3_ûۺ'.2 Ff/|~AlʿUt'Ac>ceQ[8ZxmV]9l:S+_8h#6Az.{7{O? |U4|2^rT$b${l5t4 2]eЧ>1B3qwv^鎥06uŧ {a2* h!P(E[xEy{ s̾uwւ1_{=˴uOQU9YLۢ/9R]}ߺw4J!9|ymАer#;cؗ ;&,h2h~ߥRƬtC僽ܮ~^sΏbiQ8Atq|qys=Il|D%/5Gy] e%HLRsw&ދMjeSIQE.Dn{> ֻ}ӺX\!l K}Մ]/utܢOf..Kk.Tm,D}T*kj89ۢD}+y/1u܃L[x9Z:' ؐ^(:ti̗]bXV'Ę8kktb OKm!-m/UЯ_2amr3gesԗղרHr+%č*79"wJb$9H^+f+3Q 2(?X|stMcr"{mQJT O wžQ}uJ%RG&/_Tg/0{Tɵ ~Nu8%ׄgjPنBæ-*:nރ,uޘ|L9yϊ%Zor? +EN ,xf9nV;BSR;3m!%&>.mאF8#x>nV?8wx&/Rғgqʝ*&iƏ>ZAt>[UsT֒/boϽ?;.=.H~Vڻ%_ٓ Q+u6AfɊG dV$mg&Mc?Ϩb)COoxPxI=ѥ:~OTSOHSNN߽m;<BRG/FKmmRڶ<7q?/0S|p8ou'.oOhسE}왏woyB'gh+)?yХAlNg{:F&)Xlָ"|0 22;i,ڬk&OyTowL6j=n/'julݏ}~ns?)pl/ܧ2 N_O|^s0*?Udݧ6v4an;PϐhURKyt4vW5E_ $#}>['wrκ>rtGShbMOȘ}Z.P;@/J湵to_2;Zug|L?Ol㐀sa4j4|p&QfYΣgJpkݘ $s*#AA#;!vC6S-[Ezkh=d@S/o:>6,d7j0^~Cz3_|1}(&i'ް&=@E7!`"=tcbϷe?zmؗKf䜮r1yjcnS̩į8#_kӎܕHbNJأ&\-^>gd>=}SJ\. /,qd l}AVа lzC8G9K}gK*~&L' {{n?u;Cs -?Ƈ:`nwI\3|w Syw{Di]qq8Ca 0=[PߟiL=WmyyMFvE+qY%8.x>,c=߇u!"<}Yd3~52OH2!9GFFnlf>9fe# %GFˆ#A# ;!vC6S-[Ezk$/Q~ R Kb]JOqGMW}0Uy:c1<]3Ui= '/ጌ[ԁmaOA?p(q<ǠǠqLCipҡ`^f 4慹 8 œ-?V>dBO /9j^r#[/9j?4/G?9j?9j-DrTvuJTm˙\X3dƞ,9*!9j؍}YQ89%B6r-d3 ϳi#A#vB6lƧZ֐5\@˴iVAK!(GNik:)^ĪY姅߭]Sy_u-A$Ƹڐ sҟF)I+P[c~dV=m]tk/cO] ~'9! .G;g>kzŞZ|7O wl= 9񝚗ѹ1o  تǺͨL߄iNu7rkps˙# μCz'c-z{U8,x xGx\c!8bS:Cqf0rJWyYxl3ٌ&Ѳ*{ GFƚB6bd3~-y0#qjlF^lƛ%/F6;dc7݈&Vϼ*3\oI\lƧZd!ή ^ڿҘԉigrWibᶋ?wi 0U9f"=j9:w89\: _H0J1!/#>&y{8:ßәSU9U1ۇtʉlߪ!&EUܖ礼/+픀-}go/ŲL;0۹#ѣɿGzՆ0e>B:+N |"əZ\E+'76Py8u:1?m1vw_ꦣQ$;ҹi^7h=^nw~-de}5_̪lcKƚEfi]iîz(g7 -Z-~k lsp3ת<\@bp^]+>]OoMk&-Zy]3*gܻ*{'s"w?IwՋӷ{ЭZ/7sMNouK4K,/c>7iއ*Q?YC6Ͳ وb7搵̜3  vC6>ղn5TML*9p 8NH//N]\m@U}1/2׫O3;Ǚ"a0}u~pga*'gW>AŞg_.z,>싱DߕiJcvЭhW4;o0pFBzMFS'_xr̉UpI{YhW6޳ <7 i^{'8y 8 .@>ج*(`Za]Jfl3ٚ%o@6?dck1x`9gղU$r.L$:>j&uqb8!=̍:=&~@%uf2oEz7LVW=y/'}Iֵhoa>Cg=Wl$'rC>3OmV[UPq/OT2$o9:͸op Z%q,;L_c_&α]v\yu g!^o҇vK.gp= eX9EK@ZՆUAQ,:bx~'ZyNbmrgm.-Z-qyZ%WvhcvYQ]KjM_V0-4+f] dWm9cTk{۷'+YD˻qVkJ];nyZ~;K2umۏcY/aׇ}>g:%:J_{Y[yf&8D4]Z%#·4|E;! Er}Cʟ4.7O"gqflƹo@Fvٌ7ݘCSqd{ l ٰTzY;5 ;'/gT/U>Ѻccy]+|kY;9g{s*7ulƛe]#l'x3؍9|^0Ƒ3zx,%do5l>fY kc-7! vC6fͲlټv3\rU>7̈́,,Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 6 of 8 0510G Criminal convictions Due to the nature of the post for which you are applying, under the terms of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 2001 , you are not entitled to withhold information about convictions. Having a criminal conviction will not necessarily exclude you from employment. Do you have any criminal convictions?  Yes  No Are there any current criminal proceedings against you?  Yes  No If you have answered ‘ yes ’ , please give details Your interests – please give us details of your hobbies and interests Supporting information Please tell us why you want the job Please tell us how you meet the criteria set out in the Person Specification for the job. Cover as many criteria as possible. Be specific and provide evidence and/or examples from paid and unpaid work and from other activities in your personal life. Please continue on a separate sheet if necessary (not more than one side of an A4 page). PxMlTUsGZڙ6*W Ikj[JCIZR@!Ă 4_bFXq$ h"$BB!H 0v3aE8u*+5sw=s$DRtM|V&޲ܕ)ƥyS 1N зC Lhȫ:]u$E~|I%#6'T,Udݝ]_i;]eb+~ԇɃsn)t{L;u,]uף];fϹ9]`]p?uQ*x>KTO}:Sf5q7Bync cqأ~SPjma.5S6k5_8]j{LqV^ TU:Lf% "؍boa*vd`^wS]R7_LZf ?--J\H$a ~%Bylr(i]a|[)7FCԾxmϲo$ 8H':}yn}?ؼ_ll s}:/#0[5OA`=^8tժ΍6o= ttOʯ! k`bA8+5=ڐyçe1MC$n] o0ev>O}zbfoD xlޥosDt{$G=0g0>U/Oga_j}z` .&쏥.웥jKc懽6Ruذ.zamZ϶},Sӭ4fzɘ⹶w׭|wL%Microsoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  x?! h?p?(16 H2VH/~?1fDt{$x{]WuL"H6?l5rL0&&epS Iǒ,?e[cdi6Ni::^uOouZCgcH]~wx}oO{)1I} >}k~lG#}})6~|ok{X>tRϽꮨs~ukڭ}~O$sg3nKW6PwY4K+o=y~+4 m7[vecݽ!+_ܜH򛓷=Wwpn'omߘ6'Tԑ~:W'6f\{In91h<>== km:䱍]`ҳ=+=L7ȻCщ_/n|(iW7 yt|9- ?(O&cc(S}\lH:MYHCxzK;F}u3O|E`POy eW؃'so}W.|O]3?eK2?zC!kܠK\cPMh{Od\ڴےiF}\u_co )GUeR8O KG=28?4 Rigvg!1X-_l Ƨʗ.i}NɁ_ϗ2rX%=dVl6wJmPny/eg HR2xtpxn_|}收>e7j\}馱6"0\ʵͧ:dhhk`,"s2c5S9 ]/ jc5 Z%U'?6z/ݬxwcTo~-4އ2*3^}/̍2W4&(W/.N)_um,f/ߟY7s-[ -b|( mI;tE(W&͒徔]}[#\]4Ec=60Gc J]i XcUkfbp4Ơ!q{;-Iۚ]eJF}K9m+pd|[h?5d;c&cǗ>u}ZV3OC޵.N)s̜,3}tO};OgNt댲'3p?Ҟv/ڥ׳pO]0*o'Z5 7v65TE6/]*3_% /Olyޫ;mJ懦l6] mЎPew=W֍/jfzq/#=uiD/Ҧ2mƜϜw2捏-뚣}&iypHvipm*QYH[ST6O[fW;6oҦy|Q͝۶)]6ǜīmޥPAKҾy0ڶ[qOW!G5#I3Ml5t3^!.{'#-;,ڲnϤgw0|)nJ8siGsW_ڒiȣm:;Vr%_oZXΑxl>'9Y# >rR6y naެ=!z;3ֆQ'ebr~S!,Ɲޑ]-w])/PZT7ϛC73j۝e#>i񨍐_6`?%} in@}}w GZV<ۺrߴ؊œ!b|_On7Vs-l[+j87l1%Uֵ7y?Y]>O쪝$^nʻQpz;6xww\_;~v w~ ;)<#f!{)cz熤UW=y!ROQ-R|Օ^.~5M̃"zҟe ` 50yt^#̹%eG状>}xs$~G>I'dޜIZ+o{[cNe^w:,Y MJN]dKd-%cʽtd_esyW\Wʣ+~=-=Վ݇`.LcUOվ{\~խ6ڔv\R}v{fNO&w'X{]|K4rE xᅵpjާɪFս+wesU33Vc>ʘs2s{/Q%ӯ&X<-iW?IeGח3rdm[PFX鮔ى;$^mb-oޒ߲%]k5Oœ{y^WݫN?վvԯWU>(:')VYWUxzk^aK]ǣ }PF?<#Zz$Է}[lLfQ4tcQbT*뿨o<%oe^Y?߽_i|ߙ))+oM'7M3/ lWJE#-uAQc}a?'[aoor⓻1; +FJOPRe.߼K{#jjf/ο<~[}(v~U߅uZj` CU|SmH9M?ߵfbE])y}^駽hjoQ&'91؉NۯDd|T:d5֚7^uj΃wOo[sxxu wm˻%_1_2El\=?#][Ѷݮp;}l^LI][ve>5'\׍x}I?Q˵|-:j/dk+A55I^gܼҭiX¡澮|uK/V6j<|Ӱ}=']PQmH(W.^챟}>OW'𞬹$}Y}sj էBޓ`;CINZ|.iy [CyLnA&ߪ>'@/`g5甜`#7؊_ilK{l.BBt?Ύ-~]*ὫO{|dj6GiICdI`|Q%mm {8yW}c%WXDmʆҤO $˞kl0\4ɑ}vv$j>8B=vgSWlf?[Qq|W耴|7۾7DCcS$3SgA_XH^-(}c5%=ZZ RҡZԺ.|.r]OSr`+~-er'@iyGB.l;ޞzxKS}x\N`'5a't ,jnI[+9m;ou =ɃbޚTc8l?xU3y]>u}mLC>=/S}펭|~;i XP?_$ck-Jm_bjc=xV]~zS"؊>n-öH>?m-l[+m)cOs_ .vZZ?J>^F pxҺ|8L''_>p+w}} hp7דRɣ}y }a}'B⪍m*SVoxf]X~i=I3|Zu?`b?;>?5}Z`8a#7 ؖ"ty秷gZYw&tomK_)5mշ/~GRrٷ*:&dҰ|k33}| w}&ȳH]n\:UnN ~c@⃾|ħ&ej,J| [`(rccaVP9ȍQ|96r+m)cOWsoIRPR^}Һo}O|;~pl&Ynw8(3No}WOGE/+m5_eeVgůů__gew%ej~cůFƯEnl#,:lů?? Ent#Au 6rï4=]svSYN>^nJ9W\Z_ɚ}C#~g_-ikch˓/3c%w"387x?ҤI%>6u~ܼt|}ھ?7oegVvcc/·CL3|Z էoN׼5 {[+mqyhF!sGͶ{tspGRI3xuJ3ٳ}O} g9)lELd=ѿY6]ݦ/ߣ^[۾~~J_Y}__~m7ZJSr/0dvy󏗞z;+W\Z:,L/H?a<1Lq9Ca,}雏96y8uWͿ#kk^U89!#gl-fxdi}A\(龤g9l l|/~( `a?^k}p-nO7>b+~rVaȭx n5x``+~rcKa\ >V[n"l#?b W|Q}~s 6"#; 6rƶ<eٌBj~=#|y)D,W9^Twydǒ;3]'x>+=8I.)y/L^?~7S/9y#1ʵf'9moW+ZDgqOVd\'?2rNH }Yg_TժRuĮvSW}pxmSnMj ;Z?ٶJ?Jֻuߍ1J^ݘ`xs(/@},}~GZl}}~v{Orx2E)z6g-Vl`0x 76{*؊ojˍ 76Eƈm*r`+~-er]IW-.guk& \jOS sOC|ڞPaOVC}Ow8X؜w!T<eǷ-ڍ7V]و# ;<¿Ldٞɫ9Fg'.?WR{1(}<(F:6 1 'k<`s>`Ru5o},})b]~`a{ DbcӰǰϰ?ǰK? ?uܬ 6ZaϋjrʯWRƝ.i({I[^ߞrxuז (-e >a^d{8:q3z_~[=\-ikcXcclksp'}]RF9Sz_kg~~ԇ~gQ>x?ӆ_{r1`>5tuB4?i~`1F؊?.a,6 7 [C(l|l>n-v (S,`#7؊_ilK?tϓZR6&՗|d~ƓՇ/IRy[߉~08&Y?_Nɝog?v9߮}>o]<͞tR a1FجMP|;,l|P>·VP|;l|l|PFzk/>o`#7Jc[\/RRk|ٙr>^_)5{cɗo&c%w}p~O:a&og?>1O|}A}AEbu6ID|D|1Ɔ&>XX?6~6~n(rq">`#7Jc[\ME׾Z-@K/%ǫ/W*>ɚO?%%w7E|wpOdY|Ljd~ԯ:Q<_' [z}elet51faa#`ׇ"7~a`㟆"7[ ~ :lWRƞ9]|AZ-Oۗ_ǫW.Wʯd^ȯߙfK:=4m'<+c%wz=_~ܚ42%yq=Lɝog?~ ygVX]|{}"|;}g;{OW 3Ҟ$֧zG {{v"-$'>|ٳO'%wپoη$gI,gHeSN9Q_~G}V_e+M~grAmg:N=u?^>ُxʥuJ\:q5 r&_g?Zůُkw91DsLwy8鮳fHGֆ97t:|g?ُ_+j-~/Gq$KǴ9~±_ {[CyN C[[C9#2YXS?3r``sFPƖlG`Z1+(=ZMk]fVC)lů4yc[~ݽ8NRR{I=&^}riߍ{[m'|1_;~{̝8W'=;,c>X7k'FG׵;[߾2Gd3:U2{\v$oҮs$R>+F'վj~_e'3ϙl΅FM=*;pf+`3F؊J Ofh5ƶ"FȰC12l%FM y(rTbd؊JLN)ɡȍُՎ 6rƶ>x[(˲U ^\~O/;G[Rq>s +undXnXiwnZے(P F8*97I.36yunw~FH|s#߹};7P:N2^xvڼD͝UxMsa/e 7w8ǰ m 5~;S6Z9>xa}V5Oi_{xC;ǰ9JgxfX҃I| Z cѕ=GBVi}`x2E)zD7a+~(6$ EUa+~($&6Ml:qRU^ a-6鐱d[նolllaN 667PS6:eC;> r܊œmsD̔=]%B>b>7f,,Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 7 of 8 0510G References All offers of employment will be subject to the receipt of two satisfactory references (ideally both from employers). One of these must be your current or most recent employer unless you have not held a position of paid employment. If you cannot provide two employer references, please provide the name(s) of people who know you in a professional capacity (e.g. unpaid work or your most recent educational establishment). Personal references from friends or family are not acceptable. We will only contact your referees after interview and with your permission. Reference 1 Name Position Relationship to you Address Postcode Phone Mobile Email May we approach if you are called for an interview?  Yes  No Reference 2 Name Position Relationship to you Address Postcode Phone Mobile Email May we approach if you are called for an interview?  Yes  No xOHTQƿu^.42Z804"5?4IFP-h8QEeaK("r !P7Bt3/}s^Nà9A`̓9s}j*Q$@^ߵ*SBϢNzMf:8#A|p02D@sk*#Hp͚5 U:ci٨y9d`*~#U}F6=j$gWy*k&tXPoQO;q:^qq[}{fDt7^ƘwyxcU֓qǚ>|lߓO"ߋQ<"31?}#22jؾW%]OxFH=%ig{܃r(c6j5A1NʞDjT$5jyE%׋q*kseTY vLuBZ"7/Z/'̯6c$eMdd*H1Qԓ_Jr؇"){MK '9& D I/ɰ\"so!@WUlvP/>[cl=N|~,X"s"HOYw_龤'[sgǣug|)uz+]G,Us;Z'? 6/?~MMicrosoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37   mHI #lm(16t2t/m1 qx{x^Uyd *¨PhP B:c I`CPw?M[hf[յQТ]v?XЭ[T[f"Y}ﹿ3g^ }ss~9sSNVѣE9dUQ̗sxE=*I'¢[}M=Ufvjoڛ&+5bCEb'JGWe?Zɼ#k|iu"hR̯O7R]V:cLFW?lLQ#j@|*.+f¦Ak_΢rj3mO;IG{^#ۊR*E}W^E"{]/;}ː}NEE|k]QbiJU\W\7(|&uVcߨr}2SSy:Aʧ J)CS@ D52jـ\ut[ =(g<(ۺ,>d3[}n[Ew+`u5 Co)I)x*O3̵o>|>$ۘ%Z~ܪ_P_TJ[O|?S4l,ogbd(:" CDdp;<:/tۿԿ<̟ל{GU'ֻ/wFu< Ϗ>ۦitOi_OƱ: U7bK:j j~?DWy3Dcl}1d S}bg'~[<{ƾ 7<2"R0sBeѽJ423FHQC>:Fc ``UK W|:Y_ao`L4.z^Rl9ٷE*jR.xY$VK-1֋E߽EPQWЏݢպ5m@Nƣ9+1mґ٨kƺA{XQ'Ba/Hyp#|;'2p{%cgʹ4 ֪$낭S-_+'c ȝO<&CG\e]Ki!=:;xLdBW2:u"3;CScNVB_`_%;O>ەR'-~Z6m0_?-/7k?))Qd{][vJ9z. 5g {i}ruJ)9'!Hi{w >d[O{ݡv{ԡi{^k/YjfƲZjY9Zde*>b1&~Qk f0#vو;g\D/"7%UʫdcP;]4Suujҏ0ӏ9OS|ca+2JT5ذUbU"9u*xkxKVo- wڧxKw`Ck<m܏߸]c u:{;.̫L"OiBѧ)aO}p#BzWSůpI*o9ؕtNa}ng91x!Dȹƿ-l:wKVF:mΌNd@65m)9,.g5U^][1aQ2:SymJߘ#tKy>zP%JS:?#yD։Ζp8ϔ.t^щiwUsCF'Nt\덕NֵiۑSn:cYJ/xDXpF?N0*-q]|WD![z*)f5Fgk zyjg2OYE|(Cq|bqc" 5+Y]oUQדSގ%x;u[X\m+vŞj.sLwjl?[P=߉:J~lg ߝ,Eƍ]"楿+#O krs 1ć8[H\]Z367(@ęg'sg@DZxNAW1%:NT7V?89VbX+KynfkH1Ǖ cyn OoBK%yvf~scT0qAU: :qۨq>;r WʧkwJ-r˹ڲ,gj芳୥+4q?'[Û=ᭇMmj gtv]m)}֮ϰ8ct^Eq>ȝ2f2.QG/Xo]!r,Re7Q'2uemm7NO:bɽ\l1QoN`[~ Sg*mQnpזol-|HPw!>XWj6Ϙu>bs` `ߠ:h jPUfɈؕ+'2oa]ygbZ/f@Ɯ6= v:k/-d=rmSi/eڏ\[$vk1OeS앳6EN֊u:Jvlxbqȸ]鵒 An'x&Mk hpc4{bK}F)qPߠ's61Zlxme'>ϔ#u%l##Kǃ{xAKJ5e~ޠ(*\}ZI-R%]y1wg[OxJtNw3#R!?ij Ɣ^Sb>cr}i9~عfLO].2Gڢ\KE`ηW:dt"DgKXԥP+1(#h\qJ6>`3ߔvc 뿮ۍ><^@Ǖn/ߜb~UU/"D 'i!Fk|ŀk*9WĔ>jU P11:-$["]`\;:9W=жbWɹ+V󜫮xb'D\P&EnZ8Vx5?3KYg7hWpr|JgPaux#g-g~y 8nv>JR[S 䬱' o&\/"H9g9 q*޺buѽ﵆=^kX1^X,w]~Qpx݉^usͽN2rrMk}Fl[oUcx00n0F | ^a1yd.l+wdÙT=Vٙm쩥 "N}ʭW8G73F1>`}>7AX+K9LJ/xtZ/~5C_\ޣP +B2*|yvoysZ79s0"}4{*FrFb x%oҳML}C[.Km6|)v }zd'ES66sm@VjIZ-B|lP)>6PzR{s6`9wջ1޺|۬7yVɻkI?>Q瑭t. T:?H>|>Zdؽ,xC_|R9I_ۨ]0~"/d4ggT߸ʶoʺ,̧`[akʺlƺ)vS!Qd.x_)oi&H l1Ɩ[#hx,'T91zD)x]6Uu;m/> oy{5KqN5.FI?ct #(p߄s rl.߸aY\KhL^S#g~nS;7Xp.d-!ʚ}^UY[\Eefuu!'yttCIG_L"NmM![(+o"O^.yts"rrn$e543JykoNZ. O5Xq[JK]RVDHmۉ8.|Wrm=7}] ߑ ߦDq)wcR\6a=C/CIFV'NfD~+?}0߆ӆwSNdNw}|82R؟wONO.G>ek\äw=#McҺH+\ߧx[x41x]^_ =bEDbA>'J_ Ϣ^+;&|(I/mgAJݶO>x+< <`Ó 1m|@:vH9N]۬Dߜ!KxZowg=ֱ^/kOlؖC ~1ǽCx~uY붜ODwjOqʵE9{=qS ]LA ulg춛)>R_7&_%ǁy^gStq Y%~uʵE9UNX)2qFt@e ~@l1:(rIx6E 9yIߨ<5 KD*N߱q|w9Ju1/@ْqxiNdlI-?nm3"ߌ+M,+}|6FoFs3 v/,Zy|}f~ ︭pg< [DNݹv{kbO#j~[}L>6ѻD|)3b PuѧrigQ{Ha|"%iݻgxf 0DӇ:7qQG)jļl|S 0)vEX4O^#q'ϭSذ5ܘ@1|_3 ,y=ʻNyuqwʬ(Z0ut'<>z'=hUcg=gz4y]qů14Ba'ֆ'Q>aku>/z?Țg/z{A{?Q^뒇EXt=!'kr^SoȺ\p[rx0».c}ie5k0u"bCd?Ì#{T-w_OxhE+eCGqɮ>O1FSI%2_d<~6|+8<-y=7F:OJNvyi7g}rY~g&u)BƳ5z\:?w7hm,"~7s+Shښr4 $` (]UzXJN}r΋kqcٿ$A=fpыN]^A1̾9D֋2nYBGrn3\W3>}÷VKKO?PEE{E|PytnuXWBy[epd,-g/b'b|ޣ{2JZw9ޟS%K#N]5W'Їnʦ!GF>>6Yo\e失s?D94rP7&gg]R^3T͌-LblwǯVxA%x<~t>(zMۈ K]J6IwBxXxh }COSo)c O:,'v镚~BF8irSqî/cmq{)cߋDs)^vޡL{uC.g.!׈="qǕnkoĹ8 kSέ ؘ`7 LHdl >vvklj*w)]-R8i\*cǐu]b~I?HE)#{V t?7oYc]1~VgHum+vƾjyޛX,5^Gx,)a ynVzR7oT>G҇|ֿ蹰XSs=Ec@m9S2޺:f`fJ6 Kx o`V:I}=C) O߯yJ;*I}\ħ1}Qu?DD\ccg)ħµV4[sM'mס+q#"pR.2|c>s?2.z»&f }/;>q:G6FR_PYckWw}Ȝol`cN g`3 ){_,9#& Ta3nc#VFLa7lUؘf vcnfGSE7&؍uc/k `*y6˔_rq 6l)|ч`Of~.ٍ=? ÷?k\o@y"{E|̚uE;* bjc)dQXAOx|K?uSRm/~A=~UAY}< EF}n{.֑E}-ڷSև.Tٺ>zwZj#o`O)+_Zໜ[Tr<9wx3![Bݑmklo__7 [Q}E ]~g/.c}>xw=|:ȧ\)&I}ͽD,GۣqQJ/SdJ_'}T}m4&I㯚U =Û['ƈGc<}~r'.oGr|ʹ﹦9J]쭰qV6M9+n&t8+`'``cq6Jf)g%`l4noY W=jSX{|!yVf~Ryf@飙ߋQ6pX0zN{.1 C/?{x6/ڃ$!t70wvdMҫтeJS ,hYV~nm5kN#߈?b *0΁#{!ݎW`#^b7Ƶ }rn ,_&Wao5f)  vv33g[<,_g=.Ge`Y0uBb$%ms?UC~HMrpBĻ u@1M$CavOm (gӭ_^~1J y3c U:6,yvw6 7_fRȸ:ǜm<{E"1nx/|=Xnu >c|=j=]hk1"l/^| $."R~E|g;/~o52mUf@Z3_^cI}ZK]Յ\6y?vŞ m-lnp dm~_k`+_(g `煟i?w`S2+#ptRĺ6x/UUOf@F muR-kF'IہS;qi^tvF?2umvPw+oG =:e\yͿK bwS]Kƶ sŮsjy۳=gu:=nn|Jc I\E/}wE_4//N4Lg=kǙ o`@Gt[YΟDtt.^|GM?_ cU:?ؽ^:g2 d\q_dyJ(=LNՆ/L;mCSE+2u%Og>CzK83e6R_lx[+_YXcO#xlj:*S2Lj06ϼ{Xz#kdii,oA^vvB։ұ,K_+qVda;ԁS;խHmoKvBx,MR G X-dGϊU}*-{l=Ijb9_{E`lml<ۣ6Mg`v3؍3o}Uo8g`3xY)خo8gU_s23l曀9 lY`3l`c^&`cc/7f 36s->eU<( [^TĻ?ΫgWnlY:#Տ,_|Nz57*M#KsT?TzvTHGON=ƕԼs7 6`3VusK<l`7bl7f s5ؘf vcMo~l+ƺ vc  Mo~lyƚ)vcn Mo~lz)vc Mo~lZ)vcn?NƕMyƐ&7| 6S&`c s7ؘf k 6Mx67o6 1\c8*;EZaoݚu0X`7an)kJnypus=Kab'N̓k} 6flݶ1׃{X|솽| 6+pSw)`\Cno`n`nu*}Lsc}[gߩ褿ҩ;Dd~zѾzC{/C{!>w;;w8||ITk+sP[>DX9\/g(,,E Integra Community Living Options Application for Employment Person-centred residential support and rehabilitation Head Office, The Maltings, East Tyndall Street, Cardiff CF24 5EA Tel 02920 494445  www.integraclo.org 8 of 8 0510G Your health Applicants who are offered a job will be asked to complete a health questionnaire which will be assessed by the Company ’ s Occupational Health Adviser. Please state how many days you have been absent through illness or injury in the last 12 months: ___________. Please give details (including duration) of any illnesses, during the last five years, that have persisted for more than one week and of any ongoing treatment or disability (use a separate sheet if necessary). Important information – please read this statement before signing the form below Appointment to the job will be subject to the following: successful interview, satisfactory references, health clearance, evidence of eligibility to work in the UK, Criminal Records Enhanced Disclosure and may involve completion of a Personality Profile. In returning this application, you agree that the information provided in this form and other data provided by you during the application process will be held by Integra (in manual or electronic form) and used by Integra for all purposes in connection with personnel and/or administrative matters including, without limitation, management planning. All information will be processed in accordance with the Data Protection Act 1988 . Declaration I confirm that all the information I have given in this application form is true and accurate to the best of my knowledge and has been completed in my own handwriting. I confirm I understand that Integra has the right to remove an offer of employment, or commence disciplinary action that might lead to dismissal after employment commences, if subsequently any of the information provided in this form or during the application process is found to be incorrect or incomplete. Name Signature Date Please use the space below for anything else you wish to say (including any dates you are not available for interview during the next 6 weeks and/or anything that we need to be aware of in order to facilitate your full participation at interview). Please return this application form and the Equal Opportunities monitoring form to the address above. Thank you for your interest in working with Integra! OFFICE USE ONLY REQUESTED SENT RECEIVED SHORT LISTED  YES  NO INTERVIEW  YES  NO HOLD  YES  NO RECRUITING MANAGER DATE f#x{lE^ [J <#"!b EJ % EޚP(Dy)"HU"> D&4$.ޅR\!Ą쒯̙s|3,!3O6{Yg{d81-K߃e CQTɈg.Cb;:YnšpI#N7n!N&k㬻Ϟ qӜ3U+ܙJ@v(bvG'mX>C֒9IyֆݬAwX:W$<@o뽊=ŶnEM2ԩf9G,'9[:\W#'Rz qbnu_4'htnyqur"b hJl'Mm[S9\Ub}l=b1Z}kMAvlG}-oqCyܺa#:Bn-th{Oߓž^Ʋ=qnW;+n=) oYMWϓm4,+?\x+7<}}ۧtq _&j{KyƓH`KL֣w4v-tn@:ZHu nc|Sl9j._ vyBvRL;-bkU@n"KfAɌz(_ !3[Mȯ$xk&}-kV_EcN9ܨ;7DsλqXS[ummsZ>-.kN$ύ^w_z5ȚjHd}\SDN4W3վ|I}}qo>;ڗ>O ۂ[A򀁀ۗڐ'Microsoft Office Document Image Writer 11.03.2175.00 2008:01:01 10:31:37  zu 4jr(16.2d/K 1a̴ࡱ> Root Entryp}aLNdqrvorsQblcu4szKeiub3mf2g8p}aLp}aLCONTENTSprop2 # mX]0,Å :+0h08@T B prop2B prop3DICT| VyOOh0@(08 Oh+'0d0prop3 AuvsxjatP0udblw1Aaq5eubr5h8p}aLp}aLCONTENTSpSummaryInformation(p}aLp}aLCONTENTS8@\ 1st user G82G820m0mhChC\KhC\KhCVypypGG|e|eJhCJhCnuu4ІІІp- Іp- p- p- `[`[P