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Personnel

Title     Surname          Forenames  

Address      Postcode

Telephone Numbers

Daytime

Evening

Date of birth

Are you a British Citizen? YES NO

If not, are you elegible to live and work in the UK? YES NO

Documentary evidence must be provided at interview as part of the recruitment process, and if successful in application documents will be copied and records will be kept for 3 years. We may ask a third party organisation to check your eligibility to work in the UK

Have you ever been convicted of a criminal offence, other than a spent conviction under the rehabilitation of Offenders Act 1974?
YES NO

If YES Please give details:

Employment

Position applied for

Pay Expected

Would you be working full time? YES NO

If part time, please state days/hours

If offered this position, will you continue to work in any other capacity?

On what date will you be available to work?

Where appropriate to job role, do you have a current driving license? YES NO

Have you previously worked for us? YES NO       If YES, When?

Education

School FROM TO

Courses/Results

College FROM TO

Courses/Results

Higher Education FROM TO

Courses/Results

Personal membership and qualifications

Please outline the skills and experience you have gained through employment, either paid of voluntary, and other work activities and interests which you this will support your application.


Refrences

Please give details of two people we could approach for personal reference

1. Name:

Address:

Telephone:  Occupation: 

How you know this person: 



2. Name:

Address:

Telephone:  Occupation: 

How you know this person: 

Previous Employment

Please complete starting with the most recent.

1. Name and Address of employer

Supervisor

Telephone

Dates of Employment       From        To

Job Title:     Duties:

Reason for leaving:

2. Name and Address of employer

Supervisor

Telephone

Dates of Employment       From        To

Job Title:     Duties:

Reason for leaving:

3. Name and Address of employer

Supervisor

Telephone

Dates of Employment       From        To

Job Title:     Duties:

Reason for leaving:

We may contact the above individuals for reference purposed. If there is a particular employer(s) you do not wish us to contact, Please indicate:


The Disability Symbol


By using the disability symbol, we are showing our commitment to good practise in employing disabled people. We make a commitment to interview all disabled applicants who meet the minimum criteria for the vacancy and to consider them on their abilities.

Do you consider yourself to have a disability or health condition?

YES NO

Please let us know in the space below if you require any reasonable adjustments to attend an interview, or which you wish us to take into account when considering your application.