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Job Application Form

Post applied for:

Where did you see this vacancy:


1. Personal Details

Title

Forename(s)

Surname

Address

Home Number

Mobile Number

Email Address

Do you hold a current Driving Licence?

Yes No

Passport/NI Number

Are you eligible to work in the UK without company sponsorship?

Yes No


2. Education - Qualification - Training

(Please detail qualifications, training, membership of any professional bodies which you have obtained and any further education, short courses, NVQ’s etc. Verification of qualifications will be requested before interview).

To/From

Education Body

Subject/Training

Grades/Qualifications


3. Present / Previous Employment

Please list in reverse chronological order - start with current/most recent employment.

Current Employer

Current Job Title

Start Date

Period of Notice

Brief Summary of Responsbilities

Current Salary

Job Title

Company Name

Dates

Brief Summary of Responsbilities

Reason for leaving

Job Title

Company Name

Dates

Brief Summary of Responsbilities

Reason for leaving


4. Personal Profile


5. Key Achievements

Please describe key career achievements in support of your application

Please describe any relevant achievements gained outside the workplace


6. Experience, Skills and Knowledge

Please enter here any additional information in respect of experience, skills and knowledge gained within or outside work that you feel will be relevant to support your application.

Experience

Skills

Knowledge


7. Medical History

How many days sickness absence have you taken in last 2 years?

Have you visited your doctor in relation to any serious illness or medical condition within the last 3 years?

Yes No

If yes, please provide brief details


8. Criminal Convictions Declaration

Have you ever been convicted of a criminal offence?

Yes No

Do you have any criminal convictions which are not spent?

Yes No

If 'yes', please give details

Under the Rehabilitations of Offenders Act you are not required to disclose ‘spent’ convictions. A conviction becomes ‘spent’ after a certain length of time dictated by the sentence. Please refer to your local probation office, Citizens Advise Bureau or a Solicitor for details.


9. References

Please provide two referees one being your current employer or most recent if unemployed. Referees must not be related to you. References will only be taken up if an offer of employment is made.

Name

Name

Job Title

Job title

Address

Address

Tel

Tel

Email

Email


Declaration

By submitting this application form you confirm that the information given is correct and understand that, if appointed, you will be liable to disciplinary action including dismissal and/or criminal action should you knowingly give false information. You also give permission for this personal information to be stored and processed for the purposes of recruitment and for the information provided to be used to form the basis of your personnel records should you be appointed.


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