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Careers Application Form

Job Title / Position

Position:

Your Details

Title:
First Name:
Last Name:

Previous Names: (optional)

Address:

E-Mail:

Telephone:
Date of Birth:
Right to work in UK:

Dates you are NOT available for interview: (optional)

Emergency Contact Info

Next of Kin:
Relationship:
Telephone:

Next of Kin’s Address:

Your Qualifications

Qualifications from GCSE to Degree:
Establishment(s):

Additional Qualifications: (optional)

Additional Skills / Training: (optional)

Additional Questions

Full UK Driving Licence?
If yes, any current endorsements?
Any Pets?
If yes, how many and description:

Job 1

From:
To:
Employer’s Address:
Job Title, Description, Salary:

Job 2

From:
To:
Employer’s Address:
Job Title, Description, Salary:

Job 3

From:
To:
Employer’s Address:
Job Title, Description, Salary:

Additional Information

Applied to us before?
If yes, what was the outcome?

What interests you about this job position?

Where did you learn about the vacancy?

How much notice does your employer require? (optional)

Earliest date you can start work:

If you are disabled, specify any special requirements you need to attend an interview: (optional)

Referees

Please give details of two referees, one of whom should be your current or most recent employer or, if this is an application for your first job, your school teacher or higher or further education lecturer. The other should not be a relative or contemporary.

Referee 1:

Referee 2:

Rehabilitation of Offenders Act 1974

In order to protect the public, the post you have applied for is exempt from certain provisions of the Rehabilitation of Offenders Act 1974. You are therefore required to disclose all and any past or pending cautions or convictions, whether spent or otherwise. All information provided will be kept in the strictest confidence and only used for the purpose of assessing your suitability for the post you have applied for. Please specify below details of all and any past or pending cautions or convictions, whether spent or otherwise. If you have no past or pending cautions or convictions, please specify "None".

Declaration

I declare that the information I have given on this form is, to the best of my knowledge, true and complete. I understand that if it is subsequently discovered my statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed. I hereby give my consent to the Company processing the data supplied on the application form for the purpose of recruitment and selection.

Signed:
Date:

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