1 APPLICATION

Position applied for

Date available to take up employment

Salary required £

2 PREPARED TO WORK

Full timePart time

3 PERSONAL DETAILS

First name

Last name

Address

POSTCODE

Phone No

Mobile No

Email

Do you own a car?
YesNo

Have a current driving licence?
YesNo

Provisional
YesNo

Full
YesNo

4 SECONDARY EDUCATION

School name/address

Examinations (subject/result etc)

5 FURTHER EDUCATION OR APPRENTICESHIPS

College or training provider

Qualifications achieved

6 TRAINING COURSES COMPLETED

Training body

Course title

7 EMPLOYMENT

Current/last employer

Start date

End date

Address

Postcode

Job title

Duties

Reason for leaving

Finishing pay £

Previous most recent employer

Start date

End date

Address

Postcode

Job title

Duties

Reason for leaving

Finishing pay £

Previous employer

Start date

End date

Address

Postcode

Job title

Duties

Reason for leaving

Finishing pay £

8 GENERAL

Interests/hobbies (give details of pastimes, sports, etc)

Do you have any convictions, cautions, reprimands, or final warning that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions)Order 1975 (as amended in 2013)?

YesNo

The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are “protected” and are not subject to disclosure to employers, and cannot be taken into account

Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Services website

(Declaration subject to the Rehabilitation of Offenders Act 1974)

If yes, give details

If offered this position will you continue to do any other work?

YesNo

If yes, give details

9 PERMISSION TO WORK IN THE UK

Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK?
YesNo

If you are successful in your application would you require permission to work in the UK?
YesNo

10 REFEREES

1. Work reference - not members of your own family

Name

Address

Postcode

Organisation

Occupation

Telephone number

Email address

2. Work reference - not members of your own family

Name

Address

Postcode

Organisation

Occupation

Telephone number

Email address

11 ADDITIONAL PERSONAL DETAILS

National Insurance number

12 RECRUITMENT POLICY

It is the organisation’s policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, transgender status, marital or civil partnership status, age or disability

I authorise the organisation to obtain references to support this application once an offer has been made and accepted and release the organisation and referees from any liability caused by giving and receiving information
Declaration: I confirm that the information given on this form is, to the best of my knowledge, true and complete Any false statement will be sufficient cause for rejection, or if employed, dismissal

Agree to our Recruitment Policy (required)
Yes