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Fillable Printable Job Application Form-Confidential when completed

Fillable Printable Job Application Form-Confidential when completed

Job Application Form-Confidential when completed

Job Application Form-Confidential when completed

Job Application Form – Confidential when completed
Vacancy Details
Vacancy Applied for: Job Reference No:
Section: Location:
Personal Details
Family Name: Other Names:
Previous Names: Preferred Name:
Title: National Insurance Number:
Address:
Postcode:
Home Telephone No:
Mobile:
Email:
Do you have a full Driving License:
Yes/No* *Delete as appropriate
References – Please provide details of two referees that are willing to be
contacted prior to interview
Name:
Title:
Company:
Position:
Address:
Postcode:
Telephone:
Relationship to self:
Name:
Title:
Company:
Position:
Address:
Postcode:
Telephone:
Relationship to self:
Present Employment
(If you are not currently in employment please leave blank)
Job Title: Employers Name:
Employers Address:
Postcode:
Date started: Telephone No.:
Notice Period if applicable: May we contact on this number?
Yes / No *Delete as appropriate
Consideration of working patterns – please ring as appropriate
I am prepared to work:
Full Time
Part Time....................................................................................................... state hours and days
Term Time
Shifts.............................................................................................................. state hours and days
Split shifts....................................................................................................... state hours and days
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Employment History (This should include paid and unpaid employment, work
experience and placements etc) Please list most recent post first.
Employer Role Salary (if
applicable)
Date Employed Reason for
leaving
From
MM/YYYY
To
MM/YYYY
Qualifications (please be prepared to bring certificates to interview)
Qualification gained
or pending. Please
state subject
Grade Date Achieved
(MM/YYYY)
Establishment:
School/
College/University
Criminal Convictions and Cautions
Have you ever received a caution, including conditional cautions, been convicted by a court of
any offence, been reprimanded or given a final warning? You do not include minor driving
offences
Yes / No* Delete as appropriate*
Please provide details of convictions and cautions in a sealed envelope and attach to this form
include date, court and nature of offence
PLEASE NOTE: Appointment to this post will be subject to a Criminal Records Bureau (CRB)
Check and ISA Registration Check if required.
This post is exempt from the Rehabilitation of Offenders Act 1974. Applicants must be
prepared to disclose any convictions they may have and any orders which have been
made against them.
Equal Opportunities Monitoring
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We are an equal opportunity employer. We are committed to equality of
opportunity in employment and service delivery regardless of your colour, race,
nationality, ethnic or national origin, religion, gender, marital status, sexuality,
disability, age.
Our selection criteria and procedures are frequently reviewed to ensure that
individuals are selected, promoted and treated on the basis of their relevant
merits and abilities.
All employees are give equal opportunity and are encouraged to progress within
the organisation.
We are committed to an ongoing programme of action that ensures that this
policy is fully effective.
To ensure that this policy is fully and fairly implemented and monitored, we
would like to invite you to provide information here that will help us to ensure fair
and equal treatment of applicants and employees alike.
How would you describe your ethnicity? *Ring as appropriate
A) White – British, Irish, Any other white background* please
describe………………
B) Mixed – White and Black British, White and Black Caribbean, White and
Black African, White and Asian, Any other mixed background* please
describe……………..
C) Asian & British Asian – Indian, Pakistani, Bangladeshi, Any other Asian
Background* please describe…………………………………………
D) Black and Black British – Caribbean, African, Any other Black
background* please describe……………………………….
E) Chinese or other ethnic group – Chinese, Any other ethnic group*please
describe…………………………………………………………………
Gender * Ring as appropriate
My sex is Male Female
Date of Birth (DD/MM/YY)
……………….
Age:
How would you describe your religion? *Ring as appropriate
Christian (all denominations), Buddhist, Hindu, Jewish, Muslim, Sikh, None
Other* please
specify………………………………………………………………………..
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