Employment Application Form - CONFIDENTIAL

The information requested in this form is important in assessing your application. Please complete accurately and in full. Please be assured that the information you provide will be used for recruitment purposes only.

VACANCY DETAILS
Position Applied for: / Vacancy Reference: / Department: / Closing Date:
Where did you see this vacancy advertised?
YOUR PERSONAL DETAILS - please complete in block letters
Full Name:
Address for correspondence (including post code): / Permanent Address (if different):
National Insurance Number: / Telephone:
Mobile: / Email:
YOUR EMPLOYMENT HISTORY
Your current / most recent position
Date appointed: / Leaving date (or notice period if still employed):
Job Title:
Hours per week: / Annual Salary/Hourly Rate:
Company name and address (including post code):
Telephone: / Manager’s Name:
Brief description of duties:
Your reason for leaving or seeking other employment:
YOUR PREVIOUS EMPLOYMENT - starting with the most recent first. Include any work/voluntary experience and any periods of unemployment. Please continue on a separate sheet if necessary.
From Month / Year / To Month / Year / Employer Name and Address / Job title and duties / Salary / Reason for leaving
QUALIFICATIONS - please note that proof of qualifications may be required at interview. Please continue on a separate sheet if necessary.
Schools, colleges attended (including part-time, distance learning etc.) / Qualifications gained or pending / Grade
OTHER RELEVANT TRAINING COURSES ATTENDED - Please continue on a separate sheet if necessary.
Course Title / Organising Body / Date
MEMBERSHIP OF PROFESSIONAL BODIES - Please continue on a separate sheet if necessary.
Name of Body / Type of Membership / Date Obtained
INFORMATION IN SUPPORT OF YOUR APPLICATION
Please give details of any relevant experience, skills or knowledge to support your application. Ensure that you cover ALL the requirements of the person specification, but be concise. Your response to this section will be the basis of the shortlisting panel’s decision to invite you for interview, therefore, your response to this section is extremely important. Please continue on a separate sheet if necessary. You should draw on any experience, skills, knowledge gained from paid work, training, education, leisure activities, voluntary work etc.
AVAILABILITY FOR WORK
As we are a 24 hour, 7 day a week business, if you are applying for a casual role, please indicate below the hours you would be available to work and any restrictions on your working hours (i.e. university/college term dates)
Please tell us of any requirements that you would like us to consider, to ensure your full participation in this recruitment and selection process (e.g. wheelchair access, additional reading time etc.)
Please give details of any dates during the next 4 weeks when you will not be available for interview

DECLARATION

I certify that the information given in this application is correct. I accept that should I have not provided full and accurate information it could result in me not being appointed, an offer of employment being withdrawn or disciplinary action being taken against me, which may include dismissal from the post.

Prior to any offer of employment being made I understand that I shall have to provide documentary evidence of my eligibility to work in the UK and the Company will require two satisfactory references and a criminal records disclosure. I consent to the company recording my data for personnel, payroll and pension activities. I also consent to the company contacting my present and/or previous employers for a reference upon an offer of employment being made.

Signed: ……………………………………………………………………………. Date: …………………………………………….

If you return your completed application form to us by email and you are invited to interview, you will be required to sign a printed copy of your form.

Please return your completed form by email to: or by post to The HR Team, National Ice Centre, Bolero Square, The Lace Market, Nottingham, NG1 1LA to arrive by the closing date.

As we receive a large volume of applications we are unable to respond to every applicant. If you do not hear from us within four weeks of the closing date please assume your application has been unsuccessful on this occasion.

EQUALITY AND DIVERSITY MONITORING FORM

The National Ice Centre employ an Equal Opportunities culture to ensure that applicants are not discriminated against nor disadvantaged by job requirements or conditions that are not relevant. The following information will NOT be used to shortlist candidates and will NOT be viewed by the recruitment panel.

In order to ensure the successful development of our policy, all applicants are required to complete the Equality and Diversity Monitoring information detailed below.

All information will be treated with the strictest confidence. Please tick one box only in each section.

Position applied for:

Male / Female / Transsexual/Transgender
Date of Birth: ………/………/……… Age: / 16-25 / 26-35 / 36-45 / 46-55 / 56 and over

I would describe my ethnic origin as: (please note that ethnic origin questions are not about nationality, place of birth or citizenship. They are about broad ethnic group. UK citizens can belong to any of the groups indicated)

White: / Asian or Asian British:
English / Indian
Other British / Pakistani
Irish / Bangladeshi
Other white background (please describe) / Chinese
Other Asian background (please describe)
Black or Black British: / Other ethnic group:
African / Arab
Caribbean / Gypsy
Other black background (please describe) / Irish Traveller
Romany
Other ethnic group (please describe)
Mixed (dual heritage):
Asian and White
Black African and White
Black Caribbean and White
Other mixed background (please describe)

If you consider yourself to be disabled, please specify:

Communication / Hearing
Learning / Mental Health
Mobility / Physical
Visual / Other

Please give further details below, if you wish:

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