Brainboxes Limited
APPLICATION FOR EMPLOYMENT

Please complete in BLACK INK AND CAPITAL LETTERS

PRIVATE AND CONFIDENTIAL

POSITION APPLIED FOR: ______
Please state how you heard about this position ______
Personal Information

Surname

/ Forenames / Title
Home Address
______
Email______
Date of birth:
______/ Daytime Telephone number:
______/ Driving Licence - Yes/No
______
Status - single/married/divorced
______
References
Please note here the names and addresses of two persons from whom we may obtain both character or work references. One of these should be from your current or last employer.
I give/do not give consent for my referees to be contacted at this stage.
1.  Employment reference:
Name:
Relationship to applicant:
Address:
Tel:
Fax:
Email: / 2. Personal reference:
Name:
Relationship to applicant:
Address:
Tel:
Fax:
Email:

Education History

Secondary Education (since age 11 most recent first)
Dates
from & to / Institution & location / Examination Record
(level, subject, result)
Further Education (first degree and post graduate study)
Dates
From & to /

Institution & location

/ Title of course / Qualification awarded/ anticipated / Date of final exams / Details of any project work undertaken
Employment History
Name and address of Employer / Dates of Employment / Position Held / Main Duties / Start/Finish Salary / Reason for leaving
Notice required in current post:
SUPPORTING INFORMATION – Qualities and skills
Please answer the following questions, providing examples as required. Try as much as possible to give examples from an employment or academic work background. However, if you cannot think of an example from a work background, try not to leave the section blank. Instead, use an example from your University, College or personal life. Please provide the name and contact details of a colleague, etc who could corroborate your statement.
1.  What was the most challenging project that you have ever been involved with and how do you think your influences affected the outcome?
2.  What was the most effective team you have worked in?
3.  Think of a time when you were so stretched by a project or an assignment, that you felt that you might not have been able to complete it. How did you cope? What was the final outcome?
Extra:
Please highlight any skills and experience (paid or voluntary) that you may have, which are relevant to the job, and state why you feel you are suitable for this position. (Use separate sheet if necessary.)
DECLARATION (Please read this carefully before signing)
I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
Signed Date
PLEASE RETURN THIS FORM TO:
Brainboxes Limited.
18, Hurricane Drive, Liverpool International Business Park.
Liverpool, L24 8RL
Tel. 0151 220 2500 Fax. 0151 252 0446
Email. Web-site. www.brainboxes.com
FOR OFFICE USE ONLY
Interview date:
Offer letter: / Y/N / Rejection letter: / Y/N
Acceptance: / Y/N / Preferences: / Y/N

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