APPLICATION FOR EMPLOYMENT
Brandon Marsh Nature Centre, Brandon Lane, Coventry CV3 3GW
Telephone 02476 302 912; Fax 02476 639 556; www.warwickshire-wildlife-trust.org.uk Registered charity 209200
Please complete all sections in black ink or type. Do not include a CV.
Post applied for:
Surname First Name (s) Title
Home address (including postcode)
Home telephone number Work Telephone Number
Mobile Number Email Address
Do you have any illnesses / disabilities that would limit your ability to fulfill this role? YES/NO
If so, please give details.
If you are not a UK national, you may not be able to work in the UK without a work permit or right to work visa.
Do you require a work permit? YES/NO
Do you require a right to work visa? YES/NO
Do you hold a current full driving licence? YES/NO
Do you have any current endorsements? YES/NO
If yes, please give details of endorsements
Do you own a car? YES/NO
If yes, would you be prepared to use it on Trust business? YES/NO
From / To Organisation Title and Main Duties Notice period or reason Salary
(Month/Year) for leaving
From/To Establishment Qualifications Achieved/Training Completed
(month/year)
Organisation Grade of Membership Date Joined
Please state why you consider yourself suitable for this post, making particular reference to your skills, knowledge and experience. Please refer to the Role Description and Person Specification before completing this section.
Please describe why you are applying for this post.
Please give the names and contact details of 2 referees. The first should be your present or most recent employer.
Name Name
Position Position
Address Address
Tel: Tel:
Email: Email:
May we contact your referees prior to interview?
1. 2.
I declare that the information I have given is, to the best of my knowledge, true and correct
Signed Date
Return this completed form to: The Chief Executive, Warwickshire Wildlife Trust, Brandon Marsh Nature Centre, Brandon Lane, Coventry CV3 3GW. Please enclose the completed Equal Opportunities Monitoring Form, and also a stamped, addressed envelope if you want us to acknowledge receipt of your application form.
EQUAL OPPORTUNITY MONITORING
Warwickshire Wildlife Trust is an Equal Opportunities employer.
The Trust operates a policy that aims to ensure that unfair discrimination does not take place. The information requested below will help us to monitor the effectiveness of our recruitment. The details supplied are confidential and will not be made available to the recruitment team.
Please complete this form and return it with your application to the address below.
Post applied for:
______
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Gender Male Female
Date of Birth
Are you disabled? Yes No
Where did you see this post advertised?
Local press
Please specify:
National press
Please specify:
WWT Website
Other website
Please specify:
Job Centre
Other
Please specify:
To which of these groups do you consider you belong (tick one box only)?*
*The ethnic groupings are those agreed by the Commission for Racial Equality.
A White
A1 British
A2 Irish
A3 Any other White background
B Mixed
B1 White and Black Caribbean
B2 white and Black African
B3 White and Asian
B4 Any other mixed background
C Asian or Asian British
C1 Indian
C2 Pakistani
C3 Bangladeshi
C4 Any other Asian background within category C
D Black or Black British
D1 Caribbean
D2 African
D3 Any other Black background within category D
E Any other ethnic group
E1 Chinese
E2 Any other ethnic group
E3 Not stated
Return this completed form to:
The Chief Executive, Warwickshire Wildlife Trust, Brandon Marsh Nature Centre, Brandon Lane, Coventry, CV3 3GW
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