IWM Application Form

Which post are you applying for? / FOR OFFICE USE ONLY
Reference no:
How did you hear of this post? (Please specify which publication or website)

PERSONAL DETAILS

Title: / Mr / Mrs / Miss / Ms / Surname:
Other Please specify: / Forename:
Home Address: / Home phone:
Work phone:
Mobile phone:
Email:
Do you have any work permit restrictions? / Yes No
If so, please provide details of any work permit restrictions you may have including expiry dates if applicable
Do you have a current driving licence? / Yes No

CURRENT OR MOST RECENT EMPLOYMENT

Name of Employer:
Job Title:
Employed
From: month/year / To: month/year
Current or final salary: / Notice required by present employer:
Please describe your main duties:
Reason for leaving:

SUMMARY OF WORK EXPERIENCE

From: month/year / To: month/year / Name and Address of Company / Position held, Nature of Work, Reason for leaving
Please continue on an additional sheet if necessary

PERIODS OF UNEMPLOYMENT (of one month or more)

From: month/year / To: month/year / Reason

PERSONAL STATEMENT

Using the person specification and the competency statements in the Job Specific Information please describe, with practical examples, how you meet the requirements of the job.
Please continue on an additional sheet if necessary


ACADEMIC EDUCATION & QUALIFICATIONS (IN CHRONOLOGICAL ORDER)

Institution / From month/year / To month/year / Examinations & Subjects Taken / Result/Grade

PROFESSIONAL/VOCATIONAL QUALIFICATIONS OR OTHER RELEVANT TRAINING

Training Provider / From: month/year / To: month/year / Examinations / Subjects Taken

REFERENCE FORM

Please give the name and address of your current employer (s) as referees. If you have not worked before please give the name and address of a member of your school, college or university to whom reference may be made as being best acquainted with your work and conduct. Please ensure that you have given enough referees to cover the last five years of employment

Current Employer

/

Previous Employer/Academic Contact

NAME: / NAME:
POSITION: / POSITION:
COMPANY: / COMPANY:
ADDRESS: / ADDRESS:
TELEPHONE / TELEPHONE:
EMAIL: / EMAIL:
FAX: / FAX:
May we approach your current employer now?
Yes No

Previous Employer/Academic Contact

/

Previous Employer/Academic Contact

NAME: / NAME:
POSITION: / POSITION:
COMPANY: / COMPANY:
ADDRESS: / ADDRESS:
TELEPHONE / TELEPHONE:
EMAIL: / EMAIL:
FAX: / FAX:

DECLARATION

IWM is a Registered Body with the Criminal Records Bureau (CRB) for the purposes of obtaining access to criminal record checks for employed, freelance, contracted and voluntary appointments.

All positions at IWM whether by employment direct or through others or as a volunteer, or by work experience will require the applicant to receive successful security clearance through a standard disclosure before they can take up that position. All offers of employment and voluntary placement are subject to this satisfactory completion. Those positions which involve contact with children under 18 years of age, vulnerable adults (which can include caring for, training, teaching, supervising or being in sole charge) or access to firearms within our Collection will also require the successful applicant for these positions to apply for Enhanced Disclosure from the CRB, before IWM can formally confirm the offer of appointment to them.

Each applicant for positions at IWM can access on our website (IWM.ORG.UK) a copy of the Written Policy on the Recruitment of ex-offenders. Disclosure of a criminal record will not necessarily result in the automatic disqualification for a position applied for. IWM is willing to consider persons with a criminal record on their merit, subject to its overriding obligations and duty to protect the children, vulnerable adults, members of the public, the Collection and safety of our staff.

IWM will only apply for this security clearance for successful candidates on offers of employment.

I understand and agree that any appointment offered would be conditional to the verification, to the IWM’s satisfaction of the information provided on this form and that this information, and that contained on any attached documents is true and complete to the best of my knowledge. I also understand that it may be a criminal offence to attempt to obtain employment by deception and that any misrepresentation, omission of a material fact or deception will be cause for immediate cancellation of consideration for employment, or for dismissal if already employed.

I authorise IWM to process my personal data taken from this form both manually and electronically as part of the recruitment process and, if appointed, as part of the employment record.

If I am successful for appointment I hereby authorise IWM to verify information on this form and to the extent permitted by law.

I also voluntarily authorise IWM to perform reference checks of my employment as indicated.

I acknowledge and understand an offer of employment will only be made after the completion of satisfactory reference checks, health checks and relevant security checks.

Under the Asylum and Immigration Act1996, IWM is required is check that you are legally entitled to work in the UK. If you are successful in your application you will be asked to provide proof of your right to work in the EU.

Signed (at interview): / Date:

COMPLETED APPLICATION FORMS SHOULD BE RETURNED TO:

IWM IS COMMITTED TO A POLICY OF EQUAL OPPORTUNITIES