The Old School Rooms

Orchard House

The Old School Rooms

Station Road

Congresbury

BS49 5DX

Tel: 01934 838802

Chairman:Councillor Diana Hassan

Parish Clerk:Liz GreavesEmail:

Administrator:Tony SawyerEmail:

ADMINISTRATOR/RESPONSIBLE FINANCE OFFICER

APPLICATION FORM

CLOSING DATE: Noon – Monday 19th March 2018

CONFIDENTIAL Please complete in black ink or print; continue on a separate sheet if necessary.

Personal details:
First name (s)
Last name
Title
Address
Postcode
Email address
Telephone number
Present or most recent employment:
Name and address of employer
Job title
Main duties
Date employed from
Date to (or please confirm if you are still employed)
Period of notice required
Work pattern (full or part-time)
Annual salary or hourly rate
Previous work experience (most recent first)
Employer / Nature of job / Job title / Dates employed to and from
Education and qualifications (most recent first)
Name of school/college/university / Dates: from/to / Details of qualifications
(level and subject) / Grades
Professional Membership
Professional body / Date achieved / Registration no (if applicable)
Referee Information
Please provide the contact details for two people who can be contacted to provide an employment reference for you, one of whom should be your current line manager/supervisor. They should not include relatives. References may be taken up before interview.
Referee 1
Name:
Address:
Employer:
Job title:
Tel:
Email:
Relationship to you:
Referee 2
Name:
Address:
Employer:
Job title:
Tel:
Email:
Relationship to you:
Additional information:
In support of you application, please provide details explaining why you consider you are a suitable applicant for the post.

DECLARATION BY APPLICANT

I confirm to the best of my knowledge and belief that the information given on this form is correct. I understand that any offer of employment will be subject to satisfactory references. Any misleading statement or deliberate omission may disqualify my application.

I consent to the necessary enquiries and checks being undertaken by Congresbury Parish Council in order to confirm that the information included in this application form is correct and to ascertain whether I have any relevant record which may make me unsuitable for the post applied for.

I understand that if I am successful in my application any information contained in this form, together with any obtained in relation to it, will be retained by Long Ashton Parish Council during the course of my employment and for a reasonable time after the employment ends (pursuant to the Data Protection Act 1998).

Signed:

Date

Congresbury Parish Council – Job Application Form Page 1 of 5