Parish of Cirencester with Watermoor and Chesterton

PARISH OF CIRENCESTER WITH WATERMOOR AND CHESTERTON

APPLICATION FORM

Position applied for ______

This section will be removed from the application before the selection process begins

Personal Details

Surname ______

First Names ______

Address ______

______

Telephone number/s

Email ______

Health

Is there any aspect of your general health that could affect your work? Please give details ______

______

How many days sickness absence have you had in the past three years? ______

Please give details______

______

Do you have a disability, physical or mental, that may be relevant to your application? If yes, please give details ______

______

Education

List here all secondary schools and further education

From / To / School/College / Qualifications/Course

Employment History

Starting with your most recent employment, briefly outline the duties and responsibilities of each position. Please include any voluntary work (use a continuation sheet if necessary)

From / To / Post & Description / Reason for leaving

Training

Give details of any relevant training received and/or courses attended

Interests

Please give details of activities outside work -hobbies, recreational pursuits or special areas of interest

Reason for Application

Please tell us why you are applying for this post and why you think you would be suitable for the position, giving detailed examples of any experience or training which shows how you meet the criteria for the job and person specification. Continue on a separate page as necessary

References

Please give names and addresses of two people whom we can approach for references, one of whom should be your present or previous employer,

Name
Occupation
Address & email / telephone number

DECLARATION

I declare to the best of my knowledge the information I have given is correct. I understand that any information which is later found to be false may render any offer of employment invalid, or render me liable to disciplinary action which may include dismissal if employment has commenced.

Signed……………………………………………. / Date ...... …..

NOTES:

·  It is important that this application form is completed in full by applicants. A Curriculum Vitae (CV) may be sent to support application if desired, but is not an acceptable substitute.

·  Please return the application form marked Private and Confidential to: Mr H.Gray, PCC Secretary, 55 Chesterton Park, Cirencester, Glos GL7 1XS

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