PRIVATE & CONFIDENTIAL

JOB APPLICATION FORM

Reference No CSD/01/2012

All sections must be completed in full by applicants. If necessary, use a continuation sheet.

Application for Charity Shop Driver

______

To be returned by ASAP

see back page for return postal address

APPLICANT’S DETAILS

Surname ______Mr/Mrs/Ms, or preferred title ______

First name(s)______

Address______

______

______

Postcode______

Daytime Telephone______

(please state if this is your current place of employment and you require us to use discretion – YES / NO )

Evening Telephone______

Mobile Telephone ______

Email Address ______

Facsimile______

The decision to invite you to attend for interview will be based on the information you provide on this form.

Qualifications & Training

Starting with the most recent please give details of your education, qualifications and training relevant to the application.

Dates
From To / Details of education/training, school, college or organisation, qualifications obtained and training relevant to the application.

Employment History

Starting with your present or most recent job, please give a summary of all employment, including any freelance and relevant unpaid work.

Dates
From To / Name of employer and nature of business, job title, brief details of your responsibilities and salary and benefits

Skills, Abilities & Experience

Use this section to outline the skills and experience you have gained, either in paid work, unpaid/voluntary work, work at home, through your studies, through your leisure activities, which you think are relevant to the job for which you are applying, and which you believe makes you suitable for the post. Please indicate the extent to which you believe your skills, abilities and experience meet the job requirements (as outlined in the information provided).

Personal Details

Do you have any restrictions on your right to work or remain in the UK?
Yes No (please tick) / If you are invited to attend for interview, do you have any special requirements?

Please give the name and address of two referees. These should be your two most recent employers, including your present employer where applicable, or a relevant academic principal. Personal referees should be given only when there is no previous employer or educational establishment to which reference can be made.

1 Name
Address
Postcode
Telephone / 2 Name
Address
Postcode
Telephone
Relationship to you

Can references now be taken up with:

1 Your first referee: YES/NO? / 2 Your second referee: YES/NO?

I agree that any offer of employment with RSPCA Hillingdon, Slough, Windsor & District Branch is subject to satisfactory references, medical information supplied and a medical examination (if required). I confirm that the information supplied by me on this form is correct:

Signature......

Date......

Return completed form to:
PRIVATE & CONFIDENTIAL
Liz Sheppee
RSPCA Hillingdon Clinic,
16 Crescent Parade,
Uxbridge Road,
Hillingdon,
Middlesex UB10 0LG
Or email to

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