CONFIDENTIAL
Application for Employment – Braintree District Museum Trust
Post for which you are applying:
Archivist, Warner Textile Archive / Closing Date:
17.00 Friday 21.4.2017

Personal Details(Block capitals or typescript)

Surname:
Mr/Mrs/Miss/Ms: / First Names:
Maiden and Other names:
Address:
Postcode: / Telephone number (including STD code)
Home:
Business:
Email address:
Nationality: / Do you hold a full licence to drive
a car YES/NO
Licence Class:
Driving Licence No:
Expiry Date:
Details of Endorsements:
Do you require a Work Permit to be employed in the United Kingdom?
YES/NO / Do you own a car? YES/NO

Interview

Do you require any special arrangements for interview?

Please note that all candidates are treated equally regardless of their age, disability, gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation.

References

Give names, addresses and telephone numbers of two referees. The first should be your present or most recent employer (or head teacher/university or college lecturer if a school leaver in first employment). The second should be a previous employer. (We need to verify 3 years employment)
1.
Tel: / 2.
Tel:
May we approach them prior to interview? 1. YES/NO 2. YES/NO
(Referees will only be contacted if you have been requested to attend for an interview)

Career History (in chronological order)

Name and address of recent and previous employers / From To / Appointments held, brief descriptions and current salary / Reason for Leaving and final salary & benefits

The Company will only contact your current employer after an offer of employment has been arranged.

Education and Training

Secondary School/ College/ University attended / Full or Part-time / From To / Course(s) taken or currently studying / Examination results (incl. grades)
TRAINING AND BUSINESS Other relevant training courses attended:
Professional Qualifications: Professional Company:
Details of UK registration: Name and Membership No:
Do you speak a foreign language? If yes, please indicate:

Rehabilitation of Offenders Act 1974

Under the ACT, most sentences awarded by a Court for Criminal offences may be regarded as spent and disregarded, for most purposes, after a specified period of time and need not then be disclosed. However, if the appointment for which you have applied is one to which the Rehabilitation of Offenders Act (Exceptions) Orders apply, you are required to declare any criminal convictions and enquiries and checks may be made in that respect.
It is your responsibility to distinguish between those convictions which require to be declared and those which do not.
I have no unspent convictions for or current charges in respect of any criminal offence of dishonesty, fraud, financial crime or violence or other offences under legislation relating to banking and financial services, companies, insurance and consumer protection.
Signed ……………………………………………………………………. Date ……………………………………………

Miscellaneous

Are you related to any staff within the company? YES/NO
If YES give details:
Have you worked for the company before, if so give dates and position:
How do you spend your leisure time?
Please give details of any public duties you undertake (e.g. JP, Councillor, Special PC):
Explain why you are interested in this position and give any additional information in support of your application including relevant skills and personal qualities. (Continue on a separate sheet if necessary)
If offered this position will you continue to work in any other capacity? YES/NO
How much notice are you required to give to your current employer?
How did you learn about this vacancy?
To help us in our selection process, please give us an indication of your salary requirements:

Additional Information

Please use this space, and/or a separate sheet to provide additional relevant information.
School leavers should include details of any school positions of responsibility, vacation employment, work experience, hobbies or specialist interest.
Have you any holidays booked? If so give dates.
To the best of my knowledge the above facts are a true statement.I accept that providing deliberately false information could result in my dismissal.
Signature of applicant: ………………………………………………………….. Date: ……………………………………

This form should be returned to:

Robert Rose, Archive & Museum Manager, Warner Textile Archive, Silks Way, Braintree, CM7 3GB.

For Company use

Date received

Invite to interview Yes / No Reject date

Interview date

Offer letter date Reject date

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