Application for Employment

We would like you to know that we positively encourage equal opportunities. We will respect and keep in confidence all the information you give in line with the Data Protection Act 1998

Role applied for
Where did you see this job advertised?
Personal details
Full name
Full Address
Mobile telephone
Other telephone
Email address
Other information EG website/twitter/LinkedIn (optional)
Do you have any criminal convictions? (see note below)
If the answer is yes we will require details of this, in confidence, should we reach a point of wishing to take up your references.
N.B. Under the Rehabilitation of Offenders Acts 1974 & 1986 you are required to give details of any convictions, which are not spent. Failure to do so may render you liable to summary dismissal.
Should you be selected for interview, are there any dates when it would be impossible for you to attend?
If appointed when would you be able to start?
References
Please give names, contact details and position held of two referees to whom reference may be made. One should be your current or most recent employer/supervisor.
Unless you state to the contrary, it will be assumed that, if selected for interview, you have no objection to these referees being approached.
First reference
Full name
Full Address
Mobile telephone
Other telephone
Email address
Second reference
Full name
Full Address
Mobile telephone
Other telephone
Email address
Education & Qualifications
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Other
Professional & Occupational Training
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Provider
Course
Qualifications
Dates
Other
Work Experience
Present or most recent employer
1 - Dates of employment
Employer
Position
Salary
Duties
Reason for leaving/wanting to leave
Previous employment/periods of unemployment/unpaid work
2 - Dates of employment
Employer
Position
Salary
Duties
Reason for leaving/wanting to leave
3 - Dates of employment
Employer
Position
Salary
Duties
Reason for leaving/wanting to leave
4 - Dates of employment
Employer
Position
Salary
Duties
Reason for leaving/wanting to leave
Languages
Please list any languages you speak and your level of proficiency
Letter of application
With particular reference to the person specification for this post, include any other information you think may be relevant to the post for which you are applying. This may include experience gained outside paid employment.
Please write as much or as little as you feel is necessary

Note: Submitting this form indicates that all the information you have supplied is accurate and that you can meet the requirements of the post as described in the Job Description.

MORRIS HARGREAVES McINTYRE / 09/13/2018 / 1 of 7