APPLICATION FOR EMPLOYMENT WITH BACUP CONSORTIUM TRUST

Catering Manager

The Stables Café

Application deadline 9am Monday June 12th

Please send completed form to :

Souta Van Wick

Stubbylee Community Greenhouses

Stubbylee Lane

Bacup.

OL13 0DD

1) Personal details

First name:

Surname:

Address:

Postcode:

Telephone:

E-mail address:

National Insurance No:

Where did you see this vacancy advertised?

2) Previous employment and work experience

2.1 Name & address of employer:

Job title or role:

Paid/unpaid:

Main duties of the job:

From (month/year):To (month/year):

Reason for leaving:

2.2 Name & address of employer:

Job title or role:

Paid/unpaid:

Main duties of the job:

From (month/year):To (month/year):

Reason for leaving:

2.3 Name & address of employer:

Job title or role:

Paid/unpaid:

Main duties of the job:

From (month/year):To (month/year):

Reason for leaving:

2.4 Name & address of employer:

Job title or role:

Paid/unpaid:

Main duties of the job:

From (month/year):To (month/year):

Reason for leaving:

Continue on additional sheets if necessary

3) Qualifications

Details of qualifications relevant to the post applied for:

1.Date

Level

Qualification

Where Obtained

2.Date
Level

Qualification

Where Obtained

3.Date
Level

Qualification

Where Obtained

4.Date
Level

Qualification

Where Obtained

Continue on additional sheets if necessary.

Note that if you are appointed, you will be required to provide original certificates as evidence of the above.

______

4) Training

Details of training relevant to the post applied for:

Continue on additional sheets if necessary

5)Information in Support of your Application

Please provide information below that demonstrates how you meet the requirements of the job description and person specification. To enable us to see clearly, how you meet these requirements, please use the same headings as those used in the job description and person specification to structure the information you provide below.

Main JobTasks, Responsibilities and Key Competencies:

Personal specification: Skills, Interests and Qualities:

Continue on additional sheets if necessary

6) References

Provide details of two people who have agreed to act as referees. If you are currently employed, give details of your current employer. If you are not currently employed, provide details of your last employer. Referees will not be approached unless a job offer is made.

Referee 1

Name:

Job title:

Email address:

Postal address:

Postcode:

Relationship:

Referee 2

Name:

Job title:

Email address:

Postal address:

Postcode:

Relationship:

7) Equal opportunities monitoring

The information in this section will be treated in the strictest confidence. The results will be used to prevent discrimination in recruitment and selection.

Ethnic origin (see note below)

Tick or mark next to the appropriate box to indicate your cultural background:

I would describe my ethnic origin as:-

BangladeshiMiddle Eastern

Chinese

East African Asian

IndianWhite & Black Caribbean

KashmiriWhite & Black African

PakistaniWhite & AsianVietnamese  Other Mixed Origin 

please specify:

Other Asian ......

please specify: .

......

Black BritishIrish

CaribbeanWhite British

African Other White please specify

please specify:

Other Black......

please specify:

......

Guide to the meaning of ethnic origin

Ethnic origin refers to members of an ethnic group who share the same cultural identity. This does not mean country of birth or nationality.

Gender:

I am:Female Male

Disability

Do you have a disability?Yes No 

Applicants with a disability

If you are successfully appointed, every effort will be made to supply aids or equipment where required to enable you to carry out the full duties of the job. If you feel that due to the nature of your impairment, you may not be able to do a certain aspect of the job then the panel will give full consideration to redesigning the job. If you wish to bring such a matter to the panel’s attention at this stage, please do so in the space below.

.______

8) Period of notice

If offered the job, how soon could you start?

______

9) Declaration

I confirm that to the best of my knowledge the information I have provided in this application is correct and true. I realize that if it is found that I have deliberately given false or misleading information I am liable to be disqualified from further consideration or, if appointed, to be dismissed.

Signature:

Date:

______

Data Protection Act

All documents associated with Recruitment and Selection will be stored for a period of 6 months.

Checklist:

  1. Have you filled out all areas of the form which apply to you?
  1. Included all areas of training, experience and interests in sections 4 & 5?
  1. Included your period of notice required prior to starting the job in section 8?
  1. Signed the declaration in section 9?

Thank you for your interest in this position and your time take to apply. Shortlisting will take place in the week beginning 12th June and we will inform you via telephone if you have been selected to interview.

If you have not been successful in this application would you mind us contacting in you in future for other opportunities.

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