APPLICATION FOR EMPLOYMENT

Brandon Marsh Nature Centre, Brandon Lane, Coventry CV3 3GW

Telephone 02476 302 912; Fax 02476 639 556; www.warwickshire-wildlife-trust.org.uk Registered charity 209200

Please complete all sections in black ink or type. Do not include a CV

Post Applied for:

Surname First Name (s) Title

Home address (including postcode)

Home telephone number Work Telephone Number

Mobile Number Email Address

Do you hold a current full driving licence? YES/NO

Do you have any current endorsements? YES/NO

If yes, please give details of endorsements

Do you own a car? YES/NO

If YES, would you be prepared to use it on Trust business? YES/NO

Are you disabled? YES/NO

If yes, have you applied under the Job Interview Guarantee Scheme? YES/NO

If you are not a UK national, you may not be able to work in the UK without a work permit or right to work visa.

Do you require a work permit? YES/NO

Do you require a right to work visa? YES/NO

From / To Organisation Title and Main Duties Notice period or reason

(Month/Year) for leaving

From/To Establishment Qualifications Achieved/Training Completed

(month/year)


Organisation Grade of Membership Date Joined

Please state why you consider yourself suitable for this post, making particular reference to your skills, knowledge and experience. Please refer to the Job Description and Person Specification before completing this section.

Please describe why you are applying for this post

Please give the names and contact details of 2 referees. The first should be your present or most recent employer.

Name Name

Position Position

Address Address

Tel: Tel:

Email Email

May we contact your referees prior to interview?

1. Yes / No 2. Yes / No

I declare that the information I have given is, to the best of my knowledge, true and correct:

Signed Date

For details of where to send this completed form, please see Application Pack

Please enclose the completed Equal Opportunities Monitoring Form, and also a stamped, addressed envelope if you want us to acknowledge receipt of your application form.

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