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Please complete this application form in BLACK INK or type
POST APPLIED FOR (JOB TITLE):Job Reference: / Community Gardens Manager – Paternity leave cover. 201410FG02
Where did you see this post advertised?
Section 1 – Education and Qualifications
Please state your education history from age 11, starting with the most recent
Name and Address of School, College or University / Dates / Qualifications and GradesRelevant training courses attended, Professional Memberships held etc
Section 2 – Current / Most Recent Employment
Position
Brief Description of Main Duties
Dates of Employment
Reason for Leaving
Section 3 – Previous Employment
Please state your employment history, starting with the most recent and including any temporary or voluntary work. Please explain any gaps.
Continue on a separate sheet if necessary.
Name and Address of Employer / Position / Dates / Reason for LeavingSection 4 – Further Information
Please use the following section to indicate how you feel you meet the criteria shown in the Person Specification.
Please give comprehensive but concise answers which demonstrate your skills and experience (use an additional sheet if necessary)
PLEASE LEAVE BLANK
Section 5 - Referees
Please supply the names and addresses of three referees. We will contact two of them if you are short listed for interview. However, we will NOT contact your current employer until an offer of employment is made.
NamePosition
Address
Telephone Number
Email Address
Name
Position
Address
Telephone Number
Email Address
Name
Position
Address
Telephone Number
Email Address
Section 6 - Personal Details
Full NameAddress
Home Telephone Number
Mobile Telephone Number
Email Address
National Insurance No
Do you have the right to work in the UK? (proof will be required at interview stage)
Section 7 – Data Protection
Windmill Hill City Farm is committed to respecting the data and personal information you provide to us. All data and information submitted to us will be processed and kept securely in accordance with the Data Protection Act 1998.Section 8 – Applicant Declaration
I declare that to the best of my knowledge, the information I have provided in this application is correct. I understand that Windmill Hill City Farm reserves the right to withdraw any offer of employment, or to terminate my employment if this information is found to be false.I consent to Windmill Hill City Farm processing my data and personal
information, for the purpose of my application and employment.
Signature: Date:
EQUAL OPPORTUNITIES MONITORING FORM
(To be used confidentially for recruitment monitoring purposes)
Windmill Hill City Farm is committed to equality of opportunity in recruitment regardless of race, colour, creed, ethnic or national origins, gender, marital status, sexuality, disability or age, .and will assess all applicants equally and fairly.
Please complete this form so that we can monitor the implementations of our Equal Opportunities policy and ensure that our vacancies are open to all sections of the community.
This information is for monitoring purposes only and will not affect your application. Once received we will detach it from your form and file it anonymously, All data and information submitted to us will be processed and kept securely in accordance with the Data Protection Act 1998.
Gender
Are you: Male Female
Ethnic Origin
Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background. These are the categories developed by the Commission for Racial Equality.
A White
British
Irish
Any other White background, please write below:
B Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed background, please write below:
C Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background, please write below:
D Black or Black British
Caribbean
African
Any other Black background, please write below:
E Chinese or other ethnic group
Chinese
Any other, please write below:
Disability
Do you consider yourself to have a disability: Yes No
Are you registered as disabled: Yes No
Age
Are you 16-24 25-49 Over-50 Over 70
Religion Sexual Orientation
□ Christian □ Lesbian Gay Bisexual
□ Muslim □ Heterosexual
□ Hindu □ Prefer not say
□ Sikh
□ Jewish Transgender
□ No Religion □ Yes
□ Any other Religion □ No
□ Prefer not to say □ Prefer not to say
Please return the Application form and Equal Opportunities monitoring from to:
Windmill Hill City Farm, Philip Street, Bedminster, Bristol, BS3 4EA
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