Application Form

POST OF:

PLEASE COMPLETE THE WHOLE FORM IN BLACK WITH BLOCK LETTERS.

If you need to use further paper FOR ANY SECTION please ensure that your name appears

at the top of each sheet.

Name / Date Of Birth
Address / Phone No.
Mobile No.
Email
Postcode / Notice period required by current job
EMPLOYMENT (start with your most recent) You may include voluntary work in this section.
Employer
Name & Address / Job Title & Duties / Started / Left / Reason For
Leaving
EDUCATION & TRAINING
INSTITUTION / COURSE TITLE
(QUALIFICATION & DATES) / COURSE ELEMENTS
Have you any criminal convictions? (other than spent convictions under the Rehabilitation Of Offenders Act1974) / Yes No
Do you require any assistance to attend for interview due to a disability?
Please specify what assistance is required. / Yes No
Please specify any dates when you will be unavailable for interview:
Using the job description and the person specification please describe how your, skills, experience and qualifications are suited to this post; you should include any other interests and activities not mentioned elsewhere which may support your application. Please remember to write your name on any additional sheets.

If you are to be offered the post it will be necessary to obtain references from previous employers and/or relevant academic staff of institutions you have attended. Please provide details of 3 such persons and whether they may be approached without further reference to you.

Name
Designation
Address
Email address
Approach without further reference / Yes No / Yes No / Yes No

Asylum and Immigration Act 1996

It is against the law to employ a person who does not have permission to live and work in the UK. In general, if you are not a British Citizen or Commonwealth Citizen with the right of abode in the UK or a citizen of any country in the European Economic Area (EEA) you will require a work permit. Please answer the following questions. Your application will not be considered unless you do.

  • Are you a British Citizen or Commonwealth Citizen with the right of abode in the UK, or a citizen of any country in the EEA? Yes No
  • If not, do you require a work permit to work in the UK? Yes No
  • If you do require a work permit, do you have a work permit to work in the UK? Yes No

Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK? Yes No

DECLARATION

I confirm that the information provided on this form is true and accurate. I understand that false information or deliberate omissions may disqualify me from appointment, or if employed, may result in my summary dismissal.