13 Scott Street, Keighley

BD21 2JH, West Yorkshire

Tel: 01535 609927

Email:

Company Number: 3819825Charity Number: 1078859

CONFIDENTIAL

APPLICATION FORM

Please note CVs will not be accepted

BEFORE COMPLETING THIS FORM, PLEASE READ THE NOTES FOR JOB APPLICANTS

Please use black ink when completing this form.

Post Applied For: / Office Use Only
Closing Date:
Date Received:
Please return form to:
Reference:
REFERENCES
Please give the names and addresses of two referees. These should include your present employer (last employer if currently unemployed). School or college leavers should give academic referees. Personal referees relatives are not acceptable. Roshni Ghar reserves the right to approach your previous employers.
1Name: / 2Name:
Address:
Postcode:
Email: / Address:
Postcode:
Email:
Telephone Number: / Telephone Number:
Please state how you know this person / Please state how you know this person
If you are shortlisted, we may contact your referees BEFORE interview unless you tick the boxes below to indicate that you DO NOT wish us to do so. Offers of employment will not be made without references being received.
REFERENCE 1 Reference 2 
Both references could be contacted through email or phone.
PERSONAL DETAILS
Surname:
(Block Caps) / Title:
(delete as appropriate)
Forename(s): / Preferred Name: (If different)
If you have been known by a different
name, please indicate previous name(s) / Home TelephoneNumber:
Address for correspondence:
Postcode:
Email: / Daytime TelephoneNumber: (if it may be used)
Mobile Number
How did you hear of this vacancy?
Heard from my friend and then inquired from Roshni Ghar reception and website
(If in publication, please state which)
Do you require a Work Permit to work in the UK?If Yes, please give details of your
current status
If selected how much notice
would you need to give? / Do you have a valid
driving licence? / Do you have your own
transport?
National Insurance No:

EDUCATION AND QUALIFICATIONS

(You will be required to produce evidence of qualifications. Please continue on a separate sheet if necessary)

SECONDARY EDUCATION
Name of school/college / Dates / Subject / Qualifications gained or working towards / Grade/Class / Date
From / To
FURTHER EDUCATION/TRAINING COURSES AND ONGOING TRAINING
Name of college/university / Dates / Subject / Qualifications gained or working towards / Grade/Class / Date
From / To
PROFESSIONAL REGISTRATION DETAILS
(You will be required to provide evidence of professional registration)
Name of Professional Body / Registration/Membership Grade/No. / Expiry Date

EMPLOYMENT HISTORY

(Please continue on a separate sheet if necessary – please sign any additional sheets)

CURRENT OR MOST RECENT EMPLOYMENT
Name and address of present or most recent employer and nature of business / Position held and grades, if applicable / From
Mth/Yr / To
Mth/Yr / Salary (including all allowances) and reason for leaving
Please give a brief description of the duties and responsibilities of your present or most recent job.
PREVIOUS EMPLOYMENT
Names of previous employers and nature of business (starting with the most recent) / Position held and grades, if applicable / From
Mth/Yr / To
Mth/Yr / Salary (including all allowances) and reason for leaving
PREVIOUS EMPLOYMENT Continued
Names of previous employers and nature of business (starting with the most recent) / Position held and grades, if applicable / From
Mth/Yr / To
Mth/Yr / Salary (including all allowances) and reason for leaving

Additional Information:

Please state why you have applied for this post and give any additional information in support of your application, including any further relevant details of previous employment or training. If you have never been employed, please give details of relevant experience outside of paid work, such as that gained at home, in the community or through voluntary activities.

This is your opportunity to show how your skills and experience are appropriate to the requirements of the job and the person specification. Please do not use more than 2 sides of A4 sheets.

Additional Information Continued:

DISCLOSURE INFORMATION
Are you related to a Board Director, or an employee of Roshni Ghar? If YES, please give details
Due to the nature of our work, applicants are not entitled to withhold information about pending prosecutions or convictions which, for other purposes, are ‘spent’ under the provisions of the Act and any cautions or bind-overs. In the event of employment, any failure to disclose such convictions could result in disciplinary action, including dismissal, by the Roshni Ghar. Any information given will be completely confidential and will be considered only in relation to posts to which the order applies.
Do you have any convictions to disclose? If YES, please give details.
Are there any proceedings currently being investigated against you? If YES, please give details
Please note, any employment offer will be subject to a Criminal Records Bureau check being carried out.
SIGNATURE
I hereby declare that the information given in my application is correct to the best of my knowledge.
SIGNATURE______
DATE______
Please note. Providing false information with regard to this application, shall disqualify the candidate from such an appointment, or if discovered after appointment, will lead to immediate dismissal.

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