Application for Employment

Transcription

1 Application for Employment Please complete this form fully, using block capital letters. The information that you supply on this form will be treated in confidence. Applications are invited from people from all sections of the community, irrespective of their marital status, sexuality, age, gender, disability, race, colour, nationality, ethnic national origins or religion, who have the necessary attributes to carry out the job. Section 1 Personal Details Post Applied for: Date: Full Name: Telephone Number: Date of Birth: National Insurance Number: Do you hold a full driving license valid in the UK? YES NO If yes, does it have any endorsements? Are you free to remain and take up employment in the UK with no current immigration restrictions? YES NO Holly House Application For Employment 02/14 Page 1

2 Section 2 Present Employment Date of Employment: Brief description of Duties: Section 3 Previous Employment Please cover the last 5 years and state the nature of the business (most recent employer first) Dates of employment: From: To: Summary of Duties: Reason for Leaving: Holly House Application For Employment 02/14 Page 2

3 Previous Employment continued Dates of employment: From: To: Summary of Duties: Reason for Leaving: Continue on a separate sheet if necessary Section 4 Qualifications/ Education Please give details of the qualifications you have achieved (listing the most recent first) Date of Qualification: Holly House Application For Employment 02/14 Page 3

4 Date of Qualification: Continue on a separate sheet if necessary Section 5 Training and Development Please give details of relevant short courses you have attended with details of training providers/dates: Section 6 About You Please list your hobbies, interests, membership of voluntary organisations etc. Section 7 Statement in Support of Application Please indicate your reasons for applying for the post. You are also invited here to give any additional information which you wish to have taken into account in support of your application. Holly House Application For Employment 02/14 Page 4

5 Section 8 References Please give names, address, telephone numbers and address of two referees. One of whom should be your present/most recent employer or teacher. References will be taken up after the interview, unless otherwise stated Do you have a disability? YES NO We will make reasonable adjustments to help a person with a disability through the application & selection process and, if successful, to assist you in carrying out the duties of your job. Section 9 Declaration 1. I acknowledge that an appointment if offered will be subject to satisfactory medical clearance. 2. Currently I am in good health; 3. I declare that I have/have not been convicted of any criminal offence spent or otherwise (the post is exempt from the Rehabilitation of Offenders Act 1974). 4. I confirm that I do not live with anyone who has been disqualified to work with children. 5. I declare that the information given on this form is correct and understand that on appointment 6. Any misleading statements or deliberate omissions will be regarded as grounds for disciplinary action. Signature... Date... Holly House Application For Employment 02/14 Page 5