Application Form

Position
Closing Date
Day
Month
Year
Personal Details
Name
Title First Middle Last
Address
Street Address Address Line 2 City Postcode
Email
Telephone Number
Current or Most Recent Employer
Employer's Name
Employer's Address
Salary
Notice Required
Start Date
End Date
Reason for Leaving
Previous Employment
Please provide the following details:
- Employer Name & Address
- Employment Start and End Dates
- Position Held
- Details of duties and responsibilities - Reason for leaving
Please provide an explanation for any gaps in employment.
Previous Employment Details
Education
Please provide the following details:
- Level
- Subject
- Grade
Education
Further Education
Please provide the following details:
- Level
- Subject
- Grade
Further Education
Relevant Industry Qualifications / Awards
Please provide the following details:
- Organising Body
- Course / Award
- From (Date)
- To (Date)
Industry Qualifications / Awards
Supporting Statement
References
Please provide details of two referees, your current or most recent employer (or school if no previous employment) first. On occasion we may seek to obtain candidates references prior to interview.
- Please tick this box if you do not wish us to contact your referees prior to interview
Referee Name & Position
Referee Company Name & Address
Referee Telephone Number
Referee Email
Referee Name & Position
Referee Company Name & Address
Referee Telephone Number
Referee Email
Convictions / Cautions
Have you ever received a caution, including conditional cautions, been convicted by a court of any offence, been reprimanded or given a final warning?
Are there any criminal proceedings against you?
Employment Status / Asylum and Immigration Act 1996
We can only employ people who are legally entitled to work in the UK.
I can confirm that I am entitled to work in the UK:
If you were offered a position with the company would you continue to hold another position elsewhere?*
If YES, please give details of your post title, organisation and hours worked.
Where did you see the post applied for advertised?
Equality Monitoring
This company operates an Equality and Opportunities Policy and is committed to appointing the best candidate, regardless of any factor other than the ability to do the job. Good practice recommends that employers monitor the outcome of selection decisions to ensure that the unfair discrimination does not occur on any of these grounds within our recruitment and selection process. This information is requested for monitoring purposes only and will be treated as strictly confidential.
Gender
Marital Status
Age Band
Ethnic Group
If Other, please specify
Disability
Under the Equality Act 2010, disability is defined as, “A physical or mental impairment, which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.”
Do you consider that you have a disability, including ‘hidden’ disabilities i.e. dyslexia, learning disability/epilepsy?
If YES, please give details
Would your disability cause you to have any special requirements if you were to attend an interview?
If YES, please give details
Data Protection Act
When you complete this form, you are giving permission for us to process and hold the information you have supplied on it, including any information you consider to be personal and sensitive. If your application is unsuccessful, the form will be held for 6 months and then destroyed.
Declaration
I confirm that this information is, to the best of my knowledge, true and accurate.

Personal Details

Current or Most Recent Employer

Previous Employment

Education

Further Education

Relevant Industry Qualifications / Awards

References

Convictions / Cautions

Employment Status / Asylum and Immigration Act 1996

Equality Monitoring

Disability

Data Protection Act

Declaration