Careers

Position Applied For

Address

Education History

Schools/colleges

Qualifications Gained

Employment History

Date From - To, Name & Address of Employer, Job Title, Duties, Rate of Pay,
Reason for Leaving

References

Please note the names and addresses of two persons from whom we may obtain
both character and work experiences references

Other Employment

Please note any other employment you would continue if you were to be
successful in obtaining this position

Leisure

Please note here your leisure interests, sports and hobbies, other pastimes
etc.

Criminal Record

Please note any criminal convictions except those spent under the
Rehabilitation of Offenders Act 1974. If none please state.

Health Details

Are you disabled YES/NO. If YES, please give details and specify any special
needs in relation to your disability

Please list any diseases, disorders, allergies, muscular or muscular skeletal
injuries from which you have suffered or do suffer.

Please detail any form of medicine, drugs or treatment you are currently
and/or regularly receiving.

Please list all absences from work in the past 12 month and the reasons for
such absences.

Declaration (Please read this carefully before signing this application)

1. I can confirm that the above information is complete and correct and that
   any untrue or misleading information will give my employer the right to
   terminate any employment contact offered.

2. I agree that the organisation reserves the right to require me to undergo a
   medical examination. (Should we require further information and wish to
   contact your doctor with a view to obtaining a medical report, the law
   requires us to inform you of our intention and obtain your permission prior
   to contacting your doctor).

I confirm I have read the Privacy Notice for Job Applicants