Date of Birth
Please give details of present positions with brief description of duties.
Date of Appointment
Main Duties and Responsibilities :
Previous appointments. Also include any activities, not necessarily employment, where skills and experience were gained (e.g., voluntary work). Please give any Specific job related training e.g., NVQ
Employer / Agency
General Education Please state qualifications, subjects, grades and dates.
Qualifications e.g., Professional and Vocational
Please supply names and addresses, telephone numbers and occupations of three people who are willing to give you a reference. At least one of these must be from your current or most recent employer. Preferably all referees should be qualified to comment in relation to the job description.
Can these references be taken up immediately?
Do you hold a full driving license and are not currently disqualified from driving?
Experience and reasons for applying for this post.
Due to the nature of the work for which you are applying, this post is exempt from The REHABILITATION OF OFFENDERS ACT 1974 by virtue of the Rehabilitation of Offenders Act 1974 (exemptions) order 1975. You are required to disclose any information you may have regarding any convictions against yourself which you may otherwise consider ‘spent’ in relation to this application. Any such information will be treated in the strictest confidence and used only in consideration of the suitability of your application.
Are you fit to carry out the work as defined in the job description and person specification?
Information for applicants.
Thank you for the interest you have shown in this position.
To the best of my knowledge and belief all the particulars I have given are true.
I understand that any false statements may disqualify me from employment or render me liable for dismissal. I also understand that no offer of employment to me will be binding unless confirmed in writing.
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