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Job title:

 

Department/Region:

 

Reference number:

 

Where did you see this post advertised?

1.          Applicant’s details        

 

Title:

Surname:

First name:

 

 

 

 

Home address:

 

 

POST CODE:

 

Telephone nos:  please include full STD code

Home: 

Work   :

Mobile (where possible):

                       

email address (where possible): 

 

Do you hold a current driving licence?

 Yes/No

 

Is there anything concerning your medical history or state of health that is relevant to your application?

Yes*/No

*If you answer Yes please refer to the Equality of Opportunity Questionnaire enclosed

 

Are there any restrictions regarding your employment?

e.g do you require a Work Permit?

Yes*/No

*If you answer Yes please  supply details on a separate sheet of paper

 

How much notice do you need to give to your current employer?

  2.     employment record    

Pleasestart with your most recent employment. Briefly describe the main duties andresponsibilities of your post. If you wish to expand on specific areas ofresponsibility, please do so in Section5: Experience /skills.

 

1. Current/most recent employer/organisation

Name:

Address:

Job Title:          

From:

To:      

Brief description of duties:

Reason for leaving/changing:     

 

2. Employer/organisation

Name:

Address:

Job Title:          

From:

To:      

Brief description of duties:

Reason for leaving/changing:     

 

3. Employer/organisation

Name:

Address:

Job Title:          

From:

To:      

Brief description of duties:

Reason for leaving/changing:     

 

4. Employer/organisation

Name:

Address:

Job Title:          

From:

To:      

Brief description of duties:

Reason for leaving/changing:     

 

 

3.          Education

Pleasetell us about your education and any qualifications which you feel are relevantto the post. Include relevant courses which you are currently undertaking.Please start with the most recent.

Name of school/college/ university/training body

Subject studied

Qualification/ Level

Date gained       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.          Training

Pleaselist any training you have received or courses which did not lead to aqualification but which you feel are relevant to the advertised post.

Training Course

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.          Experience / Skills

Thissection is for you to give specific information in support of yourapplication.  Please set the informationout on a maximum of three sides of A4 paper.

Afterreading the Job Description and Person Specification carefully, consider towhat extent you have gained the skills and experience necessary for thepost.  Your experience need not have beengained in paid employment and may include special interests relevant to thepost. It is important that you provide evidence of your achievements by givingexamples to support your application. You may wish to use the headings in theperson specification in order to set the information out clearly.

 

 

6.            references

Pleasegive name, address and position/occupation of two referees. One must be yourpresent or most recent employer. References will only be taken up for thesuccessful candidate. Testimonials or references from friends and relatives arenot acceptable.

1. Name:

Position: 

Organisation:

Address:          

Tel:

 

2. Name:

Position: 

Organisation:

Address:          

Tel:

7.            Criminalconvictions

 

Do you have any criminal convictions?  Yes q              No q

If Yes please give details on a separate sheet, this should exclude any spent convictions under Section 4(2) of the Rehabilitation of Offenders Act 1974.

8.            declarationand signature

 

The information supplied in this application form is accurate to the best of my knowledge.

..................................................................................................................................................................................................................................                                                                           

Signed                                                                                                                                                            Date               

Bysigning and returning this application form you consent to UNISON using andkeeping information about you provided by you – or third parties such asreferees – relating to your application or future employment. This informationwill be used solely in the recruitment process and will be retained for sixmonths from the date on which you are informed whether you have been invited tointerview, or six months from the date of interview. Such information mayinclude details relating to ethnic monitoring and disability: these will beused solely for internal monitoring and will not be disclosed to any thirdparty.   Thank you for completing theform. Please print your completed form and return - together with yourcompleted Equality of Opportunity Questionnaire – to the address given on theadvert.

 

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Job title:

Department/Region:

Reference number:

Where did you see this post advertised?
1. APPLICANT√ʬ?¬?S DETAILS

Title: Surname: First name:


Home address:


POST CODE:

Telephone nos: please include full STD code
11
over a year ago
by Jobs Guru