Job application form

Post Applied for:
Available Start Date:
DD slash MM slash YYYY
Job Application Form
It is important that you read the job description before completing this application form. Please complete this form fully using black ink or type. CVs are not accepted. Applications received after the closing date will not normally be considered.
THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE
Section 1 Personal details
Surname:
First name:
Title
Address*
Postcode*
National insurance number*
Home Telephone No:*
Daytime Telephone No:*
Mobile Telephone No:*
E-mail address:*
Can we contact you at work?
- Yes
- No
Are you free to remain and take up employment in the UK with no current immigration restrictions?
- Yes
- No
Your details*
- I agree to the following terms and conditions in submitting this enquiry.
If you do not agree with these terms and conditions we are unable to process your enquiry any further. Thank you for visiting our website today.
DRIVING LICENCE – IF RELEVANT TO POST APPLIED FOR
Do you hold a full, driving licence valid in the UK? (< 6 points)
- Yes
- No
If you are successful you will be required to provide relevant evidence of the above details prior to your appointment.

Section 2 Present Employment
Present Employment (If unemployed give details of last employer)
Status:
- Employed
- Unemployed
Name of Employer:
First
Address
Postcode
Post title:
Date of Appointment:
DD slash MM slash YYYY
Salary:
Department / Section:
Brief description of duties:
Period of Notice:
Last day of service (if no longer employed):
DD slash MM slash YYYY
Reason for leaving:

Section 3 Previous Employment (Up to 5 years)
Previous Employment (if present employment does not span last 5 years, record by earliest date first following present employment above)
Name of Employer:
First
Address
Postcode
Position Held:
Summary of duties:
Start Date:
DD slash MM slash YYYY
Finish date:
DD slash MM slash YYYY
Reason for leaving:
Name of Employer:
First
Address
Postcode
Position Held:
Summary of duties:
Start Date:
DD slash MM slash YYYY
Finish date:
DD slash MM slash YYYY
Reason for leaving:
Section 3 Previous Employment continued
Name of Employer:
First
Address
Postcode
Position Held:
Summary of duties:
Start Date:
DD slash MM slash YYYY
Finish date:
DD slash MM slash YYYY
Reason for leaving:
Name of Employer:
First
Address
Postcode
Position Held:
Summary of duties:
Start Date:
DD slash MM slash YYYY
Finish date:
DD slash MM slash YYYY
Reason for leaving:

Section 4 Education
Qualifications obtained from Schools, Colleges and Universities:
School Subject Qualification / grade obtained
Edit
Delete
There are no Qualifications.
College or University Course Qualification/grade obtained
Edit
Delete
There are no Qualifications.
Professional, Technical or Management Qualifications
Professional / Technical / Management Qualification Course Details Date Obtained
Edit
Delete
There are no Qualifications.
Membership of any Professional / Technical Associations- Please state level of Membership:

School	Subject	Qualification / grade obtained
			Edit Delete
There are no Qualifications.

College or University	Course	Qualification/grade obtained
			Edit Delete
There are no Qualifications.

Professional / Technical / Management Qualification	Course Details	Date Obtained
			Edit Delete
There are no Qualifications.

Section 5 Training and Development
Please give details of any training and development courses or non-qualifications courses which support your application. Include any on the job and military provided training as well as formal courses.
Training Programme or Course Date of Course
Edit
Delete
There are no Courses.

Training Programme or Course	Date of Course
		Edit Delete
There are no Courses.

Section 6 IT Skills
Give brief description of packages used. Please indicate whether knowledge is basic, intermediate or advanced.
Software package / Program Level of Knowledge
Edit
Delete
There are no Programs.

Software package / Program	Level of Knowledge
		Edit Delete
There are no Programs.

Section 7 Commercial Driving Experience
Please indicate types of vehicle and Class of HGV commercial experience.
Type & Class Dates
Edit
Delete
There are no Experiences.

Type & Class	Dates
		Edit Delete
There are no Experiences.

Section 9 Personal Statement
Abilities, skills, knowledge and experience.
Please use this section to explain how you feel you meet the requirements for the position applied. If you are or have been involved in voluntary/unpaid activities, please also include this information. Attach and label any additional sheets used.
Attach file:
Max. file size: 20 MB.

Section 10 Rehabilitation of Offenders Act (1974)
Do you have any convictions that are unspent under the rehabilitation of offenders act 1974?
- Yes
- No
If yes, please give details / dates of offence(s) and sentence:

Section 11 Disability Discrimination Act
This Act protects people with disabilities from unlawful discrimination. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long term effect on his or her ability to carry out normal day to day activities.
Do you have a disability which is relevant to your application?
- Yes
- No
If yes, please give details:
We will try to provide access, equipment or other practical support to ensure that people with disabilities can compete on equal terms with non-disabled people.
Do we need to make any specific arrangements in order for you to attend the interview?
- Yes
- No
If yes, please give details:

Section 12 Health
Successful applicants may be required to complete a detailed medical questionnaire and may be required to attend a medical examination prior to being appointed.
Number of days sickness absence in the last 2 years:
Please state number of occasions in the last 2 years:

Section 13 References
Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your references are.
Reference 1
Name
Position (job title):
Work Relationship:
Organisation:
Address
Postcode
Telephone No:
Email:
Are you willing for this referee to be approached prior to the interview?
- Yes
- No
Reference 2
Name
Position (job title):
Work Relationship:
Organisation:
Address
Postcode
Telephone No:
Email:
Are you willing for this referee to be approached prior to the interview?
- Yes
- No

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