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    APPLICATION FORM

    Our company Is committed to equal opportunities In employment, and we positively welcome your application Irrespective of your gender, race, disability, color, ethnic or national origin, nationality, sexuality, gender Identity, marital status, responsibility for dependants, religion, trade union activity and age.

    Please complete all sections on the form by yourself and In your own handwriting. If any section does not apply to you, enter not applicable (n/a). It Is Important that you refer to the Guidance Notes before completing this form.

    VACANCY DETAILS

    PERSONAL DETAILS

    Please indicate if you are happy to receive correspondence via your email address e.g., invite to interview letter

    Current driving licence (if this is a requirement of this job)

    Do you have any endorsements

    Are you available immediately

    Emergency Contact Details / Next of Kin Details

    GENERAL INFORMATION

    Are you related to any employee of the company *

    ARRANGEMENTS FOR THE INTERVIEW

    Do you require any special arragements or adjustments to enable you to an attend an interview and / or undertake a work-based assessment?

    If Yes, please specify, (e.g. ground floor venue, sign language interpreter, audio tapes etc).

    ELIGIBILITY TO WORK IN THE UK

    Are there any legal restrictions on your continued residence or employment in the UK that might affect your ability to take up employment?

    If Yes, please provide further details and the type of visa that you currently have

    EDUCATION AND TRAINING

    From

    To

    Secondary School/ University/ Organizing Body etc

    Examinations taken or Course Title

    Results & grades

    Date gained

    Membership, Please indicate membership of any organisation(s) relevent to this job

    Name of the Organisation

    Type of Membership

    Date of Membership

    MOST RECENT EMPLOYMENT DETAILS

    Company Name

    Job Title

    Start Date

    End Date if applicable

    Comapny Address & post code

    If offered this position, will you continue to work in any other capacity with another employer?

    REFERENCES 1
    Please give details of two referees one of which must be your current or most recent line manager/supervisor, or other person designated within the organisation to provide reference. You should not give friends or relatives as referees.

    REFERENCES 2
    Please give details of two referees one of which must be your current or most recent line manager/supervisor, or other person designated within the organisation to provide reference. You should not give friends or relatives as referees.

    OTHER INFORMATION IN SUPPORT OF YOUR APPLICATION - SUPPORTING STATEMENT
    In order for us to decide whether to call you for interview, it is essential that you provide us with sufficient details of any experience and skills which demonstrate how you meet the requirements of this job, as set out in the person specification. you may also continue on a separate sheets(s) if you wish. You should ensure that any additional sheets are attached securely and include your Name and Position Applied For.

    CRIMINAL RECORD CHECK
    The position for which you are applying is exempt from the provision of Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. this means that any cautions, reprimands or final warnings, as well as convictions if unspent must be disclosed, all applicants who are offered employment will be subject to a record check from the Disclosure of Barring Service before the appointment is confirmed. information provided will be kept confidential, and in accordance with the provisions of The Data Protection Act whereby information obtained and processed fairly and lawfully; is only disclosed in appropriate circumstances and not held longer than necessary. only relevant convictions and other information will be considered and does not necessarily prevent appointment.

    Do you have convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

    If yes, please give details on a separate sheet. Any information supplied will remain confidential; having a criminal record will not necessarily prevent you from working for us. this will depend on the nature of the position and circumstances and background of your offence.

    DATA PROTECTION ACT 2018 - CONSENT AND CERTIFICATION OF DETAILS
    The information detailed in the application from may be used by the company in the monitoring and progression of its employment policies and practices. This monitoring is for statistical purposes only and you will not be identifiable from this process. Application forms of unsuccessful candidates will be destroyed after twelve months following an appointment to the job.

    I declare that i have completed this application form myself and to the best of my knowledge and belief, all particulars I have given are complete and true. I understand that any false declaration or misleading statement or any significant omission may disqualify me from employment and render me liable to dismissal. I understand that any job offer is subject to satisfactory references and a probationary period and if deemed appropriate a satisfactory medical report. I understand that if this post involves working with vulnerable people and the post is subjected to a Criminal Record Check (from the Disclosure & Barring Service for England and Wales). Should I be offered such a post, I understand that a Criminal record Check will be sought before the appointment is confirmed.

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