Application for employment

Work experience

Please give details of your last three jobs. Any relevant posts held before then may also be mentioned. Please begin with your present or most recent position and then work chronologically backwards.
Name and address of employer (1)*
Job title, description of duties and responsibilities, reason for leaving and salary on leaving*
Date stated*

DayMonthYear
Date finished

DayMonthYear
Add another employment*

YesNo

Name and address of employer (2)
Job title, description of duties and responsibilities, reason for leaving and salary on leaving
Date stated

DayMonthYear
Date
Date finished

DayMonthYear
Date
Add another employment

YesNo

Name and address of employer (3)
Job title, description of duties and responsibilities, reason for leaving and salary on leaving
Date stated

DayMonthYear
Date
Date finished

DayMonthYear
Date

Other Information
Do you have any other training, qualifications, skills or personal qualities relevant to the post (e.g. knowledge of a foreign language, computer literacy, full driving licence, etc.)?
Computer experience, can you give an outline of your level/competency?
Have you made a previous application to the Company? If so, when was this and what was the outcome?
Please give details of any hobbies, activities and interests.
Please use this space to say why you are interested in the post for which you have applied, why you believe you are the best person for the job and provide any other information that may assist your application.
If you are successful, when could you take up your post? How many weeks’ or months’ notice do you have to give to your current employer?
If you are disabled, please give details of any special arrangements or adjustments you would require to attend interview.
What are your salary expectations?

Referees

Please give details of two referees, one of whom must be your current or most recent employer or, if this is an application for your first job, your school teacher or higher or further education lecturer. Neither referee should be a relative or contemporary.
First referee
Second referee

Rehabilitation of Offenders Act 1974
In order to protect the public, the post you have applied for is exempt from certain provisions of the Rehabilitation of Offenders Act 1974. You are therefore required to disclose all and any past or pending cautions or convictions, whether spent or otherwise, unless it is either a “protected caution” or a “protected conviction” under the terms of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. All information provided will be kept in the strictest confidence and only used for the purpose of assessing your suitability for the post you have applied for.Please specify below details of all and any past or pending cautions or convictions, whether spent or otherwise, except for protected cautions or convictions. If you have no past or pending cautions or convictions, please specify “None”.*