ACT Job Application Form

GDPR Consent

Aylesham Community Trust (ACT) recognises the need to comply with the various laws regulating the processing of personal data. It is our desire that employees recognise the risks involved when dealing with such information and fully understand the steps that must be taken in order to minimise such risks. It is ACT’s policy to educate and inform employees about the dangers of inappropriate and illegal use of the personal data they may have access to.

By ticking this box you agree for ACT to hold and use the information you have provided in this form to progress your job application with us in line with our policies and procedures for data retention. You may request these by contacting our office and can visit www.aylesham.org.uk to view our Privacy Statement.*

Yes

Which Role/s are you applying for?*

Kent Coalfields Community Connector (CRT)

Your name*

First NameLast Name

Your home address*

Street Address

Street Address Line 2

CityRegion

Post Code

Your contact phone number *

Your contact email address*

Education & Training. Please use the table below to tell us about the qualifications you hold that are relevant to this application *

Rows	from (Year)	To (Year)	Name & Place of Education	Qualification Name / Level	Grades Obtained
1
2
3
4
5
6
7
8
9
10

Please provide details of your current or most recent employer*

Rows	Please use all the spaces below
Name of Employer
Full address (including post code)
Your Job Title / Job Role
Salary (current or at point of leaving)
Length of time with employer
Reason for leaving
Brief summary of your main duties

Please provide details of any other relevant previous employment *

Rows	From (year)	To (year)	Name of Employer	Job Role	Reason for Leaving
1
2
3
4
5
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8
9
10

Please upload your your Personal Statement here. This should explain why you are applying for this post and outline aspects of your experience giving details of any particular achievements or distinctions which you consider relevant to this application. We advise that you make full use of this opportunity to address the requirements set out in the JD and Person Specification.*

If your application is successful we will need to take up two references. Please provide contact details of your most recent employer. We will not attempt to contact this person without first getting your consent. *

Rows	Please use spaces below
Full name of contact
Their job title and/or role
Full address (including postcode)
Contact email
Contact phone number

Please provide the contact details of a second referee. This should not be a family member. We will not attempt to contact this person without first getting your consent. *

Rows	Please use spaces below
Full name of contact
Their job title and/or role
Full address (including postcode)
Contact email
Contact phone number

If you have a disability, Please tell us if there are any reasonable adjustments we can make to help you in your application or with our recruitment process.

Are there any dates when you will not be available to interview in the next month?*

When would you be able to start working for us (what is your notice period)?*

Do you need a work permit to work in the UK?*

YesNo

Declaration: I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal.*

Yes, I understand and agree the declaration above

ACT is an equal opportunity employer, encouraging applications from all sections of society, (particularly underrepresented groups).