Mid Norfolk Mencap Application Form

  • Application Form

  • Personal Information:


  • Current / Most Recent Employment:

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  • Previous Employment:

    We require your full employment history, including any gaps in employment.
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  • Educational Qualifications

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  • Professional Qualifications

    Please list other relevant training courses attended in the Personal Statement section of this form
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  • Referees

    Please provide the names and contact details of at least two referees. One must be your current or most recent employer. References will not be accepted from relatives or from people writing solely in the capacity of friends.

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  • Personal Statement in support of your application

    Please complete this section, even if you have submitted a CV.
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  • Data Protection Statement:

    All the information collected in this form is necessary and relevant to the performance of the job applied for.  We will use the information provided by you on this form, by the referees you have noted, and the educational institutions with whom we may undertake to verify your qualifications with, for recruitment purposes only. The organisation will treat all personal information with the utmost confidentiality and in line with the current General Data Protection Regulations.  We rely on the lawful basis of consent to process the information provided by you in this form.

    Should you be successful in your application, the information provided, and further information which will be gathered at the relevant time, will be subsequently used for the administration of your employment and in relation to any legal challenge which may be made regarding our recruitment practices.

    Please click the link below to our Declaration Form for job applicants. This enables you to provide required declarations regarding relationships, disciplinary proceedings, and criminal records as part of your job application. We will be unable to process the application without a completed copy of the form.

    Declaration Form for Mid Norfolk Mencap Job Applicants

    By signing below, you are making the following declaration:

    I confirm that the information I have given in this application form, is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment offered.  I understand that any offer of employment is subject to the organisation being satisfied with the results of the series of relevant checks including references, eligibility to work in the UK, and criminal convictions.

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