Post: / Post:Food Re-distribution Van Driver
Ref: / FRVD2018
Notes: Please read before completing the application form
•Applicants should submit this form only: CVs will not be accepted.
•Canvassing will disqualify
•You should use this form to highlight relevant and appropriate experience given the essential and desirable criteria outlined in the personnel specification.
•Only applications containing all the information which has been sought will be considered.
•You are strongly encouraged to complete the equal opportunities section of this form which is used only for monitoring/statistical purposes and is not made available to the panel.
•If you require this form in a different format, please contact us to discuss
•Applications received after the closing date and time will not be considered.
•Applications should be completed in BLOCK LETTERS using BLACK INK (either hand-written or typed).
Return form to:
CHNI, 3rd Floor, Andras House, 60 Great Victoria Street, Belfast, BT2 7BB or email to
Return form by (date):
no later than 5pm, Wednesday 10th January 2018
Personal Details
Surname
ForenameTitle: (Mr/Mrs/Ms/Miss/Dr)
Address for Correspondence:
Postcode
Contact phone No.
Please provide a number at which you can be contacted in relation to your applicationAlternative phone No. / email address
Education and Qualifications (if applicable)Secondary level and further and higher education
Dates / Type of School / institute
(e.g. Grammar, Secondary, FE, Universityetc) / Qualifications
subjects, grades / classifications
From
/To
Education and Qualifications contd.(if applicable)Secondary level and further and higher education
Dates / Type of School / institute
(e.g. Grammar, Secondary, FE, Universityetc) / Qualifications
subjects, grades / classifications
From
/To
Other professional qualifications (if applicable)Date / Course / Qualifications
Membership of professional institutions / associations
Training courses attended
Date / Course / qualification / Training provider / org.
1
Employment HistoryThis section should contain an outline of your career in the last ten years, starting with your current, most recent employment. Please continue on a separate sheet if required.
Employer namenature of organisation
/Position held
/Dates
(from: to) / Job description / Reason employment endedEmployment History Contd…
This section should contain an outline of your career in the last ten years, starting with your current, most recent employment. Please continue on a separate sheet if required.
Employer namenature of organisation
/Position held
/Dates
(from: to) / Job description / Reason employment endedVolunteering History (if applicable)
Employer namenature of organisation
/Dates
(from: to) / Position held / nature of role / Reason ended1
Information for Sifting PurposesThe following section asks you to demonstrate how you meet the essential and desirable criteria as specified in the personnel specification for this role
Please give details of how you fulfil the essential and desirable criteria. If necessary attach separate sheets, remembering to add the Vacancy Reference code at the top of the page. It is important that you tell us how you meet each of the criteria, as short listing will depend on what you write in this section.
Information for Sifting Purposescontd…
Information for Sifting Purposescontd…
Information for Sifting Purposescontd…
Reference #1
Please give the names and addresses of two referees, who are not related to you. Referees will not be contacted until a provisional offer is made.
Surname
ForenameTitle: (Mr/Mrs/Ms/Miss/Dr)
Job title:
Address for Correspondence:
Postcode
Contact phone No.
Alternative phone No. / email address
Reference #2Surname
ForenameTitle: (Mr/Mrs/Ms/Miss/Dr)
Job title:
Address for Correspondence:
Postcode
Contact phone No.
Alternative phone No. / email address
Additional InformationCurrent / most recent salary:
Length of Notice required from current employer
Do you have any criminal convictions? / Yes / No
If yes please provide details of any convictions below;
Do you currently hold a full driving license?
/ Yes / NoWhere did you hear about this vacancy?
Jobcentre / CHNI web / Newspaper / Other
Disability
Do you require a reasonable adjustment for reasons related to a disability to allow you to:
Attend for interview? / Yes / No
If yes please provide details below:
Undertake the duties of this post if successful? / Yes / No
If yes please provide details below:
Signature
The statements given by me on this application are to the best of my knowledge and belief true. I understand that deliberate falsification of factual information may prejudice my application or lead to an offer of appointment being withdrawn.
Signature (digital will suffice)
Date:
1