Application for the post of Personal Assistant

Please complete your application and return to:

DPS Ref Number:AB16385

C/o: Jade Galaszia, WECIL Ltd, Link House, Britton Gardens, Kingswood, Bristol, BS15 1TF

Closing date for receipt of applications:19/6/17

Your Personal details

Last name: / Forename(s):
Address & Postcode:
Home / Work Telephone:
Mobile:
E-mail: / Do you have a full British driving licence?YES / NO
If YESfor how long? ………… years
Number of endorsements ………….
(points)
Do you have your own transport?
YES / NO
It is a condition of employment that youare registered with the Inland Revenue and are liable for tax and National Insurance payments. Cash-in-hand is not possible.
Do you accept this as a condition of employment?YES / NO
When would you be able to start work?
Where did you find out about this Job?

Employment history

Please give detail of all previous work, specifying whether paid or voluntary, beginning with the most recent and explaining any gaps.
Use separate sheet if required.
From/to / Name & address of employer / Position held & main duties

Education/Training

Please give details of any education/training, including qualifications and short courses undertaken, with dates. (Formal or informal)

Interests and leisure activities

Additional information

What skills and experience do you have that you feel are relevant to this Job? (including any voluntary work or unpaid experience).
Use separate sheet if required.
Why are you interested in doing this job?
Are You looking for full time (35hrs or more)YES / NO
Or part time work?YES / NO
Many shifts could include weekends &
Evenings would this present any problems?YES / NO
If yes please provide information.
When would you normally be available for work? (Please tick)
Day (am) / Day (afternoon) / Evening / Overnight
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Declaration Form
DeclaratinHave you at any time been convicted of any criminal offence, or been the subject of a caution or of a bound-over order? (please tick)
Yes No
If Yes please give details, including the nature of the offences below.
(N.B. The disclosure of an offence will not necessarily be a bar to your appointment.
This post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions Order 1975). Applicants are asked to disclose any previous criminal convictions including spent convictions (you may be asked as part of this post to complete a CRB disclosure form). This information can be then be used as a basis for deciding whether or not you are suitable for this work. Failure to disclose criminal convictions may result in the termination of your services.
All information given will be completely confidential.
Signed ______
Date: ______
Name in full (PRINT) ______

References

Please give name, address and telephone number of two people who will give you a reference. Please ensure that one of the referees is your most recent employer (or last employer if currently unemployed). Referees will only be contacted by phone to follow up written requests, or to clarify or verify information provided on the reference:

Name / 1. / 2.
Address
Telephone
Your relationship to referee
Can they be contacted before interview? / Yes/No / Yes/No
Any other information you wish to add: (can use separate sheet)

Declaration

I confirm that to the best of my knowledge the information given on this form is correct and I have not omitted any facts which may have a bearing on my application. I understand that it will be treated as part of any subsequent contract of employment.

Signed / Date

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