CONFIDENTIAL

APPLICATION FORM FOR POST AT BENDRIGG TRUST

POST APPLIED FOR: ......

Where did you see this post advertised: ……………………………………………

PLEASE CONFINE ALL INFORMATION REGARDING THIS APPLICATION TO THIS FORM

1. PERSONAL DETAILS:

a) Name...... …...Date of Birth...... …..... Age ...... …

Address...... Marital status....……...... ………

...... e-mail address …………………………..

...... Tel No. Home...... ……...... …..

...... Tel No. Work...... ……...... …..

b) Health:Other than common ailments, please list any health problems, injuries

or disabilities. (Interviewees will be required to complete a medical form).

......

......

c) Driving: Do you hold a full driving licence? YES/NO No. of years: ......

Do you have a D1 on your licence for driving minibuses? YES/NO

Do you have a D1 + E on your licence for driving minibuses with trailers? YES/NO

Details of any endorsements: ......

d) Have you ever been convicted of any criminal offence? If yes, please give details.

......

2. DETAILS OF SECONDARY EDUCATION:

Schools / Dates of attendance / Examination results

3. DETAILS OF FURTHER EDUCATION, COLLEGES AND UNIVERSITY:

College, University / Dates of attendance / Examination results

4. CURRENT EMPLOYMENT:

Name & address of employer / Nature of post & duties / Period of service / Salary
  1. PREVIOUS EMPLOYMENT (In date order with most recent at the top of the list):

Name & address of employer / Nature of post & duties / Period of service / Salary / Reason for leaving

6. DETAILS OF OTHER RELEVANT QUALIFICATIONS AND EXPERIENCE:

  1. When are you free to take up any position offered?......

......

  1. Please give the names of two referees:

Name / Address / Phone No. / Occupation
  1. ADDITIONAL INFORMATION RELEVANT TO THIS APPLICATION:

Signed: ...... Date: ......

This application form should be returned to:

The Principal

Bendrigg Lodge

Old Hutton

Kendal

Cumbria LA8 ONR

01539 723766