Application for Employment

Position
Department
Reference number
Personal Details
Surname
First Names
Mr/Mrs/Miss/Ms
Maiden and Other names
Address
Postcode
Telephone number (Home)
Telephone number (Business)
Email address
Nationality
Do you require a Work Permit to be employed in the United Kingdom? / Yes/No
Interview
Do you require any special arrangements for interview?
Please note that all candidates are treated equally regardless of their age, disability, gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation.
References (For external candidates only)
Give names, addresses and telephone numbers of two referees. The first should be your present or most recent employer (or head teacher/university or college lecturer if a school leaver in first employment). The second should be a previous employer. (We need to verify 3 years employment)
Referee 1
Name
Company
Position
Email
Telephone number
May we approach him/her prior to interview? Yes / No
Referee 2
Name
Company
Position
Email
Telephone number
May we approach him/her prior to interview? Yes / No
Referees will only be contacted if you have been requested to attend for an interview
Career History (in chronological order)
Company name
Address
From (MM/YYYY)
To (MM/YYYY)
Position
Brief descriptions
Current/final salary
Benefits
Reason for Leaving
Company name
Address
From (MM/YYYY)
To (MM/YYYY)
Position
Brief descriptions
Current/final salary
Benefits
Reason for Leaving
Company name
Address
From (MM/YYYY)
To (MM/YYYY)
Position
Brief descriptions
Current/final salary
Benefits
Reason for Leaving
Company name
Address
From (MM/YYYY)
To (MM/YYYY
Position
Brief descriptions
Current/final salary
Benefits
Reason for Leaving
The Company will only contact your current employer after an offer of employment has been arranged.
Education and Training
Secondary School/ College/ University attended
Full or part-time
From (MM/YYYY)
To (MM/YYYY)
Course(s) taken or currently studying
Examination results (incl. grades)
Training and Business Other relevant training courses attended:
Professional Qualifications
Professional Company
Details of UK registration
Name and Membership No
Do you speak a foreign language? / If yes, please indicate:
Do you hold a full licence to drive a car / Yes/No
Financial Information
Have you at any time:
Been convicted of a criminal offence or been subject to
penalties for tax evasion?
Had a County Court Judgment made against you?
Been declared bankrupt or are about to enter bankruptcy proceedings? / Yes/No
Yes/No
Yes/No
Have you ever:
Been authorised to give advice on investments, including life assurance, or previously
worked as an Introducer as defined by the Financial Services Act 1986?
Has such authority at any time been refused, cancelled, withdrawn or been subject to
disciplinary action?
Have you ever been a defendant in any civil proceedings or party to any arbitration in
relation to investment or other financial business or been the subject of any criminal
proceedings?
Have you any outstanding judgment debts or awards; or been the defendant in civil
proceedings relating to financial business?
Have you made any arrangement with creditors in the last five years?
Have you been refused authorisation or approval in the financial services sector, or has such approval been terminated by the Regulator?
Have you been disqualified as a company director?
Have you been subject to disciplinary investigation by a Regulator, Government body or
Agency over the past five years?
Have you been a director, partner or secretary of a financial services business, which has
ceased to trade, gone into insolvency, liquidation or administration in the last five years?
Are you aware of any pending proceedings related to the above Finance section? / Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
By signing this application form you are consenting to the Company undertaking a credit reference to verify financial soundness.
If the answer is YES to any of the above, please give full details on a separate sheet.
Rehabilitation of Offenders Act 1974
Under the Act, most sentences awarded by a Court for Criminal offences may be regarded as spent and disregarded, for most purposes, after a specified period of time and need not then be disclosed. However, if the appointment for which you have applied is one to which the Rehabilitation of Offenders Act (Exceptions) Orders apply, you are required to declare any criminal convictions and enquiries and checks may be made in that respect.
It is your responsibility to distinguish between those convictions which require to be declared and those which do not.
I have no unspent convictions for or current charges in respect of any criminal offence of dishonesty, fraud, financial crime or violence or other offences under legislation relating to banking and financial services, companies, insurance and consumer protection.
Signed: ……………………………………………………… / Date: ………………………………………………………
Miscellaneous
Are you related to any staff within the company? / Yes/No
If YES give details:
Have you worked for the company before, if so give dates and position:
How do you spend your leisure time?
Please give details of any public duties you undertake (e.g. JP, Councillor, Special PC):
If offered this position will you continue to work in any other capacity? / Yes/No
How much notice are you required to give to your current employer?
Have you any holidays booked? If so give dates.
How did you learn about this vacancy?
To help us in our selection process, please give us an indication of your salary requirements:
Please explain why you are interested in this position and give any additional information in support of your application including relevant skills and personal qualities.
Additional Information
Please use this space, and/or a separate sheet to provide additional relevant information.
School leavers should include details of any school positions of responsibility, vacation employment, work experience, hobbies or specialist interest.
To the best of my knowledge the above facts are a true statement. I accept that providing deliberately false information could result in my dismissal and potentially a criminal prosecution.
Signed: ……………………………………………………… / Date: ………………………………………………………
What You Should Do Now
Once the form is completed, you will need to email it back to us, including with it any additional sheets of paper used. Please email it back to .
All submitted forms should be returned to us as soon as possible and certainly by the closing date advertised.
In the event that we receive a large number of applications, we reserve the right to move the closing date forward, so do not delay your submitted application form wherever possible.
Please do not send us CV’s instead of the form, as we will not consider them.
Please allow a few weeks after the closing date for us to contact you, as we may well receive a large number of forms.
In the event that we wish to interview you, we will contact you, giving as much notice as possible. Contact will be made via either email or by telephone.
If we fail to contact you within 3 weeks of the closing date, please accept this as confirmation that we do not wish to pursue your application. Unfortunately, due to the volume of applications we are unable to respond to all submitted applications. In such circumstances we will not be in a position to provide feedback on your application.
For Company Use
Date received
Invite to interview / Yes/No
Interview date
Offer letter date
Reject letter date

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