Application Form

Position applied for: ______
Date of application: ______
1 PERSONAL DETAILS
Surname: / First Name(s):
Title (Mr, Mrs, Miss, Ms etc): / Preferred Name:
Address: / Telephone Numbers
Daytime:
Mobile:
Post Code: / Email address:
Date of Birth (optional): / Marital Status:
Nationality:
2 CURRENT OR MOST RECENT EMPLOYMENT
Name of Employer:
Address:
Post Code: / Telephone Number:
Position held:
Date appointed: / Notice required:
Salary / Wages:
Please give a brief description of the main duties of this post:
3 PREVIOUS EMPLOYMENT

Start with your most recent job. You should include all paid employment, voluntary work, periods of unemployment and time spent out of employment whilst undertaking caring responsibilities since leaving school, college or university. You may be asked to explain the gaps.

We reserve the right to approach any of the previous employers listed in this section to confirm the details you have supplied.

Name of employer/organisation and full address / Position Held/Main Duties / Date From / Date
To / Leaving Salary / Reason For Leaving

Continue on a separate sheet if necessary.

4 EDUCATION AND QUALIFICATIONS

Please give details of your education and any qualifications obtained. This should include any qualifications which you are studying for now. You may be required to prove you have obtained qualifications you have listed.

Secondary School/College/University/Institute / Date From / Date To / Subjects Studied/Training / Qualifications and grades achieved

Continue on a separate sheet if necessary.

5 TRAINING AND MEMBERSHIPS

Please give details of any training you have had which you feel is relevant to the job you are applying for. Include any on-the-job training as well as formal training courses. There is no need to mention any courses listed in section 4.

Title of training programme/course and brief description / Date (approx) started/completed
Membership of Professional Association and Level / Dates
6 OTHER DETAILS

Are you able to travel between locations? Yes / No (delete as necessary)

Do you have a current driving licence? Yes / No

Do you need a work permit to work in the UK? Yes / No

If yes, when does your current work permit expire?
What is your National Insurance Number?
7 CRIMINAL RECORD

Please note any criminal convictions except those spent under the rehabilitation act 1974. If none, please state.

I understand that if I am successful in my application it will be necessary to apply for a Criminal Records Bureau Disclosure at the appropriate level.

Signed: / Date:
8 SUPPORTING STATEMENT
Please explain below how your experience, skills and knowledge, meet the criteria for the position described in the person specification. Make sure you address all the criteria in the person specification. Continue on a separate sheet if necessary. / Please leave blank
9 GENERAL
Please list your interests, sports, hobbies etc:
Where did you hear about this vacancy?
10 REFERENCES

Please give names, addresses and telephone numbers of two people who are in a position to comment on your suitability for employment and who are not related to you. At least one reference must be from your current/last employer.

Reference 1 / Reference 2
Name: / Name:
Address: / Address:
Post Code: / Post Code:
Telephone Number: / Telephone Number:
Email Address: / Email Address:
How the referee is known to you? / How the referee is known to you?
11 DECLARATION

I declare that the above information given by me is correct to the best of my knowledge. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable for dismissal.

Signed: / Date:
12 DATA PROTECTION

Consent under the Data Protection Act 1998 – the information given to Rockingham Forest Trust in this form will be processed only by the Company for the purposes of considering your application for employment. If you are successful in your application, this form and the information in it will be retained in your HR file for such time as you are an employee of the Company and for up to 1 year after the end of your employment. Otherwise this form will only be retained by the Company for so long as it is required in connection with your application. By signing this consent you give us your express consent to retain and process all the information contained in this form.

Signed by Applicant: / Date:

Please return this form to: Rockingham Forest Trust, Stanwick Lakes, Stanwick, Northants, NN9 6GY