Private & Confidential

APPLICATION FORM

Position
Surname / Forename(s) / Title
Address
Postcode
Telephone Numbers:
Landline -
Mobile – / E-mail address:
National Insurance Number:
Current Driving Licence? Yes / No / Details of endorsements:
Are there any restrictions on you taking up employment in the UK? Yes/No (If yes, please provide details)

Education History

Please state qualifications (if applicable) relevant to this post. Use a separate sheet if necessary. Successful applicants will be required to provide the BWY with a copy of their relevant qualifications.

School/College/University/Other / Level of Examination/qualification / Dates (from – to)

Training

Training attended/Technical skills acquired / Dates (from – to)

Membership of Professional Associations (if relevant to this post)

Professional Body / Level of Membership / Membership No. / Year of Award / Expiry Date

Employment History (Please complete in full starting with the current/most recent post first and work backwards. Details of any periods of unemployment should be given. A separate sheet may be used if necessary).

Name of Employer / Position (include a brief description of duties/responsibilities) / From (Month/Year) / To (Month/Year)

Salary in last/most recent employment

/ £

Health Details

Do you have a physical or mental impairment that has a substantial and long-term effect on your ability to carry out day-to-day activities? Yes / No
Please specify any special arrangement for work associated with any impairment
Please specify any special arrangements you will need to attend an interview.
Please list any disease, allergies, muscular or musculoskeletal injuries from which you have suffered or do suffer.
Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.
Please list all absences from work in the past 12 months and the reasons for such absences.

Criminal convictions

In accordance with the Rehabilitation of Offenders Act 1974, if the position applied for involves work with children, vulnerable adults or access to money, you will be required to complete a Criminal Records Bureau check form and disclose information regarding criminal convictions (spent or otherwise). Any appointment with the BWY will be made subject to the satisfactory completion and receipt of this check.

Personal statement / Competency record

This section gives you an opportunity to tell us about your skills and abilities that make you a suitable candidate for the post. Please refer to the Person Specification information sheet enclosed with the Job Description and address each individual criterion, giving examples of similar experience you have encountered in your personal / professional life.

References

Please give details of two referees, one of whom should be your present or most recent employer (indicate the person’s relationship to you, i.e. employer/tutor) and one character referee (you should not name a relative as a referee). To expedite the process, please provide full postal address, telephone numbers and/or email addresses.

Professional:
Name …………………………………………………………………………………… Relationship ………………………….
Address ……………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………….
Email ……………………………………………………………………………………. Telephone ………………………….
Character:
Name …………………………………………………………………………………… Relationship ………………………….
Address ……………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………….
Email ……………………………………………………………………………………. Telephone ………………………….

Declaration (Please read this carefully before signing)

1.  I certify that to the best of my knowledge and belief, the information provided on this application form, together with any documents attached, is true and accurate. I understand that giving false information or failing to disclose details, will make any offer of employment invalid or will lead to the termination of employment.
2.  I understand that the information given on these forms may be processed under the Data Protection Act for the purposes of the recruitment and selection process and any subsequent appointment and monitoring process (including monitoring the effectiveness of Equal Opportunities policies at the BWY). I consent to the storage of this information on manual and computerised files.
3.  Should the BWY require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires the organisation to inform you of this intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.
4.  I agree that should I be successful in this application, I will, if required, apply to the Criminal Records Bureau / Scottish Criminal Records Office for a basic disclosure. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.
Signed: …………………………………………………………………………… Date …………………………………..
NB: This application cannot be processed if received without a signature to the above Declaration.

Completed application forms and requested supporting documentation should be sent direct to:

Operations Manager, BWY Central Office, 25 Jermyn Street, Sleaford, Lincolnshire, NG34 7RU.

We are committed . . .

To promoting a greater understanding of yoga through education, study, training and practice

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