Cornwall New Energy: Community Works - Job Application form 1 of 4
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Job Application Form
Associate Director of Development (Cornwall New Energy) /

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Job reference: CW/CNE/17/1

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1 Personal details

First Name(s):

Surname:

Address

Postcode

Home Tel:

Work Tel:

Email Address

Mobile Telephone

2 Supporting statement

Please explain why you feel you have the necessary experience and skills to undertake this role.

3 Work history

Please give details of all full and part-time work, including periods of self-employment for the last 10 years (in order of most recent).

NOTE: It is acceptable to attach a CV instead of completing this section.

If not including a CV, please include:

1) Employers name and address

2) Dates employed from/to

3) Position held, nature of duties and reason for leaving

4 Time unaccounted for

Give details of any time not already accounted for (including unemployment).

5 Availability

What notice period do you have to give your current employer?

6 Qualifications

Please list all qualifications including any professional qualifications that are relevant to this application, including Name of Establishment; Course/Subject(s) and Date obtained.

NOTE: It is acceptable to attach a CV instead of completing this section.

7 Referees

Please give details of two referees. For each referee, please supply:

1) Title/Name:

2) Address

3) Postcode

4) Telephone:

5) Email:

6) In what context does this referee know you?

7) May we obtain this reference now?

8 Nationality

Present Nationality

If you have ever possessed any other nationality or citizenship, or you are a non-EEA family member, please give full details

Are you subject to immigration control?

YES NO

If yes, please specify

Are there any other restrictions on your continued residence or employment in the UK?

YES NO

If yes, please specify

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Declaration

If you give any information which you know is false, or if you withhold relevant information, this may lead to your application being rejected or, if you have been already appointed, to your dismissal.

By signing this declaration:

I confirm that the information I have given is, to the best of my knowledge or belief, true and complete.

Any false declaration of immigration and (or) disability to obtain an interview will subsequently invalidate any contract of employment.

Signature (or type name if submitting electronically)

Date

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Completed applications

Now please return your completed application form to

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The project has received funding from the England European Regional Development

Fund as part of the European Structural and Investment Funds Growth Programme 2014-

2020. The Department for Communities and Local Government (and in London the

intermediate body Greater London Authority)is the Managing Authority for European

Regional Development Fund. Established by the European Union, the European Regional Development Fund helps local areas stimulate their economic development by investing in

projects which will support innovation, businesses, create jobs and local community

regenerations. For more information visit https://www.gov.uk/european-growth-funding

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Date: 16h January 2018