CONFIDENTIAL APPLICATION FOR EMPLOYMENT

Cornwall Mobility is committed to equality of opportunity in employment. We positively welcome your application irrespective of your gender, disability, race, colour, ethnic or national origin, nationality, sexuality, marital status, age, religious or political beliefs.

All applications must be completed in black ink or typed.

VACANCY DETAILS

Job Title: Retail Manager / Closing Date for Applications:
1 July 2016 – 12 noon

PERSONAL DETAILS

First Name(s): / Surname:
Address:
Postcode: / Contact Details:
Home:
Work:
Mobile:
Email:

EDUCATION / QUALIFICATIONS

Secondary education, further/higher education, vocational and professional qualifications including dates, organisation, grades / results (continue on a separate sheet if necessary, which must be headed with your name and vacancy title).
SUBJECT / DATES / GRADES /
RESULTS

TRAINING & DEVELOPMENT

Give details of any relevant training courses / refresher courses / current study. Include dates, organisation and indicate whether day (D) / evening course (EC) (continue on a separate sheet if necessary, which must be headed with your name and vacancy title).
COURSE / DATES / TYPE
D / EC
D / EC
D / EC
D / EC
D / EC
D / EC
D / EC
D / EC
D / EC
D / EC

EMPLOYMENT HISTORY

PRESENT OR MOST RECENT EMPLOYMENT

Name & Address:
Post Code:
Email: / Job Title:
Hours Worked:
Salary:
Period of Notice:
Date From: / Date To:
Reason for Leaving:

DUTIES/RESPONSIBILITIES

PREVIOUS EMPLOYMENT (1)

Name & Address:
Post Code:
Email: / Job Title:
Hours Worked:
Salary:
Date from:
Date to:
Reason for Leaving:

DUTIES/RESPONSIBILITIES

PREVIOUS EMPLOYMENT (2)

Name & Address:
Post Code:
Email: / Job Title:
Hours Worked:
Salary:
Date from:
Date to:
Reason for Leaving:

DUTIES/RESPONSIBILITIES

SUPPORTING STATEMENT

Use this section to provide further information in support of your application. This needs to be related to the requirements of the job and should cover the following:

  • the experience, skills, knowledge and personal qualities which you consider make you suitable for the job;
  • your reasons for applying.

ADDITIONAL INFORMATION

How many days have you been absent in the last three years? / Yr 1
Yr 2
Yr 3
Do you hold a current driving licence? / Yes / No
Do you have any endorsements / motoring convictions? / Yes / No
Do you have a vehicle available for commuting to / from work?
Yes / No
If you have a disability are there any arrangements which we can make for you if you are called for an interview?
Yes / No
If Yes, please specify:

REHABILITATION OF OFFENDERS

Staff employed by Cornwall Mobility are required to declare any convictions including those considered spent. Failure to declare the following matters will result in action under the Centre’s disciplinary procedure including dismissal.
Have you ever been convicted of any criminal offence, been issued with a police caution or are subject to any pending criminal proceedings?
Yes / No
Have you ever been subject to an investigation by your employer or any other party in respect of fraud, theft, assault or any matter of conduct?
Yes / No
If you have answered yes to either of the above, specify details below:

REFERENCES

Give names, full addresses, job title and contact number of two referees. One of these should be your present employer if currently employed (tutor if at school / college). Any offer of employment will only be made subject to receipt of two satisfactory references.
Name:
Job Title:
Address:
Postcode:
Contact Number: / Email:
May we contact prior to interview? / Yes / No
Name:
Job Title:
Address:
Postcode:
Contact Number: / Email:
May we contact prior to interview? / Yes / No

DECLARATION

I declare that to the best of my knowledge, the information given in this application is complete and correct and that it may be used for purposes registered under the Data Protection Act 1998. I understand that if, after appointment, any information is found to be inaccurate this may lead to dismissal without notice.
Signature / Date

CONFIDENTIALAPPLICATION FOR EMPLOYMENT

EQUAL OPPORTUNITIES RECRUITMENT MONITORING FORM

Cornwall Mobility is committed to equality of opportunity. No job application should receive unfair or unlawful treatment owing to gender, disability, race, colour, ethnic or national origin, nationality, sexual orientation, martial status, age, religion or political beliefs. Please assist us in monitoring the recruitment process by completing this sheet and returning it with your application form. This sheet will be separated from your application form upon receipt and it will not be considered in the selection process.

PLEASE ENTER A CROSS IN THE APPROPRIATE BOXES

Post applied for:

The starting salary is:

Below £10,000 / £10,001-£15,000 / £15,0001-£20,000 / £20,001-£25,000
£25,001-£30,000 / £30,001-£40,000 / Over £40,000
Gender / Female / Male

Age

16-20 / 21-30 / 31-40 / 41-50 / 51-60 / 61-65 / 65+
Disability / I am not disabled / I consider myself to be a disabled person

Ethnic Origin Choose one section from (a) to (e) to indicate your cultural background:

British / Caribbean / Chinese / Indian / White & Black Caribbean
Irish / African / Any other background* / Pakistani / White & Black African
Other white background* / Other black background* / Bangladeshi / White & Asian
Other Asian background* / Other mixed background*
*Enter other cultural background here: