All Information on This Form Will Be Treated As Strictly Confidential

All information on this form will be treated as strictly confidential.

Application for Employment as Food and Nutrition Co-ordinator
Forename(s)
Dr/Mr/Mrs/Miss/Ms/other / Surname
Address
Telephone - home / Social Security no.
Telephone - work / Date of birth
Telephone - mobile
E-mail address
Do you hold a current clean driving licence? / YES / NO
Do you have use of a vehicle during working hours? / YES/NO
Have you had a DBS check within the last 3 years? / YES/NO
Have you completed Foundation Safeguarding Training within the last 3 years? / YES/NO
Caring Cooks of Jerseywelcomes applications from candidates who have a disability and will interview all who also meet the essential criteria to do the job. Do you consider yourself to have a disability (as defined by the 1995 Disability Discrimination Act)? YES / NO

REFEREES (References will only be taken up if you are invited for interview)

Please provide details of 2 people to whom you are not related and to whom reference can be made;

1 should be your current employer, or if you are currently unemployed, your last employer.

Name
Job title
Please provide both forms of contact:
Email
Postal address
Can we contact prior to interview? Y/N / Name
Job title
Please provide both forms of contact:
Email
Postal address
Can we contact prior to interview? Y/N

EMPLOYMENT

Provide details of your present or most recent position.

Name & address of employer
Nature of business / Job title
Starting date / Date of leaving
(if appropriate)
Main duties & responsibilities
Salary & benefits / Period of notice
Reason for wishing to leave

Provide details of previous employment or include them within CV (continue on a separate sheet if necessary)

Name and Address of Employer / From/To / Position held and
duties undertaken / Grade/Salary

QUALIFICATIONS

Secondary Education– Provide details here or include them within CV

Name and address of school/college / From/To / Examinations taken (include date, level, grade)

Further Education - University, College, Part-time or Work Related Courses – Provide details here or include them within CV

Name and location of establishment / From/To / Examinations taken (include date, level, grade)

Membership of Professional Organisations and Institutions – Provide details or include them within CV

Name / Date Attained / Membership Status / By Examination
Yes/No

ADDITIONAL INFORMATION

Please state why you want this job. Provide details of your skills, knowledge and experience and explain why you feel they are relevant to your application. Please relate this information to the Job Description. (Continue on a separate sheet if necessary)

INTERESTS

CRIMINAL CONVICTIONS

Please provide details of any criminal convictions recorded against you. You may be asked to complete an additional form to enable us to undertake a police check if you don’t already hold a valid one.
I confirm that the above information is correct and fully understand that misleading statements, deliberate omissions or inclusion of incorrect details may be sufficient to cancel any employment offer or result in dismissal.
Signed: / Dated:

Please return this completed form marked confidential along with a copy of your CV, and a covering letter explaining why you are interested in the role to:

Melissa Nobrega, Chief Executive

9 Fairways, Plat Douet Road, St Clement, Jersey JE2 6PN

Tel; 07797 728807