/ OFFICE USE ONLY
Reference No:
______/ ______
Date Received:
APPLICATION FOR EMPLOYMENT

1. POSITION DETAILS

Position: / Date:
Location:

2. PERSONAL DETAILS

Title / Full Name
Home Address / Other Address
(If Applicable)
Postcode / N.I. Number
Daytime Tel / Mobile Tel
Home Tel / Email Address

3. EDUCATION

Third Level Education

University or College Attended
Start Date / Finish Date
Course Studied / Degree Result
Specify Course Modules

Third Level Education (cont.)

University or College Attended
Start Date / Finish Date
Course Studied / Degree Result
Specify Course Modules

Secondary Education

A-Level or Equivalent

Level / Subject / Result / Date Gained
GCSE or Equivalent
Level / Subject / Result / Date Gained
Please include any additional qualifications or formal training that you have undertaken that you feel is relevant. You should include details of the provider, the date of the award and the qualification/course title.

4. MEMBERSHIP OF PROFESSIONAL BODIES

Please give details of membership of professional organisations and institutes. Please include details of the name of the association, the date you were admitted, the level of membership and any relevant membership numbers.

5. EMPLOYMENT

Please give details of all positions you have held starting with your current or most recent employer. If you have held more than one position with an employer, please provide separate details for each position held. Continue on a separate sheet if necessary
Name & Address of Employer:
Dates of Employment: / From: / To:

Position Held:

Brief Description of Main Responsibilities and details of final salary(salary details not required for internal applicants):

Reason for Leaving:

Name & Address of Employer:
Dates of Employment: / From: / To:

Position Held:

Brief Description of Main Responsibilities and details of final salary(salary details not required for internal applicants):

Reason for Leaving:

Name & Address of Employer:
Dates of Employment: / From: / To:

Position Held:

Brief Description of Main Responsibilities and details of final salary(salary details not required for internal applicants):

Reason for Leaving:

Name & Address of Employer:
Dates of Employment: / From: / To:

Position Held:

Brief Description of Main Responsibilities and details of final salary(salary details not required for internal applicants):

Reason for Leaving:

6. OTHER RELEVANT INFORMATION

Please give details of any other experience which you believe is relevant to the position applied for

7. GENERAL INFORMATION

Please state your salary expectation:
Does your current salary include:
Company vehicle: / Yes / No
Company Pension / Yes / No
Other Benefits / Yes / No
If you answer yes to any of the above questions please provide details below:
Length of notice to be worked:
Foreign Languages (state levels of proficiency):
Do you require a work permit/Visa to work in the UK? / Yes / No
Do you hold a full, clean driving licence? / Yes / No
Have you ever been convicted of a criminal offence?
Declaration subject to the Rehabilitation of Offenders Order (N.I.) 1978 / Yes / No
If you have answered yes to any of the above questions, please provide details below:

8. SUPPORTING STATEMENT

Please summarise the important aspects of your skills, experience and achievements to date and demonstrate how this makes you suitable for the post. Please match your experience against the criteria for the roletaking care to outline why you are a strong candidate for the position. (Maximum 500 words)

9. REFERENCES

Please supply details of two referees. One should be your current or most recent employer and have knowledge of your work. The other referee should be your penultimate employer. Referees will only be contacted in the event that your application is successful.

Name / Name
Position / Position
Address / Address
Postcode / Postcode
Telephone / Telephone
Email / Email
Nature of relationship to you / Nature of relationship to you

AVAILABILITY

Flexibility in the selection process is not always possible but where we can we will attempt to accommodate. Please give details below of any dates you are not available.

DECLARATION

I declare that the information given in this form and in any accompanying documentation is true to the best of my knowledge and belief and give my permission for enquiries to be made to confirm qualifications, experience, dates ofemployment, right to work in the UK and for the release by other people or organisations of necessary information to verify the content. I understand my application may be rejected and/or I may be dismissed following appointment if Ihave given any false or misleading information or have withheld any relevant details.
Name / Date

Please forward completed Application Form and Equal Opportunities Monitoring Form to:

Please note CVs as supporting documentation will not be accepted along with applications

HR Department, Schrader Electronics Ltd, 11 Technology Park, Antrim, BT41 1QS

Tel : +44 (0)28 9446 1300 Fax : +44 (0)28 9446 8440

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Guidance Notes For Completion of Your Application

Please read carefully

  1. You must complete all sections of the application form.
  1. Please complete the form clearly and legibly. If we cannot read the form, we may be unable to determine whether or not you meet the requirements for the post.
  1. Applicants must clearly demonstrate on their application form how their qualifications and experience meet the essential and preferred criteria for the post.
  1. The application form must be signed and dated.
  1. Your completed application form must arrive by the specified closing date.
  1. To ensure that our equal opportunities policy is effective all candidates are requested to complete the monitoring questionnaire supplied with the application form. This information will be treated as strictly confidential and will be separated from the application form prior to shortlisting.
  1. Canvassing will disqualify.
  1. Any candidate found to have wilfully suppressed any material fact will be liable for disqualification, or if appointed, to dismissal.

MONITORING REF: ______/


EQUAL OPPORTUNITIES MONITORING INFORMATION

Schrader Electronics is an Equal Opportunity Employer. The aim of our policy is to ensure that all job applicants and employees are given full and fair consideration for employment and training opportunities regardless of religion/belief, political opinion, disability, gender, marital status, age, race, sexual orientation or nationality. Selection and promotion is made purely on the basis of merit

Under the Fair Employment and Treatment (NI) Order 1998 we are required to monitor the perceived religious affiliation/community background of our employees and applicants. Candidates must complete this section of the form.

While our legal requirement to monitor does not extend beyond this, in order to measure the effectiveness of our equal opportunities policy we need to monitor a number of additional areas. For this reason, we ask you to provide the information on request which will be treated as confidential and used solely for monitoring purposes. This section will be detached before your application is submitted to those involved in shortlisting and interviewing.

Please indicate your religion or the religion to which you would be perceived to belong by ticking the appropriate box below:
I am a member of the Protestant Community
I am a member of the Roman Catholic Community
I am a member of neither the Protestant nor the Roman Catholic Community
Please indicate your gender by ticking the appropriate box below:
Male / Female
Please state your date of birth:
//
day/month/year
Under the Disability Discrimination Act 1995 a person is considered to have a disability if he/she has or has had a physical or mental impairment that has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities.
Under this definition, do you consider yourself to have a disability that is relevant to your application for this position?
Yes No
If YES please state the nature or effects of your disability
Please specify how you became aware of this position?
If you were referred by an Schrader Electronics employee, please state their name below:

Note : It is a criminal offence under the legislation for a person to give false information in connection with the preparation of the monitoring return.

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