ESO Application Form (General)

Please contact the HR Department on 01622 671558 if you require this form in a different format.

Position applied for:

Personal details

Surname: / Forename(s):
Title: / Tel (daytime):
Address: / Tel (evening):
Email Address:
Postcode: / Are you required to have a work Permit? / YES/NO
Nationality: / If Yes do you already have a permit / YES/NO
Type
End date:

Relevant experience/skills

This is a very important section which enables you to tell us about yourself, your experience, relevant qualifications, skills and abilities in relation to the role for which you are applying. We are looking for relevant recent examples from your working life and other areas of your life e.g. your family or home responsibilities, education, hobbies and interests or voluntary work. Recent work examples tend to be the strongest indicator of ability, so we would recommend that you use these if possible. Please keep to the point, be precise about what you did and the part you played in the example. Describe the outcome of your actions. Please continue on an additional sheet if necessary.

EDUCATION AND PROFESSIONAL QUALIFICATIONS

Summary of Secondary Education
School / Exams
Name/Address / Year
Taken / Level e.g.
GCSE/’A’ Level/ NVQ/BTec / Subject/s e.g. History / Grade
Name/Address
Other Education (Post 18 yrs of age) e.g. Higher /further education.
Where did you study? Institution (name/address) / Dates / What did you study? Qualification awarded including grade
Professional Training
Please give details of relevant training, post-graduate training, research projects undertaken or papers published. / Dates
Membership of professional bodies
Professional body / Membership dates / Type of membership

Work History (Please list the most recent/current role first)

Employer / Position Held
Name/address/tel / Responsibilities, Role, duties and main achievements. / Start
Date / Date
Left / Final Salary / Reason for Leaving
Current/Most Recent Role
Work History Continued
Name/address/tel / Responsibilities, Role, duties and main achievements. / Start
Date / Date
Left / Final Salary / Reason for Leaving

Other information

How many days of sickness absence have you had in the last 2 years?
What interests do you have outside of work?
Are there any adjustments we could make to the role or the application process to help you?
Where did you see this post advertised?
Rehabilitation of Offenders Act 1974 – please declare any ‘unspent’ convictions.
Are you related to any board member or employee of the ESO? / YES/NO (If yes, please give details).

References

Please give the name, address and contact details for two referees, one professional and one personal. Please note that we will only follow these up with your prior consent and if you already work at the ESO in another role it may not be necessary to contact them at all.
First Referee / Second Referee
Name: / Name:
Address / Address
How do you know this person? / How do you know this person?
Tel: / Tel:
Email / Email
Contact / Before/after interview / Contact / Before/after interview

Declaration

I declare that the information given in the application form is correct at the time of writing. I give consent to my referees being contacted as indicated. I understand that the information will be used for recruitment purposes and will be kept on file should I be successful in getting this post and used for personnel purposes. I understand that giving false information will mean that my application will be discounted or if discovered after appointment, could be grounds for dismissal.

Please note that if you are returning this form by email, please type your name/date below and send to

Signature: ______Date: ______

Please return your completed application form to:

Cherryle Cunningham, HR Officer, European School of Osteopathy, Boxley House, The Street, Boxley, Maidstone, Kent, ME14 3DZ. Fax: 01622 662165. Email:

For Office Use Only:

Reference Number / Shortlist / Interview / Date and Time / Offer
YES/NO / YES/NO / YES/NO

EQUAL OPPORTUNITIES MONITORING FORM

PRIVATE AND CONFIDENTIAL This page will be separated from your application.

We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or anybody who works for the ESO receives less favourable treatment on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

We are committed to an ongoing programme of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:-

I would describe my ethnic group and sex as:- (please tick one box for your ethnic group and one box for your sex)

A)White

 English Scottish

 Welsh Irish

 Any other White background, please specify ………………………………

B)Mixed

 White and Black Caribbean White and Black African

 White and Asian

 Any other Mixed background, please specify ………………………………

C)Asian, Asian British, Asian English, Asian Scottish or Asian Welsh

 Indian Pakistani

 Bangladeshi

 Any other Asian background, please specify ………………………………..

D)Black, Black British, Black English, Black Scottish or Black Welsh

 Caribbean African

 Any other Black background, please specify ………………………………..

E) Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group

 Chinese

 Any other background, please specify ………………………………………

F)Sex Male Female

Name: ……………………………………. Signed: ………………………………………..

Date: ……………………………………... Job Title: ………………………………………

THANK YOU FOR YOUR COOPERATION