Charlton Athletic Training Ground

Sparrows Lane

New Eltham

London

SE9 2JR

Tel: 020 8850 2866

Application for Employment

Please complete this accurately, giving as many details as possible of your skills and experience relating to the job application. Short-listing will be based on the information gathered from the form.

Please complete this form in BLACK pen and block capitals and ensure the application form is completed, signed, dated and returned by the closing date to the address above. We are unable to accept forms without a signature.

Position Applied For:
Reference number:

SECTION 1PERSONAL DETAILS

Full Name:
Address:
Postcode:
Date of Birth
Home Tel:
Mobile Tel:
Email:
NI Number

SECTION 2AVAILABILITY

When are you available during the week and weekends?

SECTION 3LICENCE DETAILS

Yes / No
Do you have a full Driving License?
Do you have the use of a car?

SECTION 4EMPLOYMENT HISTORY

Company / Position
Description of Duties
Dates employed / From:
To: / Pay
Reason for Leaving
Company / Position
Description of Duties
Dates employed / From:
To: / Pay
Reason for Leaving
Company / Position
Description of Duties
Dates employed / From:
To: / Pay
Reason for Leaving

Please continue on separate sheet if necessary.

SECTION 5 EDUCATION/QUALIFICATIONS/COACHING QUALIFICATIONS

School/College/University/Other Establishment / Courses Studied and Qualifications Achieved

Please ensure all football, sports and youth specific qualifications are included. Please continue on separate sheet if necessary.

Please give details of your experience relevant to the role applied for

SECTION 6

Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

Please give details, with dates

The amendments to the Exceptions Order 1975 (2013) provide that spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.
SECTION 7REFERENCES

Please give details of referees, most recent first, for your last two employers, and to cover the last 5 years of employment.

NAME: / NAME:
COMPANY: / COMPANY:
EMAIL: / EMAIL:
ADDRESS: / ADDRESS:
POSTCODE: / POSTCODE:
TEL NO: / TEL NO:
NAME: / NAME:
COMPANY: / COMPANY:
EMAIL: / EMAIL:
ADDRESS: / ADDRESS:
POSTCODE: / POSTCODE:
TEL NO: / TEL NO:

SECTION 8MISCELLANEOUS

How much notice are you required to give your current employer?
Do you have/will you have any other employment or work (including any casual, paid, unpaid, voluntary or charity work)?
Please name any person you know who currently works for the Charlton Athletic Community Trust
Please indicate where you heard of the Charlton Athletic Community Trust
Advertisement (which newspaper or job board)
Charlton Athletic Community Trust website
Other related website (please specify)
Other (please specify) ______

SECTION 9EMERGENCY CONTACTS

Contact 1
Full Name / Relationship
Address
Home Tel
Mobile Tel
Work Tel
Contact 2
Full Name / Relationship
Address
Home Tel
Mobile Tel
Work Tel

I confirm that the answers to the above questions are true and complete to the best of my knowledge and belief. I understand that giving false or withholding information could affect the terms of my contract and may lead to my dismissal.

Signed ………………………………………………………………………………………..

By submitting this Application Form you consent to the company using and keeping information about you provided by you (or third parties such as referees) relating to your application or future employment. This information will be used by the company for purposes relating to recruitment and/or your employment. The information will be retained for 6 months from the date on which you are informed whether you have been invited to interview and/or the termination of your employment if you are successful. All personal information which we hold about you will be held and processed in accordance with the data protection legislation.

EQUAL OPPORTUNITIES AND MONITORING

Age / 16-25 46-55
26-35 56-65
36-45 66+
Gender / Male Female
Marital Status / Married Single Other
Do you have responsibility for dependants? (Dependants relates to children, or elderly or other persons for whom you are the main carer) / Yes No
DisabilityThe Equality Act defines a disabled person as someone who has a physical or mental impairment that has a substantial long term adverse effect on their ability to perform normal day to day activities. It also includes people who have been diagnosed with HIV, cancer or multiple sclerosis. (“Substantial” means more than minor or trivial, “long-term” means that the effect of the impairment is likely to last or has lasted at least twelve months, “normal day to day activities” include things like washing, walking and eating).
Do you have any disabilities according to this definition? / Yes No
How would you describe your sexual orientation? / Bisexual
Gay Man
Gay Woman/Lesbian
Heterosexual
Prefer not to say
How would you describe your religion or belief? / Buddhist
Hindu
Christian (including all denominations)
Jewish
Muslim
Sikh
Any other religion or belief
None
Prefer not to say
Ethnic origin (Relates to a sense of identity/belonging on the basis of race/culture). I would describe myself as (choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background):
A White
British
English
Scottish
Welsh
Irish
Other, please specify:
B Mixed
White and Black Caribbean
White and Black African
White and Asian
Other, please specify:
C Asian, Asian British, Asian English, Asian Scottish or Asian Welsh
Indian
Pakistani
Bangladeshi
Other, please specify:
D Black, Black British, Black English, Black Scottish, or Black Welsh
Caribbean
African
Other, please specify:
E Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese, Welsh, or other ethnic group
Chinese
Other, please specify:

Please complete this form which helps us to monitor applicants for equality purposes. This is sensitive personal data and will be treated with the utmost confidentiality in line with the requirements of the Data Protection legislation. The data will only be used for general statistical and monitoring purposes. The data will not be taken into account in assessing information on your application form.

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