INSOLE COURT TRUST

APPLICATION FORM

JOB TITLE: BUILDING MANAGER

Personal Details

Title:
Last Name:
First Names:
Address:
Postcode:
Home Telephone:
Mobile Telephone:
Email Address:
National Insurance Number:
Are you eligible to work in the UK? / Yes: / No:

Convictions / Disqualifications

Upon offer of employment we reserve the right to request a Criminal Records Bureau Disclosure at Standard level and this disclosure will include details of cautions, reprimands or final warnings as well as convictions.

Please use the space below to provide details of any convictions which are not spent under the terms of the Rehabilitation of Offenders Act 1974:

Educationand Qualifications

Please enter your most recent qualifications first.

Dates / Education Provider / Qualification Gained

Employment Record

Please include any previous experience (paid or unpaid) starting with current or most recent appointment/employer. Please explain any gaps in employment.

Name & Address of Employer / Dates of Employment / Job Title and Description of Responsibilities & Duties / Salary & Reason for Leaving

Personal Statement

Please tell us, in under 400 words, why you’re interested in this position, what knowledge, skills and attributes you’d bring to the job.

Welsh Language

Please grade your Welsh language level (1-5)

1 = basic to 5= fluent

Oral:

Written:

References

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are.References will not be taken up without prior consent.

REFERENCE 1
Name:
Job Title:
Work relationship
Organisation:
Dates Employed:
Address:
Telephone:
Email:
REFERENCE 2
Name:
Job Title:
Work relationship
Organisation:
Dates Employed:
Address:
Telephone:
Email:

Declaration and Statement

Please complete the following declaration and sign below. If this declaration is not completed and signed, your application will not be considered. If you return this form by email you will be asked to sign your application at interview, if selected.

I agree that Insole Court Trust can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998 .I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated.

Signed:

Date: