Mathematics in Education and Industry

Application for Employment

POSITION APPLIED FOR:
Where did you hear about this post?
Last Name: / First Name(s):
Address:
Postcode: / Home telephone no.:
Business no. (if convenient):
Mobile no.:
Email Address:
EDUCATION and QUALIFICATIONS
Schools / From / To / Examinations taken – Results- Grades
University/College / From / To / Subjects studied – Examinations taken – Results
EMPLOYMENT HISTORY
Please comment on any gaps in your employment history.
Present or last employer, name and address, type of business
Dates of Employment:
Position(s) held:
Brief description of duties:
Reason for leaving:
Notice required:
Previous employer, name and address, type of business
Dates of employment:
Position(s) held:
Brief description of duties:
Reason for leaving:
Previous employer, name and address, type of business
Dates of employment:
Position(s) held:
Brief description of duties:
Reason for leaving:

Please add additional previous employers

Please state why you have applied for this position; indicate past achievements, experience and personal qualities relevant to your application. What contribution would you expect to make in the position?
Other activities or interests, membership of professional bodies and other organisations, or commitments to public duties
How many days’ absence have you had in the last two years? ______days
Please comment if you feel this would be helpful.
Do you know of any reasons why you may not legally be able to take this position?
Do you have any unspent cautions or convictions? Yes / No
Have you applied to MEI before? If so, for which position and approximate date of application:
Do you have the right to work in the UK? YES/NO
If YES, and there are conditions attached, for example start or finish dates, please specify:
If NO, what type of work permit do you require?
Applicants should be advised that they are required to provide evidence of their right to work in the UK by producing original documents as described in the government’s guidance:

Please provide the names and addresses of two referees, one of whom should be your current or most recent employer:
Name:
Organisation:
Address:
Postcode:
Email Address:
How they are known to you: / Name:
Organisation:
Address:
Postcode:
Email Address:
How they are known to you:
I confirm that the above information is correct to the best of my knowledge. Should it be found that the information is incorrect, I understand that MEIreserves the right to withdraw the offer, or if I have commenced employment, terminate my contract.
I consent to MEI processing, by means of a computer database or otherwise, any information I provide them for the purpose of employment within MEI.
Signature: Date:
All employment is subject to the receipt of references that are satisfactory to MEI.
A DBS disclosure will be requested if you are offered the job.
Please Note: MEI will retain information you submit electronically or on paper for a period of the current academic year plus one year after the appointment, at which time it will be destroyed securely.

MEI 0049

LB 16/01/18

1 of 4Final Version