CANDIDATE NO: ______

(Office use only)

POST APPLIED FOR: ______ REF NO: ______

Completed form to be returned to:

Careers and Employability, York St John University, Lord Mayor’s Walk, York YO31 7EX or

Emailed to

Surname: Other Names:

Title:Mr/Mrs/Ms/Miss/Other (please specify)

Address:


Post code:

Home Tel No: Mobile Tel No: Ext:

May we contact you at work? Yes No: Date of Birth: Age:

E-mail address: National Insurance No:


Would you require a Certificate of Sponsorship to take

up this appointment? Yes No

(If you are a Non-EEA National and do not require a Certificate of Sponsorship please indicate the reason why):

Do you hold a current driving licence? Yes No

If you have a close friend/relative in York St John’s employment, please state their name(s), Faculty/Department and relationship to you:


Please give details of two referees who have knowledge of your work and character and can provide information about your work experience and skills. One of these should be your present or most recent employer and the other your academic tutor.

Name: Name:

Address: Address:

Position: Position:

Tel No: Tel No:

Relationship to you: Relationship to you:

Do we have your permission to take up these references prior to interview? Yes No

I consent to all data collected on this form and further data I have submitted in support of my application, including, where relevant, data relating to my physical or mental health or condition, my ethnicity and any criminal convictions, being processed by York St John University for the purposes of evaluating my qualifications and suitability for employment to reach an acceptance or rejection decision, to meet government statistical or legal requirement and to populate a personnel record.

I certify that the information I have given on this form and supporting documents is correct to the best of my knowledge and that I have not omitted any facts which may have a bearing on my application. I understand that if any of the information provided by me is found to be false, any contract of employment may be terminated without notice. If you are submitting the form electronically, please enter your name or your electronic signature below. In doing so, you confirm that information is correct, as if the document had been signed and dated by hand.

Signed: Date:

CANDIDATE NO: ______

(Office Use only)

POST APPLIED FOR: ______REF NO: ______

Completed form to be returned to:

Careers and Employability, York St John University, Lord Mayor’s Walk, York YO31 7EX or

Emailed to

EMPLOYMENT HISTORY

This section is for brief details about your employment history. Please include any part-time, casual and consultancy work undertaken.
Present or most recent employment
Employer’s Name:
Employer’s Address:
Job Title: / From: / To:
Brief description of duties and responsibilities:
Salary £ / Notice required:
Reasons for seeking new employment:
Previous Employment – Most recent first
Post Held / From / To / Name of Organisation / Reason for Change
Previous Employment continued
Post Held / From / To / Name of Organisation / Reason for Change
Secondary
Institution / Qualifications
(Level, subject & class)
Further/Higher Education
Institution / Qualifications
(Level, subject & class)
Please use this space to detail your suitability for the post as far as they relate to the person specification under Education/Training, Knowledge/Experience, Skills/Attributes and also provide a statement explaining why you have applied for the position. You should also, refer to the advertisement and job description duties and responsibilities to identify any particular requirements of the post. (Your supporting statement should be kept to 2 pages, if possible)
EDUCATION/TRAINING
(Academic, vocational/professional and other training)
KNOWLEDGE & EXPERIENCE
(e.g. report writing, office experience, Microsoft office)
SKILLS/ATTRIBUTES
(e.g. communication, interpersonal, decision-making, problem-solving, team player, reliable)
SPECIAL FEATURES
(e.g. Travel, CRB, why you applied for this position)
Further information to support your application: