Please Give Your Full Employment History, Starting with Your Current Post

FIRST NAME (S) / SURNAME (Block capitals)
ADDRESS:
POSTCODE: / Tel No. (Home)
Tel No. (Work)
Tel No. (Mobile)
DATE OF BIRTH: / Email Address:
Do you have a full driving license? YES / NO
What date did you pass your test? / Do you have access to transport? YES / NO
Do you have any points on your license? YES / NO
How Many______When do they expire?______
Do you consider yourself to have a disability? YES / NO
If yes, please give more details:
Do you need us to make any reasonable adjustments to enable you to attend the interview / or carry out the job role effectively?
If yes, please give more details:

Work History

Please give your full employment history, starting with your current post

Please indicate whether the employment history is Full time / Part time / Voluntary (F/T, P/T, V)

Employer / Dates From / To / Job Title & Nature of duties / Final Salary & Reason for Leaving

How many days sick leave have you had in the past two years?______

Qualifications

Institute / Qualification / To / From / Achievement

Training

Short course/training relevant to post:

Please provide details and dates:

Disciplinaries

Please provide details of any disciplinary procedures you are currently subject to within an existing or recent position you have held:

Skills, Knowledge and Experience

Please explain how you meet each point on the Person Specification.

Continued……PLEASE FEEL FREE TO CONTINUE ON ADDITIONAL PAGES AND CLEARLY NUMBER THE PAGES.

Referees

Give names and details of 2 people who can provide a written reference for you. They should not be relatives and should have known you for over two years. They should be your present and previous employers.

Name:
Relationship:
Length of time known: / Full Address:
Postcode:
Phone Number:
Email Address: / Status / Job Title:
Name:
Relationship:
Length of time known: / Full Address:
Postcode:
Phone Number:
Email Address: / Status / Job Title:

Can we take up these references prior to interview? Yes / No

If appointed, how soon could you join us?

Where did you see this post advertised?

Have you ever been cautioned or convicted of a criminal offence or have any hearings pending? Yes / No

Under the terms of the Rehabilitation of Offenders legislation, because you will be working with young people in a child care setting this is considered an exempt position and will therefore be subject to a criminal disclosure. Any convictions are to be declared on a separate sheet, placed in a sealed envelope and attached to your completed application form this information will be completely confidential. Please give details of any convictions (spent or unspent), cautions, reprimands and final warnings and bindovers you have receives or proceedings being instituted against you.

As stated in the clubs equal opportunities policy, a conviction will not necessarily be a bar to employment, a copy of this policy is available on request.

This post will be subject to a Criminal Record Bureau check.

Applicants Signature ______Date ______