Name
Address
Position applied for:
Daytime Tel No
Evening Tel No
Mobile Number
On which number would you prefer to be contacted?
Email Address
Where did you hear about this vacancy?

EMPLOYMENT

Please enter your previous employment details below. Start with your current or most recent job.

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

EDUCATIONAL DETAILS

Please list educational establishments attended starting with the most recent.

Dates
From: To: / Name & Address / Level / Subject / Grade

TRAINING COURSES

Please list training courses attended starting with the most recent. Please just list those that you consider to be relevant to this post.

Training course details / Training provider (in house or external). If external, please specify body / Length of course / Dates attended

IN SUPPORT OF YOUR APPLICATION

Referring to the enclosed Person Specification, please describe below how your experience and personal qualities relate to each of the attributes listed. When addressing each of the criteria, it is important that you demonstrate your skills, abilities, knowledge and experience with examples, linking your answer to a specific point on the person specification. Please answer in the space below but use a continuation sheet if necessary.

PERSONAL

What do you consider is your greatest achievement?

What are your strengths and weaknesses?
Strengths
/
Weaknesses

DRIVING License

Some of the positions at Anxiety UK require a full, cleanUK driving license and access to your own vehicle. Do you hold a clean and valid UK driving license and have access to a vehicle?

□ Yes

□ No

REFERENCES

Please list two referees. Your first reference must be from your current/ most recent employer and the second from your second most recent employer.

Name

/

Name

Address

/

Address

Email / Email
PLEASE RETURN YOUR COMPLETED APPLICATION FORM TO:
Please submit your application to: or by post FAO Nicky Lidbetter by 12 noon on Friday 16th June 2017

PLEASE NOTE THAT CVs WILL NOT BE ACCEPTED IN

PLACE OF THIS APPLICATION FORM

People who have experienced/experience mental and/or physical health issues will not be discriminated against and that disclosure of a mental health and/or physical health issue will enable both employee and employer to assess and provide the right level of support or adjustment.

1

Registered Charity 1113403

Established 1970

Anxiety UK does not discriminate against people with physical and/or mental health difficulties.