Humber Learning Consortium

APPLICATION FORM

POST / DATE
SALARY
HOURS / FULL TIME / PART TIME
Humber Learning Consortium is an equal opportunities employer. We positively welcome job applications from anyone regardless of gender, sexual orientation, age, race or ethnic origin, religion, political views, disability, responsibilities for dependants, or offending background.

Please complete this form as fully as possible as it will be the only information we have when deciding on short-listing candidates for interview. Please consider the enclosed job description and person specification closely as interview panel members will be looking to match your experience and qualities with the essential and desirable criteria listed. If you find you have insufficient space to complete any sections in the space provided, please continue on a separate sheet of paper, being sure to record the section it refers to.

PERSONAL DETAILS

NAME
ADDRESS
POST CODE:
TEL NO: / DAYTIME: EVENING:
MOBILE:

QUALIFICATIONS-Include secondary level & upwards

School/College/University / Qualifications / Date Achieved / Results

FURTHER TRAINING & DEVELOPMENT

TRAINING / DATE / PROVIDER

FULL TIME WORK EXPERIENCE (detail any gaps in employment)

JOB ROLE / DATE FROM / TO / EMPLOYER / REASON FOR LEAVING

PART TIME WORKEXPERIENCE

JOB ROLE / DATE FROM / TO / EMPLOYER / PAID/VOLUNTARY

PERSONAL STATEMENT

USING THE JOB DESCRIPTION & PERSON SPECIFICATION FOR THIS POST PLEASE OUTLINE YOUR SKILLS, KNOWLEDGE AND EXPERIENCE TO EXPLAIN YOUR SUITABILITY FOR THE POST (Use separate sheet if required).

AVAILABILITY

Please indicate when you would be available to take up this post:

REFERENCES

Please give the details for two referees. One referee should be your present employer. Referees will only be contacted if you are short-listed for the position and will form part of the selection process

NAME / NAME
POSITION / POSITION
ADDRESS / ADDRESS
POST CODE / POST CODE
TELEPHONE / TELEPHONE
If you are short-listed, may we contact your referees before interview?
a)yes/no b) yes/no

CRIMINAL RECORD

Please provide details of any criminal convictions except those “spent” under Rehabilitation of Offenders Act 1974 (If none please state).

Please ensure that you have provided the information requested on pages 1 & 4 and that you have signed the declaration. Please send completed application form to the address shown below, and before the date indicated. Thank you.

DECLARATION

I hereby declare that to the best of my belief, the particulars and information in this application are correct. I also declare that I am eligible to work in the United Kingdom and can provide proof of this if asked.

Signature / Date:

Please return this form to arrive no later than: 26/08/2016 to:

Humber Learning Consortium, 63-71 Anlaby Road, Hull, HU3 2LL

Or email

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