Learn English at Home
Application Form
Post Applied for:Closing Date: / Interview Date:
Please complete this form fully using black ink or type. CVs are not accepted. Applications received after the closing date will not normally be considered.The information you supply on this form will be treated in confidence.
Section 1. Personal details
Last Name: / First Name:Address:
Postcode:
Daytime Telephone No:
Evening Telephone No:
Mobile Telephone No:
E-mail address:
Section 2. Present Employment (If now unemployed give details of last employer)
Name of Employer:
Address:
Postcode:
Post Title:
Start Date: / Salary(pa):
Brief description of duties:
Continue on a separate sheet if necessary – attach and label any additional sheets
Period of Notice: / Last day of service(if no longer employed)
Reason for leaving
(if no longer employed):
Section 3. Previous Employment(most recent employer first). Please cover last 10 years
1.Name of Employer:Position Held:
Summary of duties:
Reason for leaving:
2.Name of Employer:
Position Held:
Summary of duties:
Reason for leaving:
3.Name of Employer:
Position Held:
Summary of duties:
Reason for leaving:
Continue on a separate sheet if necessary – attach and label any additional sheets
Section 4. Education and Qualifications
Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:College or University / Course / Qualifications obtained
School / Subjects / Qualifications obtained
Professional Qualifications / Course Details
Continue on a separate sheet if necessary – attach and label any additional sheets
Section 5. Training and Development
Please give details of any training and development courses or non-qualifications courses attended in the last 5 years which support your application. Include any on the job training as well as formal courses.Title of Training Programme or Course / Duration of Course
Section 6. Personal Statement
Please use this section to explain in detail how you meet the requirements of the Post.In particular please detail your relevant experience as outlined in the Person Specification
If you are or have been involved in voluntary/unpaid activities, please also include this information.
Continue on a separate sheet if necessary – attach and label any additional sheets
Section 7. References
Please give the names and addresses of two people we may contact for references, one of whom should be your present or most recent employer. References will not be taken up unless the applicant is shortlisted or a job offer made.Reference 1 / Reference 2
Name / Name
Position
(job title) / Position
(job title)
Relationship / Relationship
Organisation / Organisation
Address / Address
Postcode / Postcode
Telephone No: / Telephone No:
E-mail: / E-mail:
Are you willing for the above referees to be approached prior to an interview?
Yes
/No
/Yes
/No
R E T U R N I N G T H I S F O R MBy Hand or Post:
Learn English at Home
Siddeley House
50 Canbury Park Road
Kingston upon Thames
Surrey
KT2 6LX / By E-Mail:
Enquiries:
Telephone: 020 8255 6144
Fax : 020 8255 6488
Continued overleaf
Special requirements
Do you require a special permit to work in the UK?YES / NO
If you are selected for interview, are there any special arrangements you would like us to make?
Equal Opportunities monitoring
Please complete the Equal Opportunities Monitoring Form enclosed with your application. This will be detached from your application before short listing begins and the information given is used solely for monitoring purposes. Thank you.
Convictions
Do you have any criminal convictions?YES / NO
If yes, are they spent?YES/NO
If yes, please give details on a separate sheet.
(Please note successful applicants will be required to have a CRB check)
Signature
I confirm that the information contained in the application is true and accurate and I understand that any employment offered to me may be terminated in the event that material information, not disclosed in my application, is discovered at a later date.
Signature-Date: