APPLICATION FOR EMPLOYMENT

Please write in block letters, using black ink, or type. Where

necessary continue your answers on a separate sheet of paper.

For which post(s) are you applying?

STP1 (Torbay & Teignbridge)

CHA2 (Exeter)

Both

How did you learn of this vacancy?

Surname:

Forenames:

Address:

Home no:

Work no:

Mobile no:

Email:

Do you hold a full current United Kingdom driving licence?Yes/No

REFERENCES

It is our policy to obtain references covering a three year period, prior to confirming an appointment. Please give names and address of two referees; they should normally be your most recent employers. Where this is not possible, a person who is aware of your abilities to perform this role is acceptable.

1. / 2.
Telephone no: / Telephone no:

Email: Email:

May referees be approached prior to interview?  Yes No

DECLARATION

I confirm that the information given in this application is correct to the best of my knowledge and understand that wrongful completion will invalidate any contract of employment which may be offered to me. If you are selected, you may be required to apply for a disclosure from the Criminal Records Bureau (CRB). Any offer will be subject to the receipt of satisfactory references, medical report if required and, if it is relevant to the post, satisfactory CRB check. Copies of the CRB Code of Practise are available on request.

This post may entail significant access to children or vulnerable persons. Certain provisions under the Rehabilitation of Offenders Act do not apply to this post and any successful candidate will be required to disclose any criminal convictions they may have including those normally deemed to be “spent” under the 1974 Act.

Signed: ……………………………………………………………… Date:………………………………….

This page has been left blank for the purposes of equal opportunities in the selection process.

Please do not write on this page

PRESENT EMPLOYMENT

Name, address of present/most recent employer:

Telephone no:

Email:

Current post title and brief description of duties:

Date appointed:

Current pay:

Period of notice required by current employer:

Reason for leaving:

Please state the number of absences, due to sickness, over the past 12 months:

EMPLOYMENT HISTORY (continue on separate sheet if necessary)

Name and address of employer
(Most recent first) / Dates
From - To / Position / Pay/
Benefits / Reason for
Leaving
EDUCATION
General Education / Level / Grade / Year/Obtained
Further Education/Professional Qualification / Qualification / Grade/Class
ADDITIONAL QUALIFICATIONS AND EXPERIENCE

Please give details of any other qualification or experience you have which you consider being relevant to your application, including those gained outside the workplace. (Continue on separate sheet if necessary)

REASONS FOR APPLYING AND ADDITIONAL INFORMATION

Using the job description and person specification as a guide, explain why you are applying for this vacancy and how your transferable skills, experience and achievements make you suitable for this job. (Continue on separate sheet if necessary)

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