EMPLOYMENT APPLICATION FORM

Your future with Ragdale Hall starts right here …

It is important that this form is completed fully, clearly and honestly. If there’s not enough room or there’s something else you would like to tell us please feel free to continue on a separate piece of paper. Unfortunately, if you don’t complete the form in full your application will not be shortlisted to the next stage of selection. If you have any queries please don’t hesitate to contact us on 01664 433038.

When you have completed this form please post or email to: The Personnel Department, Ragdale Hall Health Hydro, Ragdale Village, Melton Mowbray, Leicestershire LE14 3PB. Email: www.ragdalehall.co.uk

First name: / Surname:
Title: / Mr / Mrs / Ms / Miss / Other (please specify)
Address:
Postcode: / Email address:
Telephone numbers: / Home: / Mobile:
When is the best time of day to contact you?
National insurance number:
Are you an EU citizen? / Yes / No
Do you require a work permit for permanent employment in the UK? / Yes / No
Do you hold a full driving licence? / Yes / No
Do you own your own car? / Yes / No
Have you been convicted of any criminal offences which are not yet spent under the Rehabilitation of Offenders Act 1974? Yes No
If yes, please provide details:
What position are you applying for?
If you’re looking for a temporary position, what dates are you available? / From: / To:
How many hours would you like to work per week? / Minimum / Maximum
Ragdale Hall is open 24 hours a day, 7 days a week and most positions require you to work a combination of shifts, including weekends. Please let us know if there are any days or times when you are not available to work:
What are your salary expectations?
Have you worked at Ragdale Hall before: / Yes / No
If yes, which department and when
Have you ever applied for a position at Ragdale Hall before? / Yes / No
Where did you first hear about this vacancy:
Ragdale Hall website / Vacancy alert from Ragdale Hall / Current employee
If yes, please provide his/her name:
Facebook / Melton Times / Loughborough Echo / Job Centre

Please tell us about the qualifications you have achieved. Please note, you will re required to provide copies of relevant job related certificates during your interview.

Dates / Name and address of school, college or university attended / Course or subjects studied / Level (eg GCSE, A Level, Degree) / Result
From / To

Please give details of any training courses you have attended.

Course title and brief description if necessary / Duration / Date
Name of company / Contact name:
Full address of company:
Telephone number: / Email address:
Dates of employment: / From: / To: / Job title:
Your main responsibilities:
Salary: / Why are you considering leaving/why did you leave:
Name of company / Contact name:
Full address of company:
Telephone number: / Email address:
Dates of employment: / From: / To: / Job title:
Your main responsibilities:
Salary: / Why did you leave:
Name of company / Contact name:
Full address of company:
Telephone number: / Email address:
Dates of employment: / From: / To: / Job title:
Your main responsibilities:
Salary: / Why did you leave:
Name of company / Contact name:
Full address of company:
Telephone number: / Email address:
Dates of employment: / From: / To: / Job title:
Your main responsibilities:
Salary: / Why did you leave:
If there are any breaks in your employment history please tell us what you were doing, ie travelling, job searching
Dates: / From: / To:
What were you doing?
Dates: / From: / To:
What were you doing?
This is the part where you get the opportunity to impress us, so please tell us why you want this job and why you think you’d be good at it (please feel free to continue on a separate piece of paper if we haven’t given you enough room).
What would you say your three main strengths are?
1.
2.
3.
What is your proudest accomplishment to date (at work or in life in general)?
Any offer of employment is subject to the receipt of satisfactory references. We need at least 2 references and will contact previous employers from the last 3 years once a position has been offered to you. If you have had only one or no previous employers in the lat 3 years please give details of professional people who we can contact for character references. Please note, this cannot be a relative.
1. Name: / Profession:
Full address:
Postcode: / Telephone number:
Email address: / Length of time they have known you:
2. Name: / Profession:
Full address:
Postcode: / Telephone number:
Email address: / Length of time they have known you:
I confirm that to the best of my knowledge the information I have given is correct. I understand that any false information given may render an offer of employment invalid.
Signature: / Date:

This information may be retained in accordance with the rules set out in the Data Protection Act 1984