B. Education and Qualifications
QUALIFICATIONS: Please give details of examinations attempted and results (including any examinations failed).
FURTHER AND HIGHER EDUCATION: Please give details of all further and higher education since leaving school including training courses and details of qualifications.
Start with most recent education.
PROFESSIONAL ASSOCIATIONS: Please state whether you are a member of any technical or professional association, and if so, which:
FOREIGN LANGUAGES: Please list any foreign languages you speak and your level of competence, both oral and written:
C. EMPLOYMENT HISTORY
Please list starting with the most recent, all the organisations for which you have worked during the last 20 years:
Please explain any gaps in employment.
D. SUPPLEMENTARY INFORMATION
Please give details of any experience, skill or achievements which you feel may be relevant in your application for employment.
Are you currently subject to any contractual 'restraints of trade' clauses?
Do you have any commitments which might limit your working hours?
Are you willing to work overtime and weekends when required?
Have you ever received a police warning/caution, or have committed a criminal offence?
(including convictions which are spent under the Rehabilitation of Offenders Act 1974).
Have you been subject to disciplinary proceedings at any time during your previous employment?
Have you worked for us before?
Do you have a current full driving licence?
Does your licence have any current endorsements?
Please give the names and addresses of three referees who are not related to you, who we can approach for a confidential assessment of your suitability for this job.
One of these must be your present/most recent employer, one should be a second professional reference and the third should be a personal reference.
Can we approach your present/most recent employer?
May we contact the employer BEFORE an offer is made?
DECLARATION OF APPLICANT
By submitting this form I agree with the statements given below.
I confirm that the above information is correct.
I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable for dismissal.
I consent to the Organisation using and keeping information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties such as referees, relating to my application or future employment. I understand that the information provided will be used to make a decision regarding my suitability for employment and if successful the information will be used to form my personnel record and will be retained for the duration of my employment. If I am not successful, I understand that the Organisation will retain the form for as long as is deemed necessary and that the Organisation may use it to contact me in the event of there being any other vacancies for which I may be suitable.
I further declare:
- I have not been convicted of an unspent criminal offence involving dishonesty or deception.
- I am not an undischarged bankrupt, nor have I made composition with creditors and not been discharged from it.
- I have not been removed from office as a charity trustee by the courts or the Charity Commission.
- I am not and never have been a disqualified company director.
- I am not and never have been the subject of a Debt Relief Order.