APPLICATION FORM

IN CONFIDENCE

Please note that only the information given in this application form will be considered in determining whether or not you will be called for interview.

Please specifically address the criteria detailed in the Person Specification.

CVs will not be considered.

Please ensure that you also complete and send in the Equal Opportunities Monitoring Form which can be found in this section, Contact , of the site.

Job Application Form
!. POSITION APPLIED FOR *
JOB REFERENCE NUMBER: *
WHERE DID YOU SEE THIS POST ADVERTISED? *
2. PERSONAL DETAILS: SURNAME *
FORENAME *
ADDRESS *
POST CODE *
HOME TELEPHONE
MOBILE TELEPHONE *
EMAIL ADDRESS (IF YOU MAY BE CONTACTED BY EMAIL)
MAY WE CALL YOU AT WORK? *	Yes No
EMAIL ADDRESS *
3. CURRENT/MOST RECENT EMPLOYMENT: JOB TITLE *
START DATE *
DATE LEFT *
REASON FOR LEAVING *
CURRENT SALARY *
EMPLOYER'S ADDRESS *
TELEPHONE/FAX NUMBERS *
PROVIDE A DESCRIPTION OF CURRENT DUTIES AND RESPONSIBILITIES *
4. PLEASE GIVE DETAILS OF YOUR PREVIOUS EMPLOYMENT STARTING WITH THE MOST RECENT, ACCOUNTING FOR ANY GAPS. IF YOU HAVE NO EMPLOYMENT HISTORY YOU CAN USE EXPERIENCE FROM EDUCATION, VOLUNTEERING OR OTHER RELEVANT ACTIVITIES. LIST DATES, EMPLOYERS & DUTIES *
5. EDUCATION, TRAINING AND QUALIFICATIONS. PLEASE GIVE DETAILS OF EDUCATIONAL QUALIFICATIONS YOU HAVE OBTAINED FROM SCHOOL, COLLEGE OR UNIVERSITY. SHORT LISTED CANDIDATES WILL BE EXPECTED TO PROVIDE PROOF OF QUALIFICATIONS OBTAINED. *
TRAINING AND DEVELOPMENT *
MEMBERSHIP OF PROFESSIONAL BODIES/PROFESSIONAL QUALIFICATIONS *
6. MEDICAL DETAILS: DO YOU HAVE ANY MEDICAL CONDITION WHICH MAY AFFECT YOUR WORK? *
IF YOU HAVE PREVIOUS EMPLOYMENT HISTORY, PLEASE INDICATE YOUR ABSENCE FROM WORK THROUGH SICKNESS IN THE LAST 2 YEARS. NUMBER OF DAYS. *
DO YOU HAVE ANY DISABILITY *	Yes No
7. IMMIGRATION: DO YOU REQUIRE A WORK PERMIT TO WORK IN THE UK? *	Yes No
IF 'YES' PLEASE GIVE DETAILS *
8. SUPPORTING STATEMENT: PLEASE OUTLINE YOUR SKILLS, KNOWLEDGE & ATTRIBUTES THAT MEET THE REQUIRED LEVEL OF COMPETENCY AS OUTLINED IN THE PERSON SPECIFICATION. DRAW ON EXPERIENCE FROM CURRENT OR PREVIOUS ROLES OR OTHER RELEVANT SITUATIONS, OUTSIDE WORK. *
9. REFEREES: PLEASE PROVIDE THE NAME AND ADDRESS OF THE PERSON FROM YOUR CURRENT OR MOST RECENT EMPLOYMENT WHO IS AUTHORISED TO GIVE A REFERENCE (NOT A WORK COLLEAGUE). REFERENCE 1: REFEREE'S NAME *
COMPANY NAME *
ADDRESS *
JOB TITLE *
RELATIONSHIP *
TELEPHONE NUMBER *
FAX NUMBER *
EMAIL ADDRESS *
REFERENCE 2: REFEREE'S NAME *
COMPANY NAME *
ADDRESS *
JOB TITLE *
TELEPHONE NUMBER *
FAX NUMBER *
EMAIL ADDRESS *
DECLARATION: I CONFIRM THAT THE INFORMATION PROVIDED ON THIS APPLICATION FORM IS TRUE AND CORRECT AND THAT THE INFORMATION MAY BE USED FOR REGISTRATION PURPOSES UNDER THE DATA PROTECTION ACT 1998. *	CONFIRM DISAGREE
I UNDERSTAND THAT THE NOMINATED REFEREES WILL BE CONTACTED IF MY APPLICATION IS SUCCESSFUL. *	CONFIRM DISAGREE
I UNDERSTAND THAT DELIBERATELY GIVING FALSE OR INCOMPLETE ANSWERS, CANVASSING ANY STAFF OF THE ASSOCIATION, WOULD DISQUALIFY ME FROM CONSIDERATION OR, IN THE EVENT OF M APPOINTMENT, MAKE ME LIABLE TO DISMISSAL WITHOUT NOTICE. *	CONFIRM DISAGREE

* Required