Online Application Form

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Schools or colleges attended since the age of 14*
School/College Dates from/to Subjects Taken Level of Qualification Date awarded or expected

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Most recent employment*
Name and address of most recent or present employer Dates from/to Job title & nature of work Reason for leaving (if appropriate)
Employment history*
Name and address of your FULL employment history Dates from/to Job title & nature of work Reason for leaving (if appropriate)
Please explain any gaps in your employment history

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Please give details of any relevant skills, experience or interests that you have which are not covered on the previous page

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Please give details of two referees with their initials and correct style of address. Referees should have first hand knowledge of your qualifications and experience, or should be able to comment on your present or most recent employment. Please be assured that we will not approach your current employer without an offer of employment being made and accepted.
First Referee
Name*
Address*
Telephone*
Fax
How does this referee know you?*
Second Referee
Name*
Address*
Telephone*
Fax
How does this referee know you?*

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Your regular shift pattern will be agreed with the manager depending upon their requirements and your availability. Therefore, please enter any days and times that you would be unable to work.*
Please indicate when you would be able to start work.*
Please indicate any prior commitments such as holidays.*
Please give details of your hobbies & interests.*

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Due to the nature of the work for which you are applying, you are required to declare any convictions or cautions you may have, even if they would otherwise be regarded as ‘spent’ under the Rehabilitation of Offenders Act 1974.
Do you have any past convictions or cautions?*
- Yes
- No
If yes, please provide full details of the offence below. Any information you give will be treated in the strictest confidence.
I declare that the details given on this application are to the best of my knowledge and belief, true and complete. I understand that my application may be rejected or, if I am already appointed, I may be dismissed if I withhold relevant details or give false information.
I give permission for all or part of this application to be held on both computerised and manual records, which I may request access to.
Signature*
Name*
Date*
Phone
This field is for validation purposes and should be left unchanged.

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First Referee