Title
Forename
Surname
Address
Postcode
Email
Telephone
NI Number
Driving Licence Groups
Expiry Date
Endorsement Details
Are there any restrictions on you taking up Employment in the UK?
If yes, please provide details. If no, please put N/A.
Name of Last/Current Employer
Address of Last/Current Employer
Dates of Employment
Job Title
Duties
Rate of Pay (please specify frequency)
Reason for Leaving
Notice Period
Name of Previous Employer
Address of Previous Employer
Dates of Employment
Job Title
Duties
Rate of Pay (please specify frequency)
Reason for Leaving
Name of Previous Employer #2
Address of Previous Employer #2
Dates of Employment
Job Title
Duties
Rate of Pay (please specify frequency)
Reason for Leaving
Please provide details of any other employment history.
Please note any other employment that you would continue with if you were to be successful in obtaining the position.
Schools/College/University Names
Qualifications Gained
Current Membership of Professional bodies (i.e. CIPD, NMC)
Please note here your leisure interests, sports and hobbies, other pastimes, etc.:
Reference 1 Name
Reference 1 Address
Reference 1 Contact No
Reference 1 Position Held
May we approach the above to obtain character and work references?
Reference 2 Name
Reference 2 Address
Reference 2 Contact No
Reference 2 Position Held
May we approach the above to obtain character and work references?
Yes, for work
Yes, for character
Yes, for both
No
General Comments
Criminal Record: The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website.
Data Protection
We are aware of our obligations under data protection legislation, including the obligation to collect only the data that is required for our specific purpose. The information collected in this application form is specific to our recruitment exercise and necessary for the performance of the role that you have applied for. If you are recruited for the role you have applied for, or any other role you are offered by us, the information provided will then be used for the purposes of your employment with us, together with further information collected upon recruitment for those purposes.
We will treat all personal information about you with utmost integrity and confidentiality. Our data protection policy sets out our approach to ensuring that your data is processed in line with the data protection principles within current data protection legislation.
Our privacy notice for job applicants gives you information on, amongst other things, the data we will hold about you during the recruitment exercise and what we use it for.
Declaration
I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination.
I agree that should I be successful in this application, I will, if required, apply to the Disclosure & Barring Service/Disclosure Scotland for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.
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