Job application

  • Applicant details

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  • History

  • Establishment NameSubjectGradeDate Achieved 
  • Employer namePositionRate of payDates of employmentReason for leavingBrief description of duties 

  • Personal statement and references

  • Please provide a personal statement to support your application. Continue on a separate sheet if necessary.
  • Please give the name and address of two persons from whom we may obtain work experience references. We will only contact your referees with your knowledge. Referee 1:
  • Referee 2

  • Declaration and submit

  • Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none, please state. (In certain circumstances employment is dependent upon obtaining a satisfactory basic/enhanced disclosure form from the DBS).
  • I confirm that the above information is complete and correct and that any untrue information will give my employer the right to terminate any employment contract offered.
    1. I agree that should I be successful in this application, I will, if required, apply to the DBS for a basic/enhanced disclosure.
    2. 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I fail to do so, or should the disclosure not be to the satisfaction of the Company, any offer of employment may be withdrawn or my employment terminated.
    3. I understand that my data will be processed in line with the Privacy Policy.
  • MM slash DD slash YYYY
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