Job Application Form Step 1 of 14 7% ApplicationPosition applied for* Location* Date that you are available to work* DD slash MM slash YYYY Prepared to work*Full timePart timeShift workInternal rotationFlexi-bank Personal detailsName* First Last Email* Address* Street Address Address Line 2 Town / City County Post code Work tel. Mobile tel.* Do you own a car?*YesNoDo you have a current driving license?*YesNoDo you have any endorsements?*YesNoPlease give details of your endorsement(s)* LanguagesDo you speak or read a foreign language?*YesNoPlease give details of your language(s)* Secondary EducationSchools and examinations School name Actions Edit Delete There are no Schools. Add School Maximum number of schools reached. Further Education and Training undertaken in last 3 yearsUniversities / Colleges and qualifications University / College Type of Course Subject(s) Qualification / class of degree Actions Edit Delete There are no Universities / Colleges. Add University / College Maximum number of universities / colleges reached. Occupational Qualifications (Professional)Colleges/institutes and qualifications College/Institute or other name Qualification/Level Actions Edit Delete There are no Colleges / Institutes. Add College / Institute Maximum number of colleges / institutes reached. Membership of Professional BodyProfessional bodies and levels Name Level Actions Edit Delete There are no Professional Bodies. Add Professional Body Maximum number of professional bodies reached. EmploymentPlease enter most recent first and give any reasons for gaps in the comments field.Employers Employer name Start date End date Duties / responsibilities Finishing pay Type Actions Edit Delete There are no Employers. Add Employer Maximum number of employers reached. Maximum of 3 most recent employersEmployment further comments GeneralInterests / hobbies* Give details of pass-times, sports etcOffices held In social clubs / sports etcPublic duties undertaken JP, local councillor, etcDo you have any convictions, cautions reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).* Yes No The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are “protected” and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service Website. (Declaration subject to the Rehabilitation of Offenders Act 1974) Please give details*If offered this position will you continue to work in any other capacity?* Yes No Please give details* Permission to work in the UKAre there any restrictions to your residence in the UK that might affect your right to take up employment in the UK? Yes No If you are successful in your application would you require permission to work in the UK? Yes No Community/Volunteer ExperienceOrganisations Name of organisation Address Position / title Duties Actions Edit Delete There are no Organisations. Add Organisation Maximum number of organisations reached. Personal RefereesPlease enter at least one work reference (must be your current/previous manager and must not be members of your own family)Referees Name Organisation Occupation Reference type Actions Edit Delete There are no Referees. Add Referee Maximum number of referees reached. Further informationUse the space below to summarise any additional information necessary to describe your full qualifications or experience for the specific position applied for* Recruitment policyIt is the organisation's policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age or disability.Consent to obtain references* I authorise the Trust to obtain references to support this application once an offer has been made and accepted and release the Trust and referees from any liability caused by giving and receiving information.Confirmation* I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement will be sufficient cause for rejection or, if employed, dismissal.PhoneThis field is for validation purposes and should be left unchanged.