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Careers: Job Application Form

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If you are applying from outside the EEC and need a work permit to work in the United Kingdom please click here before proceeding.

Please complete the application form below.

APPLICATION FORM

POSITION

Position applied for:

Department:

Salary required:

PERSONAL DETAILS

Title::

Mr: Mrs: Miss: Ms:

Surname:

Email:

   

Address:

Postcode:

   

Forenames:

Maiden name:

   

Home telephone number:

Work telephone number:

Mobile telephone number:

Name and address of next of Kin:

Name:

Address:

Relationship:

Emergency
telephone number:

Have you any relatives
working for the company?

Yes   No

Name:

Relationship:

Where/When?

Have you previously
worked for the company?

Yes   No

EDUCATION

Dates (From - To)

School/Colleges/ University

Qualifications

1. From
to (dd/mm/yy)

2. From
to (dd/mm/yy)

3. From
to (dd/mm/yy)

4. From
to (dd/mm/yy)

PROFESSIONAL MEMBERSHIP / QUALIFICATIONS

LEISURE INTERESTS

CURRENT OR MOST RECENT EMPLOYMENT

Position Held:

Date of Commencement:

(ddp/mm/yy)

Employers Name
& Address:

Telephone Number

Final Salary:

per annum

Date of Leaving:

(dd/mm/yy)

Type of Business:

Notice Period
Required:

Please describe your present appointment, indicating to whom you are responsible and who is responsible to you:

Summary of duties and responsibilities:

Indicate as concisely as possible what you consider your main achievements have been at this stage of your career:

Have you any skills, experience or qualifications which you feel would especially suit the job for which you are applying:

What are the factors that most attracted you about the position for which you are applying:


SUMMARY OF PREVIOUS EMPLOYMENT (IN DATE ORDER)
 

Dates (From - To)

Employer Name

Position Held & Salary

Reason For Leaving

1. From
to (dd/mm/yy)

2. From
to (dd/mm/yy)

3. From
to (dd/mm/yy)

DRIVING DETAILS

Do you hold a current driving licence?

Yes   No

Do you own a vehicle?

Yes   No

Have you been involved as a driver in any accidents in the last 3 yrs?

Yes   No

Have you been convicted of any motoring offence or is any prosecution pending?

Yes   No

Do you suffer from any defect which may impair your driving?

Yes   No

Have you ever been refused insurance to drive a motor vehicle or had any increased premium or special terms applied?

Yes   No

If Yes to any of the above, please give details:

PREVIOUS RECORD

Have you ever been convicted of a criminal offence?

Yes   No

If Yes, give details of all offences, other than a spent conviction:

Court Date: (dd/mm/yy)
Offence Penalty:

Have you any reason to believe that any prosecutions against you may be pending?

Yes   No

ADDITIONAL INFORMATION

Please give any information, which you think will support your application. Explain why you are interested in this position and highlight any aspect of your previous employment, which is particularly relevant.

DECLARATION

I declare that the information given on this form is, to the best of my knowledge, true and complete and that the disclosure, of any false information may be sufficient cause for rejection of, if employed may lead to the termination of my employment without notice.

I accept this declaration

As recommended in the Code of Practice of the Commission of Racial Equality, Hazlewood Castle monitors the ethnic origin of all applicants in order to ensure that an equal opportunity policy has been carried out.

 


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