Address *

Do you require a work permit in order to work in this country? *YesNo

How many days have you been absent from work due to illness in the last 2 years?
Please give details of absence(s):
Please tick the appropriate box if you are a current holder of any of the following vehicle licences:

Education and qualifications

Secondary School, college University attended
Additional Training Details / Courses Attended

Disability

affect your ability to attend an interview?YesNo
affect your ability to do the job? YesNo
affect your ability to complete the application form? YesNo

Employment Details

If you have never been in employment please skip this section
Current Employment
Employer Name

Reason for wishing to leave:

Previous Employment (most recent first)

Reason for leaving

Additional Information
Please use this space to give us further information about your experience which may be relevant to the post (this might be voluntary work you have been involved in).

References

Please give the names and addresses of two people we can contact for a reference

May we contact your present employer for a reference? *

Data Protection
All information given on this form will be treated in strict confidence. If you are appointed this application will form the basis of your personal file and information may be held on computer, disclosures will only be made for employment administration and payroll purposes. If your application is unsuccessful your details will be kept for a maximum period of 12 months. If you do not wish to be considered for future vacancies please indicate here:
Yes
Declaration
By typing my name and date into the fields below, I am digitally signing this document and I confirm that all the information given in this application form is to the best of my knowledge true and accurate. I understand that any false statements or failure to disclose any information requested may result in my application being disqualified. Discovery after appointment may lead to dismissal without notice or disciplinary action.
Signature *
Date *