Job Application Form

All sections of this form should be completed. Please do not send a CV.
Job Title:
Name:
Address:

Email Address:
Phone (eve):
Phone (day):
Mobile:
May we telephone you during the day? Yes/No

When would you be able to begin work if successful?

REFEREES
Please give the names and addresses of two people who can comment on your suitability
for this post. One of these must be your present or most recent employer.

First referee Second referee

Name
Position
Organisation
Address

Tel No/Fax

Email
How does this
person know
you?

May we contact referees prior to interview? Yes/No

DECLARATION
I confirm that the information I have given in this application is, to the best of my
knowledge, true and complete (emailed applications can be signed at interview if invited to
that stage).
Signature
Date
This front page and the equal opportunities monitoring form will be removed for the
shortlisting process.

FIFE DIET APPLICATION FORM

1
A. Education, training and professional qualifications
Please start with the most recent

1. School/Further/Higher Education
Course Qualification obtained

2. Training courses and professional qualifications

Training undertaken Qualification obtained

B. Employment/volunteering history

1. Current position of work or volunteering

Dates Employer’s name and Position/duties
address

2. Previous positions of work or volunteering.

Dates Employer’s name and Position/duties Reason for
address leaving

2
C. Other relevant experience

Include details of membership of organisations etc.

D. Please tell us about yourself and why you are interested in this position. Tell us
how your skills and experience would enable you to meet the requirements of this
post as outlined in the person specification and job description - please give
examples. Please use continuation pages if needed and head these appropriately,
but try to keep your response to two pages.

3
Specific Question for Applicants with Disabilities
Please tell us if you require Fife Diet to make any reasonable adjustments in respect of the
interview process.

Please check the Job Description for the closing date and return your completed
application form to:

karen@fifediet.co.uk

Or

The Fife Diet

c/o 11 Broomhill, Burntisland, Fife KY3 0BQ

4
 MONITORING FORM
The Fife Diet is committed to an equal opportunity policy.
Please complete this form, to allow us to monitor our policy.
This form will be separated from your application form on receipt.

Please tick the category that applies:

Sex: ___MALE ___FEMALE

Do you have a disability: ___YES ___NO

Date of Birth: _______________

Age: _______________

What is your ethnic origin?

WHITE _____

CHINESE _____

AFRICAN CARIBBEAN _____

AFRICAN _____

BANGLADESHI _____

PAKISTANI _____

INDIAN _____

OTHER ETHNIC MINORITY (PLEASE STATE WHICH) _____