PERSONNEL USE ONLY:

Candidate Reference Number:

APPLICATION FOR APPOINTMENT FORM

Please complete this form accurately and in full as it forms the initial stage of our selection procedure. The information on this
form will be treated as confidential to Coventry University Students Union. Please do not submit CVs in place of completing this
form or your application will not be considered. Please read the guidance notes prior to completing your application form.
Job title of post for which you are applying:

Job ref. no:

PRESENT EMPLOYMENT
Name and address of employer:
Post held:

Date of appointment:

Period of notice required:

Present salary:

Status:

Full-time

Summary of key duties/responsibilities:

PREVIOUS EMPLOYMENT (MOST RECENT FIRST)

Dates

Employer

Position held and summary of responsibilities

Salary/Grad
e

Reason for
leaving/change

CURRENT STUDIES
College/University Establishment

Full-Time or Part-Time

Subject(s)

FORMAL EDUCATION (SECONDARY EDUCATION FIRST)

School/College/University
Establishment

Qualifications (including level and grade)

Subjects

Part-time

DETAILS OF MEMBERSHIP OF PROFESSIONAL INSTITUTIONS

Name of Body/Membership

Grade of Membership

Date of Election

RELEVANT TRAINING/CONTINUING PROFESSIONAL DEVELOPMENT

Training Provider/Organising Body

Qualification/Training course title

Date attended
/completed (mm/yyyy)

Other useful experience (e.g. unwaged, voluntary work, family care, study etc.):

If you have any periods in your educational/career history where you were not in employment, education or training, please indicate
these below, with reasons:

EXPERIENCE AND REASONS FOR APPLYING FOR THIS POST

Please give your reasons for making this application, directly relating your qualifications, experience and personal attributes to the
person specification for this post. You may also wish to relate your leisure, spare time interests and other achievements. Please
note that failure to directly address the criteria listed in the person specification for this post may result in your application not being
shortlisted for interview.

PLEASE CONTINUE ON A SEPARATE PAGE IF NECESSARY

REFEREES
Please give the names and addresses of two people, at least one of whom should be your present employer (if any), who can
be consulted regarding your suitability for the post. It is normal to take up references before interview. Please note that CUSU
may also approach any previous and current employers by telephone or email prior to interview, to verify experience or
qualifications.
CUSU is unable to accept references from relatives or people writing solely in the capacity of friends.
Reference 1

Reference 2

May we take up references without contacting you

beforehand?
Yes
No

May we take up references without contacting you

beforehand?
Yes
No

Name of Referee:

Name of Referee:

Company name:

Company name:

Status of reference:

Status of reference:

Telephone Number:

Telephone Number:

Email:

Email:

Address including postcode:

Address including postcode:

ADDITIONAL INFORMATION
Do you hold a full current driving licence?

Yes

No

Do you have access to a vehicle for business use?

Yes

No

Please indicate dates when you would be unavailable for interview in the next 6 weeks. We regret that we cannot guarantee
that we will not convene interviews during these times.

DECLARATIONS

For online applications, please confirm you have read the declaration and tick the
box to accept:
Date:
Thank you for completing this application form.
Please note that we will not contact you unless we wish to take your application further.