APPLICATION FOR EMPLOYMENT

PRIVATE AND CONFIDENTIAL Return this form to: Sarah Chapman Ryde House Binstead Road Ryde PO33 3NF

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Position applied for:...………………………………………………………………………….. For the attention of:……………………………………………………………………………..
Surname Title

Address

Date of birth

Telephone number

Do you have a current driving licence?

Details of any endorsements

EDUCATION HISTORY Schools Qualifications gained

College / Universities

Qualifications gained

Other training

Qualifications gained

Ryde House LLP, Binstead Road, Ryde, IOW, PO33 3NF Tel: 01983 811629 Fax: 01983 564008 Web: www.rydehouse.com Email: info@rydehouse.com

rydehouse. Ryde.com Email: info@rydehouse. 1. 2.APPLICATION FOR EMPLOYMENT EMPLOYMENT HISTORY FROM . IOW. Ryde House LLP.TO NAME AND ADDRESS OF EMPLOYER JOB TITLE AND DUTIES START / FINISH SALARY 2 REASON FOR LEAVING Notice required in current post REFERENCES Please note here the names and addresses of two persons from whom we may obtain both character and work experience references. Binstead Road. PO33 3NF Tel: 01983 811629 Fax: 01983 564008 Web: www.com .

Binstead Road. IOW. Ryde House LLP. your main achievements to date and the strengths you would bring to this post.com .APPLICATION FOR EMPLOYMENT OTHER EMPLOYMENT Please note any other employment you would continue with if you were to be successful in obtaining this position. GENERAL COMMENTS Please detail here your specific reasons for this application. PO33 3NF Tel: 01983 811629 Fax: 01983 564008 Web: www.rydehouse. Ryde. 3 LEISURE Please note here your leisure interests.com Email: info@rydehouse. sports hobbies other pastimes etc.

Ryde. muscular or muscular skeletal injuries from which you have suffered or do suffer. If YES. Ryde House LLP.com Email: info@rydehouse.rydehouse. Signed…………………………………………. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report. 2.com . Please detail any form of medication. 4 Please list any diseases. please give details and specify any special needs in relation to your disability.APPLICATION FOR EMPLOYMENT HEALTH DETAILS Are you disabled YES/NO. DECLARATION (Please read this carefully before signing this application) 1. I agree that the organisation reserves the right to require me to undergo a medical examination. IOW. disorders. allergies. drugs or treatment you are currently and/or regularly receiving. Please list all absences from work in the past 12 months and the reason for such absences. Binstead Road. PO33 3NF Tel: 01983 811629 Fax: 01983 564008 Web: www.. the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor). FOR OFFICE USE ONLY Date…………………. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

rydehouse. Are you aware of any police enquires undertaken following allegations made against you which may have bearing on your suitability for this post? YES / NO If YES please give details: DECLARATION I confirm that the information given on this form is correct and complete and that misleading statements may be sufficient for cancelling any agreements made because of there sensitive nature of the duty’s that the post holder will be expected to undertake. Ryde House LLP. The Data Protection Act requires that personal information obtained and processed fairly and lawfully is only disclosed in appropriate circumstances.com .APPLICATION FOR EMPLOYMENT 5 REHABILITATION OF OFFENDERS ACT 1974 DECLARATION OF CRIMINAL RECORD Because of the sensitive nature of the duties the postholder will be expected to undertake. you are required to disclose details of any criminal record. Date…………………………………………………… You should be assured that any information given is kept confidential. cautions. Ryde. I understand that the declarations will include details of any criminal convictions. relevant and not held longer than necessary and is kept securely. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position. cautions. PO33 3NF Tel: 01983 811629 Fax: 01983 564008 Web: www. I understand that an enhanced disclosure will be sought in the event of a successful application Signed…………………………………………………. reprimands and final warnings on your criminal record need to be disclosed.com Email: info@rydehouse. The post you have applied for is exempt from the ‘Rehabilitation of Offenders Act 1974’ which means that all your convictions. Binstead Road. is accurate. IOW. reprimands and final warnings and any other information that may have a bearing on my suitability for the post.

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