JOB APPLICATION FORM
Strictly Private and
Confidential
Position Applied For:
PERSONAL INFORMATION
Surname: …………..………………. FORENAMES: ………………………………………
Nationality; …………..………………. Are you eligible to work in the UK? YES / NO
Date of Birth: ….../..…./…..…..
Address: ___________________________________________________________
_______________________________________ Postal Code: ________________
Contact No.: __________________ Email address: _________________________
National Insurance Number:
Qualifications / Training
Schools, Colleges, University etc.:
Qualification/results Institution
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Other relevant training / qualifications:
Course From To Details
Current professional membership
Membership Body
Please provide the following information in accordance with the disability discrimination
act 1995.
Do you have any disabilities? YES NO
If Yes please give details: ……………………………………………………………………
EMPLOYMENT HISTORY
Date
Firm/Institution
Position Key
(in chronological Reason(s) for Leaving
Held Responsibilities
From To order)
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DETAILS OF CURRENT EMPLOYMENT
No approach will be made to your present employer without your consent.
Present Employer: ______________________ Designation: __________________
Present monthly salary: ____________________ Bonus: _____________________
Key Responsibilities: __________________________________________________
___________________________________________________________________
Notice required (ending present employment): ________________________ (weeks)
Reason for leaving: __________________________________________________
REFEREES
1. Name: ____________________ Designation: _______________________
Organisation Name: ____________________________________________
Contact No.: _________________ Email Address: ____________________
2. Name: ____________________ Designation: _______________________
Organisation Name: ____________________________________________
Contact No.: _________________ Email Address: ____________________
Please use the space below, adding more pages as necessary, to describe how
your experience, skills, knowledge, theological understanding and qualities
make you suitable for appointment to this post. You are encouraged to use sub
headings according to the selection criteria in the competency framework provided.
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I verify that the above information is correct to the best of my knowledge.
I accept that providing false information deliberately could result in my dismissal.
(Please note that if you are returning this form electronically and unsigned you will still be bound
by the declaration when we receive your application electronically.)
Signature: ______________________ Date: __________________________
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