(RESIDENTS ARE THE REASON WE ARE HERELeathermarket Community
Benefit Society Limited, 26 Leathermarket Street, London SE1
3HNTel: 020 7450 8000 WWW.LEATHERMARKETCBS.ORG.UK @LEATHERMARKETCBS
A registered society under the Co-operative and Community Benefit
Societies Act 2014 FCA Register No. 32294R )Employment
Application Form
(Position Applied for: )
(Application number (leave blank): )
(Post Code:) (YesNo) (YesNo) (YesNo) (Personal
InformationTitle:Ms.Miss. Mrs.Mr.OtherSurname: Forename: Previous
name/other name you may be know by (if applicable):National
insurance numberAddress: Telephone No. DayEveningEmail address:May
we contact you during the day?Do you require a work permit?Do you
have a current driving licence?Are you related to a Director
orMember of staff of the CBS?If yes, please give details)
(YesNo)
(B. Employment HistoryPlease list in order (the most recent
first), the organisation(s) you have worked for full and part time,
including any relevant voluntary or unpaid work. Please include ALL
periods of unemployment.)
Employers name and address
Dates of the employment
(with month/year)
Job Title and
Salary
Reason for leaving
From
To
Title:
Salary:
Title:
Salary:
Title:
Salary:
Title:
Salary:
Title:
Salary:
(D. Education and QualificationsPlease give details of your
education – schools and colleges attended and any qualifications
obtained, include membership of any professional bodies)
School / College / University - name & addressQualifications
obtained
(D. Training and DevelopmentPlease tell us about any relevent
training or development courses or activities you have taken part
in and any qualifications obtained, for example ‘First Aid
Certificate’)
ActivityDatesQualifications
Please continue on a separate A4 sheet if necessary.
(E. Personal statement – (max 4 sides of A4 in font size
12)Please explain how you meet the points on the person
specification, and what makes you suitable for this job. We suggest
you itemise this, however, if you would prefer you can use another
format to demonstrate how your knowledge, experience, skills and
abilities meet the requirements of the person specification. This
is a very important part of the information you supply to us.)
(F. ReferencesPlease provide the following information for at
least two referees. One of which should be your current or most
recent employer. If you have not been employed before, please give
details of teachers/ lectures who know you well enough to comment
on your ability to do the job. Friends or relatives must not be
used.)
(Name. Current/most recentName. Preferably another employerJob
Title:Job Title:Company Name:Company Name:Address:Address:Tel
No:Tel No:E-mail Address:E-mail Address:)
(Capacity known:Current Manager OtherPrevious Manager) (Capacity
known:Current Manager Other Previous Manager)
(Note: references will only be taken up after the interview
process has been completed)
(G. Declaration: I confirm that the information given in this
employment application is true.Signature Date )
Data protection statement
The information that you provide on this form and that is
obtained from other relevant sources will be used to process your
application for employment with the CBS. The personal information
that you give us will also be used in a confidential manner to help
us monitor our recruitment process.
If you succeed in your application and take up employment with
the CBS the information will be used in the administration of your
employment with us and to provide you with the information about
the CBS or third party via your payslip. We may also use the
information if there is a complaint or legal challenge to this
recruitment process.
We may check the information collected with third parties or
with information held by us. We may also use or pass to certain
third parties, information to prevent or detect crime, to protect
public funds, or in other ways as permitted by law.
By signing the application form it will be assumed by the CBS
that you agree to the processing of sensitive personal data, (as
described above) in accordance with the CBS’s registation with the
Data Protection Commissioner.
Equal Opportunities Monitoring
Application Number (leave blank)
Your answers will be treated in the strictest confidence and the
information you provide will only be used for monitoring purposes.
How you complete this form has no connection to the evaluation of
your application.
Surname:
Forename/s:
Date Of Birth:
Gender:
(a) Asian or
Asian British
Indian Bangladeshi Other: (please specify)
............................
(b) Black or
Black Britsh
Caribbean African Other: (please specify)
.............................
(c) Chinese or
Chinese British
Chinese Other: (please specify) ............................
(d) Of mixed race
Please specify: ....................................
(e) White
British Other: (please specify)
.............................
(f) Other
Please specify: ....................................
Do you consider yourself disabled under the 1995 Disability
Discrimination Act?
Yes: No:
SUBMITTING YOUR APPLICATION FORM
Application form and personal statement to be sumbitted by 12th
June 2017 to: [email protected]
LEATHERMARKET COMMUNITY BENEFITS SOCIETY
IMPORTANT INFORMATION FOR CANDIDATES
THE LAW PREVENTING ILLEGAL WORKING
DOCUMENTS YOU MUST PROVIDE AT YOUR INTERVIEW
Leathermarket CBS is required by law to examine certain
documents, which prove your identity, and to take photocopies of
them. This is required before you start work here, and if you do
not produce the necessary documents you will not be able to work
for us. In order to speed up the recruitment process we ask all
short listed candidates to produce these documents at interview. If
you are not appointed to the post you have applied for, these
documents will be destroyed. You must provide original documents,
not photocopies.
You are required to produce either one of the documents set out
at List 1 below, or two of the documents set out in List 2. If you
produce documents from List 2, they must both be from the first
combination or from the second combination. You cannot provide one
document from the first and one from the second combination.
If you cannot provide the required documents we will not be able
to offer you a post if you are otherwise the successful
candidate.
(Any reference to a Government Department/Official Body shall be
taken to include their successor).
List 1
You may provide one of the documents in this list. If you do so
you will not be required to provide any documents from List 2. If
you are a national from a country in the European Economic Area
(EEA) you should provide a document from List 1 rather than List 2.
(The countries in the EEA are shown below).
· A passport showing that you are a British Citizen, or have a
right of abode in the UK.
· A document showing that you are a national of a European
Economic Area (EEA) country or Switzerland. This must be a national
passport or national identity card. A residence permit issued by
the Home Office to a national from an EEA country or
Switzerland.
· A passport or other document issued by the Home Office which
has an endorsement stating that you have a current right of
residence in the UK as the family member of a national from a EEA
country or Switzerland who is resident in the UK.
· A passport or other travel document endorsed to show that you
can lawfully stay in the UK and that this endorsement allows you to
do the type of work being offered by Leathermarket CBS if you do
not have a work permit.
· An application registration card issued by the Home Office to
an asylum seeker stating that you are permitted to take
employment.
List 2
If you cannot provide one of the documents set out in List 1,
you must provide two documents from List 2. Both documents must be
from either the first combination or the second combination. You
cannot provide a document from each of the combinations.
First Combination
A. A document giving your permanent National Insurance Number
and Name. This could be a P45, P60, National Insurance card or a
letter from a Government Agency.
B. A full Birth Certificate issued in the UK, which states the
names of your parents (or if only one parent registered, the name
of that parent).
C. A Birth Certificate issued in the Channel Islands, the Isle
of Man or Ireland.
D. A Certificate of Registration or Nationalisation stating that
you are a British Citizen.
E. A letter issued by the Home Office to you which indicates
that you can stay indefinitely in the UK, or have no time limit on
your stay.
F. An Immigration Status Document issued by the Home Office to
you with an endorsement indicating that you can stay indefinitely
in the UK, or have no time limit on your stay.
G. A letter issued by the Home Office to you which indicates
that you can stay in the UK, and this allows you to do the type of
work the Leathermarket CBS is offering.
H. An Immigration Status Document issued by the Home Office to
you with an endorsement indicating that you can stay in the UK, and
this allows you to do the type of work Leathermarket CBS is
offering.
Second Combination
A. A work permit or other approval to take employment that has
been issued to you by Works Permits UK.
In addition to this document, you must also provide one of the
following
B. A passport or other travel document endorsed to show that you
are able to stay in the UK and can take the work permit employment
in question.
C. A letter issued by the Home Office to you confiming that you
are able to stay in the UK and can take the work permit employment
in question.
Please note that if you provide two documents from List 2 with
different names on you must also provide one of the following in
order to explain the change:
· A Marrige Certificate
· A Divorce Document
· Deed Poll
· Adoption Certificate
· Statutory Decleration
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