Declaration
I declare that to the best of my knowledge and belief all particulars I am giving in this ap-plication are complete and true. I understand that any false or misleading statement or any significant omission may disqualify me from this position and render me liable to dis-missal.
Full Name:
Applicants Signature:
Date:
Personal Details
Title
First Name
Surname
Address
Post Code
Correspondence Address (if different)
Post Code
Telephone (Home)
Mobile Number
Email address
Can we telephone you at work? YES / NO (please circle)
If yes, please give number
Do you hold a full current driving licence? YES / NO (please circle)
Do you have access to a car ? YES / NO (please circle)
General Information
1. We are committed to being an Equal Opportunities Employer and do not discrimi-nate in any way.
If you consider yourself to have a disability, are there any arrangements that we can make to assist/adapt, to enable you to attend for interview and, if successful in se-curing this positon, that you would require in the role? Please give details below:
2. Are you an ex-employee or related to a current or previous Remode Renfrewshire or LEAP employee, Board Member, Consultant, Contractor or Supplier?
YES / NO (please circle)
If yes please give details below
Suitability for Position
Education & Training
Secondary Education
Subjects Studied Certificates / Grades Gained
Further Education
Course and/or Subjects Studied Certificates / Qualifications Gained
Professional Qualification
Professional Body Qualification and/or Level of Member
ship
Relevant Training
Courses Undertaken Provided by Brief Description
Current Contractual or Employment Status
Name & Address of Employer Date From : Date To :
Position Held
Salary and other benefits/payments
Notice Required
Reason for considering this position with ReMode
Nature of Post (please describe your main duties only)
Attendance
How many days sickness have you had over the past two years ? (Please give an indica-tion of the reasons for each period of absence)
Legal Entitlement
Are you legally entitled to work in the UK ? YES / NO (please circle)
Please detail your legal entitlement (For example; citizen, resident, work visa etc)
Previous Employment
Years from – to
Employer name & address
Position held
Main duties
Reason for leaving
Years from – to
Employer name & address
Position held
Main duties
Reason for leaving
Years from – to
Employer name & address
Position held
Main duties
Reason for leaving
Person Specification, Key Skills
In the boxes below please state clearly how you meet the essential and desirable criteria contained in enclosed Job Description. This does not have to be from paid work, but can be from other experiences.
· Tell us about a project or enterprise you have been/are involved with and how your personal qualities and skills made/make it a success. (max 200 words)
· Thinking over the last 3 years can you tell us how you have continued to learn new skills and/or accrue new areas of knowledge. (max 200 words)
· What would you say are the practical skills which you as an individual have to bring to this role? (max 200 words)
Personal Qualities/Experience
Please describe why you feel suited to this position. You should include here brief details of any additional skills, experience gained, either through work or other activities and personal qualities, which you have not described on the previous pages.
References
Please give details of two referees. They should be qualified to comment on your ability and experience for this appointment and should include a referee from your current or most recent Employer.
References will not be sought without prior agreement.
Name:
Job Title:
Relationship to Candidate:
Company/Organisation:
Address:
Postcode:
Email:
Tel No:
Mobile No:
Name:
Job Title:
Relationship to Candidate:
Company/Organisation:
Address:
Postcode:
Email:
Tel No:
Mobile No: