Cranedale Application Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 9

Cranedale Educational Charitable Trust

APPLICATION FORM

Essential for: Management, Clerical and Teaching posts

Post Applied For:

PERSONAL DETAILS

Mr Mrs Miss Ms Other First Name:

Surname:

Contact Address:

Post Code:

Daytime Telephone: Mobile:

Email:

Can we contact you at work: Yes No

Are you free to remain and take up employment in the UK with no current

immigration restrictions? Yes No

Date of Birth:

National Insurance Number:

Where did you see this post advertised?


EDUCATION AND QUALIFICATIONS

Secondary schools attended Examination results/subjects Dates

Colleges/Universities Qualifications gained Dates

DfEE No. (if applicable): Dates

Other training/courses attended: Dates


PROFESSIONAL INTERESTS

Membership of professional societies/interest Groups:

Under-graduate/post-graduate dissertations or projects undertaken:


EMPLOYMENT HISTORY

Please provide details of your employment starting with your current or most recent
employer. You can include any voluntary or unpaid work that you may have done that is
relevant to the role you are applying for.

Brief job description,


Employer Dates
reasons for leaving and final salary
Brief job description,
Employer Dates
reasons for leaving and final salary
EXTRA INFORMATION

Driving

Do you have a full, valid Driving Licence? Yes No

When did you pass your driving test?

Do you have a D1(minibus) entitlement on your Driving Licence? Yes No

Do you have any endorsements on your licence? Yes No

If yes please give details:

First Aid

Do you have a current First Aid Certificate Yes No

If yes, please give details of the type of qualification, expiry date and length of course:

Leisure interests
E.g. sports, hobbies. Please also state here any natural history interests:
PERSONAL STATEMENT

Please detail here your specific reasons for this application with regards to the Job
Specification and Description. Please state your main achievements to date and the
strengths you would bring to this post:
MEDICAL

If you have a physical or mental impairment are there are any reasonable adjustments that
you may need if you were successful in the role. Yes No

If yes, please specify:

Disabled No (if applicable):

PROTECTION OF CHILDREN ACT

Do you have a criminal record (including any spent convictions)? Yes No

Are you prepared to undergo an Enhanced Disclosure with the


Disclosure and Barring Service? Yes No

Please note that in certain circumstances employment will be dependent upon obtaining a satisfactory
enhanced disclosure from the Criminal Records Bureau.

DATA PROTECTION NOTIFICATION

The information you have provided in completing this application form will be used to process your application for
employment. Cranedale Educational Charitable Trust Ltd will keep the information you have supplied confidential
and will not divulge it to third parties except where required by law. If you are not appointed your information will
be held securely for a maximum period of 6 months only.
REFERENCES

Please give the names, addresses and telephone numbers of two people, including your
current employer, from whom we may obtain references.

May we take up references, if necessary, prior to your interview? Yes No

Referee 1 Referee 2
Current employer Preferably this should be your next
most recent employer

Email: Email:

Tel: Tel:

If you were successful at interview and were offered


this post, when would you be able to start work?

DECLARATION

I confirm that to the best of my knowledge the information given above is complete, true
and correct. Any untrue or misleading information will give my employer the right to
terminate any employment contract offered.
I agree that, should I be successful in this application, I will be required to undertake an
enhanced disclosure with the Disclosure and Barring Service. I understand that should I fail
to do so, or should the disclosure not be to the satisfaction of the Charity any offer of
employment may be withdrawn or my employment terminated.

Signed:

Date:

You might also like