ࡱ>  bjbj 4 bb'NPZ^oR0'( 'b k: Photograph Application for Employment Please use black ink, or type Application for the post ofReference NumberDepartment Personal Details Last Name First Name(s) Address   Post Code Date of Birth Telephone Number (Home) (Work) Email (home) Do you have a disability which may have a bearing on this application (please see Guidance Notes) Email (work) Do you require a Work PermitDepartment for Education Number - (teachers only) Educational AchievementsPlace of StudyDates of StudyQualifications AwardedGrade Membership of Professional BodiesName of AssociationDate AwardedIndicate whether by exam-ination or by invitationLevel Training (Please give details of relevant training undertaken)Date Present or most recent work experienceName of Employer (for paid work) Job Title Salary Date commenced Notice required Brief Description of Duties and Responsibilities Previous work and other relevant experience (paid or unpaid) (most recent first) Name/Address of Employer Job Title MonthFrom Year MonthTo Year References One of your referees should have knowledge of your current or most recent work if applicable. We normally only take up references for the successful candidate and, if you are shortlisted, we will ask you to bring contact details to your interview. However, on occasion, we take up references for shortlisted candidates prior to interview. Please provide below details of referees whom we may approach prior to interview, if necessary. 1. First Name Last Name  Address Tel. No Position in Organisation  Post Code Professional relationship to applicant  Email Address2. First Name Last Name  Address Tel. No Position in Organisation  Post Code Professional relationship to applicant  Email Address Have you ever been convicted of a criminal offence? YES/NO (Delete as appropriate) (Your attention is drawn to the fact that under the Rehabilitation of Offenders Act 1974 you may be entitled to answer 'no' to this question even if you have, in the past, been subjected to criminal proceedings resulting in conviction(s). However, certain types of employment are excluded, under the Rehabilitation of Offenders Act 1974 (Exemptions) Order, 1975, from the protection of the Act. It is therefore, suggested that you take the appropriate advice if you are in any doubt as to the correct answers to give). If yes, please specify date of conviction, Court, nature of offence and sentence imposed.  Data Protection Act 1984 All or parts of the information on this form may be stored on computer files and used for the purpose of personnel administration. Such use will be subject to the provisions of the Data Protection Act 1984. Declaration I certify that the information given on this form is correct. I understand that any wilful omission or falsification may lead to the disqualification of this application or dismissal if appointed to the post applied for. Signed ................................................................................. Date ............................................................  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