APPLICATION FORM

Application For Employment

In order to apply for this role, please complete our Application Form below. Please complete all sections and answer as fully as possible.

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Full name:
Address:
Daytime telephone number:
Email
Academic Qualifications:
Qualifications:
Personal Statement:
Disability – Ellingham is a Disability Confident employer. Therefore we guarantee to interview any applicant who declares they have a disability who also meets the minimum criteria for the job.
Under the definition of the Equalities Act 2010 do you consider this scheme to apply to you?
Referee 1 (name, address, telephone number):
Referee 1 Email
Relationship to you:
Referee 2 (name, address, telephone number):
Referee 2 Email
Relationship to you:
Right to work in the UK We have a legal obligation to check that individuals have the right to work in the UK before we employ them. Please confirm that you have this right and that you have documentary evidence to prove this. You will be asked for this when you come for an interview.
I confirm I have the right to work in the UK and have documentary evidence for this:
Criminal Records Check Due to the tasks involved this post may require a criminal records check. Do you have any convictions (spent or unspent), cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?
Please note answering “Yes” will not necessarily mean withdrawal of an offer of employment:
If yes, please describe:
Statement I confirm that the above details are correct. I undertake to inform Ellingham Employment Services of any changes as soon as possible.
Date:
Post applied for:
Date of application:
Where did you see the job advertised?
Your ethnic origin:
You may wish to disclose your religion:
You may wish to disclose your age:
You may wish to disclose your gender: