Job Application Form

Position Applied For*
Surname*
Title*
Forename(s)*
Previous Surname(s)
Address*
Street Address City Postcode Country
Home Phone Number*
Mobile Phone Number*
Email*
Work Phone Number
May we call you at work?
- Yes
- No
National Insurance Number*
Please give dates/times when you will not be available for interview*
Please give details of any pension schemes to which you belong
Where did you hear about this job?*

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Section 2
Current or most recent employment (give details of your present or most recent work)
Employer’s name and address*
Contact number:
Job title
From
Date Format: DD slash MM slash YYYY
To
Date Format: DD slash MM slash YYYY
Notice required
Current salary and grade
Brief description of current duties and responsibilities
Reason for leaving (if applicable)
Section 3
Please list all the jobs you have had following on from your most recent post and include details of voluntary work and/or employment on a temporary contract or via an employment agency. You must account for all your time since leaving school and provide details of any gaps in employment below. Continue on a separate sheet if needed and attach it below
content here
Employer Name
Employed from
Date Format: MM slash DD slash YYYY
Employed to
Date Format: MM slash DD slash YYYY
Reason For Leaving
Salary (on leaving)
Position held
Brief description of duties
Employer 2
Employer Name
Employed from
Date Format: MM slash DD slash YYYY
Employed to
Date Format: MM slash DD slash YYYY
Reason For Leaving
Salary (on leaving)
Position held
Brief description of duties
Employer 3
Employer Name
Employed from
Date Format: MM slash DD slash YYYY
Employed to
Date Format: MM slash DD slash YYYY
Reason For Leaving
Salary (on leaving)
Position held
Brief description of duties
Employer 4
Employer Name
Employed from
Date Format: MM slash DD slash YYYY
Employed to
Date Format: MM slash DD slash YYYY
Reason For Leaving
Salary (on leaving)
Position held
Brief description of duties
Periods of non-employment Indicate nature/reasons for any non-employment including dates
Upload a file with more information if necessary

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4. Education, training and qualifications
4. Education, training and qualifications
Name of institution Course Date from & to Qualification obtained

Starting with the most recent please provide accurate details, dates and grades for all the educational establishments and qualifications relevant to the job you are applying for, and include any listed in the person specification. Shortlisted applicants are required to bring to the interview the original certificates of all qualifications listed. Or, you will be asked to provide them if a conditional offer is made to you. (Please continue on a separate sheet if necessary and attach it to your form.)
5. Membership of professional bodies/professional qualifications
Name of body Qualification of membership (class/grade) Date obtained Was membership gained by examination? Is membership still current?

Please provide details of your membership and relevant membership number.
I understand that I must provide original evidence of the highest or most relevant qualifications listed above and that failure to do so may result in a job offer being withdrawn. (Please tick)
- Tick
6. Further information on knowledge, skills, abilities and experience*
Please use this space to tell us how you meet the job requirements that are listed in the person specification. You must address all items in the person specification to allow us to assess your suitability to be shortlisted and put forward for the selection process. Supply evidence of your strengths and give clear, relevant examples of your experience, skills and knowledge when addressing each requirement. Your evidence may include skills and experience gained in employment, voluntary work, community or leisure activities. You may attach a CV but it must be in addition to the information you provide here.
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7. Referees
Please provide full details of two referees: one must be your present or most recent employer and the other should be a previous employer. If you have not been in paid employment please give the name of the head of education or training establishment that you attended and/or the manager of a voluntary group for whom you have worked. Please note, Enable has the right to seek a reference from any previous employer/school/college/university and take up more than two references.
We may wish to take up references prior to interview; if you are shortlisted:
May we contact your first referee before interview?*
- Yes
- No
May we contact your second referee before interview?*
- Yes
- No
Name of 1st referee
Job title
Organisation
Address
Date of employment/study
Date From
Date Format: MM slash DD slash YYYY
Date to
Date Format: MM slash DD slash YYYY
Relationship with referee (e.g. line manager)
Phone Number
Email
Name of 2nd referee
Job title
Organisation
Address
Date of employment/study
Date From
Date Format: MM slash DD slash YYYY
Date to
Date Format: MM slash DD slash YYYY
Relationship with referee (e.g. line manager)
Email
Phone Number

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10. Declaration
Providing any misleading or false information to support your application or canvassing staff of Enable LC directly or indirectly for an appointment will disqualify you from appointment, or if appointed will render you liable to dismissal without notice.
I hereby declare that I have understood and complied with the requirements laid down in the previous paragraph (please tick)*
- Tick
DATA PROTECTION ACT 1998

I understand that the information given on this form will be used by the employer, Enable Leisure & Culture, for:
• the purpose of processing my application for employment, • monitoring Enable LC’s employment policies; and if my application is successful, • recording information relevant to my employment. I understand that any information given relating to racial or ethnic origin, physical or mental health and criminal convictions constitutes sensitive data as defined by Section 2 of the Data Protection Act 1998. I hereby consent to the processing by Enable Leisure & Culture for the purposes set out above of all information given by me including such information as constitutes sensitive data.

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Disability
Enable is keen to encourage disabled people to apply for jobs at the company. The following information is sought for monitoring purposes.
a) Do you consider yourself to have a disability, which is defined in the Equality Act 2010 as ‘a physical or mental impairment and the impairment has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities’?*
- Yes
- No
If yes, please indicate the nature of your disability
Do you require any adjustments in relation to your disability?
- Yes
- No
If yes, please specify the required adjustments:
Enable operates the following equal opportunities in employment policy, which has been jointly agreed with representatives of its staff: - “It is the policy of Enable that there be equal opportunity for employment in its service and equable terms and conditions for all staff, and that all employees be recruited, trained and promoted on the basis of their ability, their fitness for the work and the requirements of the job. Enable instructs the Managing Director and each manager, supervisor or other officer with duties on behalf of Enable as employer and all employees – a) to ensure that the terms of the Equality Act 2010 and this policy are observed, and that no unlawful discrimination is permitted on grounds of religion or belief, colour, race, nationality or ethnic or national origins, marital status, sex, sexual orientation, disability or age; and b) to ensure a positive attitude towards equality of opportunity and the administration of staff policies to that end. Managers are instructed to ensure that the terms of this policy are communicated to each employee, with guidance in the use of Enable’s harassment procedure or grievance procedure as a means of making any complaint of discrimination or failure to accord equality of opportunity.”
Declaration*
- Tick
I understand that any information given relating to racial or ethnic origin, physical or mental health and criminal convictions constitutes sensitive data as defined by Section 2 of the Data Protection Act 1998. I hereby consent to the processing by Enable LC for the purposes set out above of all information given by me including such information as constitutes sensitive data.
Comments
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Job Application Form

Step 1 of 8

Section 2

Section 3

4. Education, training and qualifications

7. Referees

8. Relationship

9. Employment restrictions

10. Declaration

Equal opportunities recruitment monitoring form

Disability

Name of institution	Course	Date from & to	Qualification obtained

Name of body	Qualification of membership (class/grade)	Date obtained	Was membership gained by examination?	Is membership still current?