ࡱ > ( * # $ % & ' _ bjbj C >\>\m 2 2 2 8 j D 2 $ . j j g g g # # # # # # # $ <% ' T # g | g g g # k # g R # g # u[ ^ y# # 0 $ F( F( @ F( " \ g g g g g g g # # 6 g g g $ g g g g F( g g g g g g g g g > : Application information (if CV not available) NameRole Most Recent Employer (Paid or Unpaid) If you have no employment history, please skip this section Job titleStart dateDate you left (if applicable)Name of the organisationCurrent or final salaryAddressTownPostcodePeriod of notice required (if applicable)Please provide a brief outline of your main responsibilities. This should be a concise summary. Reason for leaving (or seeking other employment)Number of hours worked per week Employment History Please list all previous employers, use a separate sheet if necessary If you have no employment history, please skip this part of the form. Dates From ToName and address of employer Job title and main responsibilities Reason for leaving Education & Training Please give details of all qualifications obtained and those being pursued School, university, college etc QualificationDate achieved or expect completion Please give details of any work related training you have undertaken Course Title Subjects coveredCourse Date Other relevant information Please give details of any other relevant information to support your application References Please give details of at least two people, not related to you, who will provide a reference of employment or education for you covering the last 3 years. One of these must be your present or most recent employer if you are not currently employed. The other(s) could be a previous employer, or a referee who can express a professional opinion on your work and your ability to perform in the position for which you are applying. Reference 1 Reference 2 Name Job titleOrganisation AddressTownPostcodeContact telephone numberContact fax numberContact emailHow long have you known this person and in what capacity (please continue on a separate sheet if necessary) Declaration I declare that the information contained in this form is complete and correct. I understand that if I have knowingly provided false information or withheld relevant details, this could lead to disqualification from appointment or dismissal without notice. SignatureDatePrint name PAGE 1 2 3 4 5 6 7 8 ѶuaW?1 hH CJ OJ QJ ^J aJ .j hH CJ OJ QJ U^J aJ mH nH u hw OJ QJ ^J &j h