Application Clacton Family Trust
Please leave blank:
Date of Birth:
Current Driving Licence:
Details of Driving Endorsements (If any):
Other Training/professional qualifications:
Leisure: - Please note here your interests, sports and hobbies, other pastimes etc.
From - To
Name and Address of Employer
Job Title & Duties
Reason for Leaving
1, From - To:
1, Name and Address of Employer :
1, Job Title & Duties:
1, Start/Finish Salary:
1, Reason for Leaving:
2, From - To:
2, Name and Address of Employer :
2, Job Title & Duties:
2, Start/Finish Salary:
2, Reason for Leaving:
3, From - To:
3, Name and Address of Employer :
3, Job Title & Duties:
3, Start/Finish Salary:
3, Reason for Leaving:
4, From - To:
4, Name and Address of Employer :
4, Job Title & Duties:
4, Start/Finish Salary:
4, Reason for Leaving:
5, From - To:
5, Name and Address of Employer :
5, Job Title & Duties:
5, Start/Finish Salary:
5, Reason for Leaving:
6, From - To:
6, Name and Address of Employer :
6, Job Title & Duties:
6, Start/Finish Salary:
6, Reason for Leaving:
Notice required in current post:
Please note here the names and addresses of two persons one of whom should be your present/last employer from whom we may obtain both character and work experience references.
Present/ Last Employer: :
Character Reference: (known for more than 2 years of no relation):
Please detail here your specific reasons for this application, your main achievements to date and the strength you would bring to this post.
Please note any criminal convictions except those spent under the rehabilitation of offenders Act 1974. In none, please state.
PLEASE READ THE JOB DESCRIPTION CARFULLY AND CONFIRM IF THERE IS ANY REASON THAT WOULD PREVENT YOU FROM UNDERTAKING THIS JOB.
1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
2. I hereby give my authority for the company to contact my own doctor for any further details of my state of health.
3. I agree that the company reserves the right to require me to undergo a medical examination in the event of my appointment.
4. Do you have the right to work in the UK? Y/N:
Do you consider yourself to have a disability? (The Equality Act 2010 defines a person with a disability as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities. If you have any questions, please do not hesitate to contact the HR department):
PREFER NOT TO SAY
If yes, please describe the nature of the disability:
To which racial group would you say you belong? Mark one box only please.
White and Black Caribbean
White and Black African
White and Asian
Other mixed background
To which religious/belief group would you say you belong? Mark one box only please.
Or download your application form here
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