Application for Employment – Lightwater Valley 2015 PRIVATE AND CONFIDENTIAL Please complete in BLOCK CAPITALS Position applied for: A. PERSONAL PARTICULARS Full Name: Address: Telephone Number (including STD Code) Home: Mobile: Do you have your own transport? YES/NO e-mail address: Please print CLEARLY Applicants will be required to provide documentary evidence of their right to work in the United Kingdom if invited for interview. N.I. Number: Do you have the right to work in the United Kingdom? Yes/No New applicants please refer to Job Descriptions at the end of this form and indicate your choice below, details are available on the web site. If you don’t complete this section your application will not be considered. st nd 1 choice 2 choice AVAILABILITY Please refer to the calendar below which shows all the days we are open. Cross off any days you cannot work, including any days you are still in education.. You may be asked to work any days not crossed off. All applicants will be required to attend and Assessment Day prior to receiving a job offer. We require all applicants to work a minimum of 60 days which must include some weekends and priority will be given to those with the best availability. March April May June S M T W T F S S M T W T F S S M T W T F S S M T W T F S FEB HALF TERM 1 2 3 4 2 3 4 5 6 19 20 21 5 6 7 8 9 10 11 3 4 9 7 10 11 12 13 22 12 13 14 15 16 17 18 10 16 14 15 16 17 18 19 20 19 25 17 23 21 22 23 24 25 26 27 28 26 24 25 26 27 28 29 30 28 29 30 29 30 31 31 July August September October/November S M T W T F S S M T W T F S S M T W T F S S M T W T F S 1 2 3 4 1 1 2 3 4 5 3 5 6 7 8 9 10 11 2 3 4 5 6 7 8 6 12 4 10 12 13 14 15 16 17 18 9 10 11 12 13 14 15 13 19 11 17 19 20 21 22 23 24 25 16 17 18 19 20 21 22 20 26 18 24 26 27 28 29 30 31 23 24 25 26 27 28 29 27 25 26 27 28 29 30 31 30 31 1 Are you takings your GCSE’S or A-Levels this YES – please advise which summer? NO Are you going/hoping to go to University in YES Sept? NO 1 of 3 B. EDUCATION AND QUALIFICATIONS QUALIFICATIONS: Please give details of examinations attempted and results (including any examinations failed) Name(s) and Address(es) of School(s)/College(s) Dates From To Subject/Courses Studied & Level Examination Result/ Grade (include any examinations failed) C. EMPLOYMENT HISTORY Please list starting with the most recent, all the organisations for which you have worked during the last 10 years: Name(s) and Address(es) of Employer(s) Dates From To Position Held/ Main Duties Starting/ Leaving Salary Reason for Leaving D. SUPPLEMENTARY INFORMATION Have you ever been convicted of a criminal offence? (which is not a spent conviction under the Rehabilitation of Offenders Legislation) If Yes, please give details: Yes / No Do you have a current full driving licence? (Please list any current endorsements) Yes / No Please provide details of 2 references, one of which must be your previous/last employer or current/last school or college. Please supply full address or e-mail address, phone numbers are not accepted. Reference 1 Reference 2 Name: Name: Address: Address: 2 of 3 Can we approach your present/most recent employer for a reference? Yes / No DECLARATION OF APPLICANT I confirm that the above information is correct. I consent to the Organisation using and keeping information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties such as referees, relating to my application or future employment. I understand that the information provided will be used to make a decision regarding my suitability for employment and if successful the information will be used to form my personnel record and will be retained for the duration of my employment. If I am not successful, I understand that the Organisation will retain the form for as long as is deemed necessary and that the Organisation may use it to contact me in the event of there being any other vacancies for which I may be suitable. Signed: Dated: FOR OFFICE USE ONLY Interviewed by: INTERVIEW RECORD Date: Interviewer's report and reasons for decision as indicated below: Decision: (Tick as applicable) Reject Rejection letter sent: Further Interview Accept Yes / No APPOINTMENT RECORD (To be completed where there has been an offer of employment). CONDITIONAL OFFER LETTER REQUESTS FOR REFERENCES Date sent: Date sent: Response: Response: Acceptance/Refusal/No reply Good/Satisfactory/No Reply/Suspect/Unsuitable RIGHT TO WORK IN U.K. Appropriate documentary evidence checked. PLEASE ENSURE YOU HAVE COMPLETED THE FORM IN FULL AS WE DO NOT CONSIDER INCOMPLETE APPLICATIONS. Please do not send in CV’s, references or copies of qualifications at this point, should these be required we will advise at a later date. Application forms should be returned to [email protected] Or HR Office, Lightwater Valley, North Stainley, Ripon, North Yorkshire HG4 3NB ALL CORRESPONDANCE WILL BE VIA E-MAIL WHERE APPLICABLE. PLEASE CHECK EMAILS AND JUNK MAIL REGULARLY. Please advise if you have any health issues we should be aware of to enable reasonable adjustments to be made for you to attend an interview. 3 of 3