Application for employment This application form has been designed to tell us all we need to know about you at this stage. Please complete the form in black ink and block capitals and return it to Lucy Dyer, Orion House, 14 Clovelly Road, Bideford, Devon, EX39 3BU.
Do you have the right to take up employment in the UK? If no, please provide further details.
If you do not have the right to take up employment in the UK, would you wish us to assist you in applying for the right to work?
Education and qualifications
From GCSE or equivalent to degree level chronological order
Establishment
Qualification gained
Post graduate education or study or any other professional qualification
Establishment
Qualification gained
Work experience
Please complete in full. Please begin with your present or most recent position and then work chronologically backwards.
Name and address of employer
Job title, description of duties and responsibilities, reason for leaving and salary on leaving
Name and address of employer
Job title, description of duties and responsibilities, reason for leaving and salary on leaving
Name and address of employer
Job title, description of duties and responsibilities, reason for leaving and salary on leaving
Do you have any other training, qualifications, skills or personal qualities relevant to the post (e.g. knowledge of a foreign language, computer literacy, full driving licence, etc.)?
Please give details of, and provide an explanation for, any time when you were not either working or in full-time education.
Have you made a previous application to the Company? If so, when was this and what was the outcome?
Please give details of your main extra-curricular activities and interests.
Please use this space to say why you are interested in the post for which you have applied, why you believe you are the best person for the job and provide any other information that may assist your application.
If you are successful, when could you take up your post? How many weeks’ or months’ notice do you have to give to your current employer?
If you are disabled, please give details of any special arrangements or adjustments you would require to attend interview.
What are your salary expectations?
Referees
Please give details of two referees, one of whom must be your current or most recent employer or, if this is an application for your first job, your school teacher or higher or further education lecturer. Neither referee should be a relative or contemporary.
May we approach prior to interview? Yes/No
May we approach prior to interview? Yes/No
Rehabilitation of Offenders Act 1974
In order to protect the public, the post you have applied for is exempt from certain provisions of the Rehabilitation of Offenders Act 1974. You are therefore required to disclose all and any past or pending cautions or convictions, whether spent or otherwise, unless it is either a “protected caution” or a “protected conviction” under the terms of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. All information provided will be kept in the strictest confidence and only used for the purpose of assessing your suitability for the post you have applied for.
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Please specify below details of all and any past or pending cautions or convictions, whether spent or otherwise, except for protected cautions or convictions. If you have no past or pending cautions or convictions, please specify “None”.
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Data Retention
​ We would like your permission to hold your application form (and associated interview paperwork) on file for 6 months should you be unsuccessful in being appointed. We would store this securely for reviewing should another vacancy arise in this period.
At the end of the 6 months, your application information would be securely destroyed.
We are unable to retain your information without your express permission. Please tick one of the options below to indicate your consent:
May we approach prior to interview? Yes/No
I declare that the information I have given on this application form is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed.
I hereby consent to the Company processing the information supplied on this application form for the purposes of recruitment and selection. I accept that if my application is successful, this application form will form part of my personnel file and, in that case, I consent to the data on it being processed for all purposes in connection with my employment.
Submit Application
Thanks for applying to work with us! We'll get back to you soon.
