job application | Stockport & District Mind

Title of post applied for:

Job Ref:

Surname:

Initials:

Former surnames if different:

Preferred Name Title (Optional):

Address

Address Line 1

City

State / Province / Region

Postal Code

Tel No (home):

Tel No (business):

Tel No (mobile):

Fax No:

E-Mail address:

Nat. Insurance No:

Nationality:

If you are not a British passport holder or a European Citizen, or you do not have the permanent right to remain in the UK, you will require a work permit.

Where did you learn of the post?

Do you need a work permit to be employed in the UK?

If you already have a work permit, when does it expire? (Please note that your current work permit may not be valid for this post.)

School / College / University

Examinations taken

Result

School / College / University2

Examinations taken 2

Result2

School / College / University 3

Examinations taken 3

Result 3

School / College / University 4

Examinations taken 4

Result 4

School / College / University 5

Examinations taken 5

Result 5

Professional Qualifications currently held: how obtained and grade:

Other relevant Educational or Training Courses:

Title of Post:

Name of Employer:

Salary/Grade:

Business of Employer:

Date Commenced:

Address

Address Line 1

City

State

Zip Code

Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable):

Reason for leaving or wishing to leave:

Period of notice required to terminate present employment:

Please notify us of any dates you are available for interview:

Title of Post:

Salary/Grade:

Name of Employer:

Business of Employer:

Date Commenced:

Date Ended (if applicable):

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable):

Reason for leaving:

Title of Post:

Salary/Grade:

Name of Employer:

Business of Employer:

Date Commenced:

Date Ended (if applicable):

Address

Address Line 1

City

State / Province / Region

Postal Code

Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable):

Reason for leaving:

Title of Post:

Salary/Grade:

Name of Employer:

Business of Employer:

Date Commenced:

Date Ended (if applicable):

Address

Address Line 1

City

State / Province / Region

Postal Code

Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable):

Reason for leaving:

RELEVANT SKILLS, ABILITIES, KNOWLEDGE, EXPERIENCE AND YOUR REASONS FOR APPLYING FOR THIS JOB

This section is for you to give specific information in support of your application. Please set the information out using a maximum of one additional side of A4 paper. After reading the Job Description and Person Specification carefully, consider to what extent you have gained the skills and experience necessary for the post. Your experience need not have been gained in paid employment and may include special interests relevant to the post. It is important that you provide evidence of your achievements by giving examples to support your application. You may wish to use the headings in the person specification in order to set the information out clearly

What activities outside work interest you? (State any positions held you consider relevant.)

Do you hold a current driving licence with no more than 3 points?

Do you own a car?

Do you consider yourself to be disabled under the Disability Discrimination Act?

If Yes, are there any adjustments that you think we could make to overcome a disability in relation to the essential requirements of this job?

If Yes, please provide further details:

If selected for interview, do you require any assistance/adaptations to help you attend?

If Yes, what assistance/adaptations do you require?

Title (Mr, Mrs etc):

Full Name:

Job Title:

Organisation:

Address

Address Line 1

City

State / Province / Region

Postal Code

Tel No:

E-mail address:

Fax No:

How does this person know you?.

Signature:

Click or drag a file to this area to upload.

I declare that the information given in this application form is true and complete. I understand that if I have given any misleading information on this form or made any omissions, this will be sufficient grounds for terminating my employment.

Date:

Name:

The information provided by you on this form as an applicant will be stored either on paper records or a computer system in accordance with the Data Protection Act 1998 and will be processed solely in connection with recruitment.

Stockport and District Mind Job Application Form

How can we help?

Twitter Feed

Recent Posts

Subscribe to our Newsletter

Services

Training

Opening Hours