Application - Solidaritech

Personal Information

First Name: Last Name:

Home Address:

Home Phone: Email:

Work Phone:

May we phone you at work?YesNo

Personal Statement

Please tell us what makes you a good candidate for this post and explain how your experience matches the job description and personal specification. Please do not exceed 1000 words.

Why are you a good fit for this position?

Where did you hear about this vacancy?

If appointed when could you begin?

Please attach your current CV

General Information

Do you hold a current driving licence?YesNo

Do you consider yourself to be a refugee?YesNo

Equal Opportunities Information

Do you consider yourself to have a disability? YesNoPrefer not to say

Do you consider yourself to be from an ethnic minority community? YesNoPrefer not to say

Do you have a health condition that may affect your work or ability to carry out the duties of the post? YesNoPrefer not to say

Disclosure of Conviction

This role is not exempt from the Rehabilitation of Offenders Act 1974. We only ask applicants to disclose convictions which are not yet spent under the Rehabilitation of Offenders Act 1974. If you are not sure whether your convictions are spent, please contact NACRO for further advice.

Do you have any unspent convictions? YesNo

Please provide details of your criminal record in the space below.

Qualifications and Training

Please list below all the relevant qualifications you have or training courses you have attended. Please give dates and grades and state whether the course was full or part time.

What are your qualifications?

Work Experience/Volunteering

Note: Please give details of all the posts you have held, starting with your current post.

Dates Employed – Current Post

From: To:

Employer’s name & address and nature of business Job title & description of relevant duties

Final salary or grade (if applicable)

Dates Employed – Previous Posts

From: To:

Employer’s name & address and nature of business Job title & description of relevant duties

Final salary or grade (if applicable)

From: To:

Employer’s name & address and nature of business Job title & description of relevant duties

Final salary or grade (if applicable)

Additional Work Details

If you have held posts prior to the previous three above, please enter the additional details below using the same format.

References

Please give the names and addresses of two people whom we may contact for a confidential assessment of your suitability for this job. One should be your present or most recent employer. The other referee could be a previous employer, some appropriate person unrelated to you, or, if this is your first job application, your head teacher or college tutor.

First Reference:

Name: Address:

Phone: Email:

Occupation:

Can we take up this reference prior to interview?YesNo

Second Reference:

Name: Address:

Phone: Email:

Occupation:

Can we take up this reference prior to interview?YesNo

Declaration

I confirm that the information I have given on this form is correct and complete and that misleading statements may be sufficient grounds for cancelling any agreements made.
I confirm that I have the right to work in the UK.
I understand that the information in this form will be kept and used for recruitment related purposes.

I have read the application declaration.