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Position Applied For

Job Reference Number

Prefix PrefixMrMrsMissMsDrSirRevOther

First Name

Middle Name

Surname

Previous Name

Previous Surname

Telephone Number

Mobile Number

Email Address

Address Line 1

Address Line 2

Address Line 3

Town/City

County

Postcode

National Insurance Number

Nationality

Preference PreferenceFull-TimePart-TimeBank

Date

Are you authorised to work in the UK as either a citizen or by holding a valid permit to work in the UK? Are you authorised to work in the UK as either a citizen or by holding a valid permit to work in the UK?Full-TimePart-TimeBank

Do you currently hold a valid Driving Licence that allows you to drive in the UK? Do you currently hold a valid Driving Licence that allows you to drive in the UK?Full-TimePart-TimeBank

Please detail any endorsements

Are there any dates when you would not be available for interview?

If appointed, when would you be able to start?

Where did you see this role advertised?

Name and Address of Current or Most Recent Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving/Wishing To Leave

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Name and Address of Previous Employer

Position Held

Employed From (DD/MM/YYYY)

Employed To (DD/MM/YYYY)

Main Duties and Responsibilities (Bullet Points)

Reason For Leaving

Gap In Employment From:

Gap In Employment To:

Reason For Gap In Employment

Gap In Employment From:

Gap In Employment To:

Reason For Gap In Employment

Gap In Employment From:

Gap In Employment To:

Reason For Gap In Employment

Gap In Employment From:

Gap In Employment To:

Reason For Gap In Employment

Name and Address of School/College/University

Education From:

Education To:

Course title and qualifications achieved

Name and Address of School/College/University

Education From:

Education To:

Course title and qualifications achieved

Name and Address of School/College/University

Education From:

Education To:

Course title and qualifications achieved

Name and Address of School/College/University

Education From:

Education To:

Course title and qualifications achieved

Name and Address of School/College/University

Education From:

Education To:

Course title and qualifications achieved

Vocational or Professional Training: Provide start and end dates, organisation name, and details of qualifications. Leave a line break between each.

Personal Statement: Please explain clearly how you fulfil each element of the Person Specification with reference to your experience, skill, and knowledge gained in employment, voluntary work, studying, or a personal setting, which demonstrate

Do you have any criminal convictions (spent or unspent)? Your job offer is subject to a satisfactory DBS check. Do you have any criminal convictions (spent or unspent)? Your job offer is subject to a satisfactory DBS check.YesNo

If you answered yes to this question, please give full details:

Are you aware of any police enquiries undertaken following allegations made against you, or any other reasons which may have a bearing on your suitability for this post? Are you aware of any police enquiries undertaken following allegations made against you, or any other reasons which may have a bearing on your suitability for this post?YesNo

If you answered yes to this question, please give full details:

Applicants With Disabilities: Please give details of any special requirements which would need to be addressed in order for you to undertake this role.

Please note that any appointee who is found at any stage to have given false, inaccurate or incomplete information may have their offer withdrawn or contract terminated. Please note that any appointee who is found at any stage to have given false, inaccurate or incomplete information may have their offer withdrawn or contract terminated.Yes

I understand that deliberately giving false or incomplete answers, canvassing of any staff, Directors, CEO or Trustees of Joycele Ltd would disqualify me from consideration or, in the result of my appointment, make me liable to summary dismissal. I understand that deliberately giving false or incomplete answers, canvassing of any staff, Directors, CEO or Trustees of Joycele Ltd would disqualify me from consideration or, in the result of my appointment, make me liable to summary dismissal.Yes

I declare to the best of my knowledge and belief that the information I have given on this form is correct and that the information may be used for registration purposes under the Data Protection Act 1998. I declare to the best of my knowledge and belief that the information I have given on this form is correct and that the information may be used for registration purposes under the Data Protection Act 1998.Yes

Full Name

Date