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APPLICATION FOR EMPLOYMENT Parklands Conleach Road Speke Liverpool L24 0TY Tel: (0151) 285 5600 Web: www.slhgroup.co.uk
Please complete this form in black ink or type. If any spaces are not big enough please use a separate sheet of paper. Please return this form to the address on the left.
IN CONFIDENCE
Application No. (for office use)
POSITION APPLIED FOR 1 - YOUR DETAILS Title
Surname
Preferred name
Forename Current Address
Email Address Postcode
N.I. No. Work Tel.
Home Tel.
2 - CURRENT (OR MOST RECENT) JOB SUMMARY Employer (name and address)
Type of Business Job Title (and grade if applicable) Reporting to (Job Title) Date of appointment
Current Base Salary
Other benefits Period of notice
Dates unavailable for interview
3.1 - EDUCATIONAL QUALIFICATIONS What Educational qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications.
From
To
Name of School/College/University
Major subjects studied, exams taken and results
3.2 - PROFESSIONAL QUALIFICATIONS What Professional qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications. Awarding body, qualification. level Major subjects studied, exams taken and results From To
4 - RELATIONSHIP TO STAFF OR SLH BOARD MEMBER If you are a member of the SLH board or a relative of an employee or board member please give details.
5 - TRAINING Please give details of any training courses you have attended in the last two years relevant to this application. Date Details of training attended
6 - PREVIOUS EMPLOYMENT Please give details of your employment history up to your present job.
Dates
Name, location & business of employer
Job title
Final Salary Reason for leaving
7 - CURRENT EMPLOYMENT DETAILS Please describe your present or most recent appointment, indicating to whom you are responsible to, and who is responsible to you. What do you consider to have been your major contribution in this post, and why? What are your main responsibilities and objectives? Attach copies of job description and organisation chart(s) if helpful.
EQUAL OPPORTUNITIES
SLH Group is committed to equal opportunities. In order to monitor the effectiveness of our policy and for no other reason, this information will be separated from your application and will be treated in the strictest of confidence. Please complete both sides of this strip.
1. GENDER Male Female
2. MARITAL STATUS Married
8 - CHANGE What attracts you to this new job in particular?
Single Other (state)
3. AGE 16 - 24 25 - 50 50 plus 4. DISABILITY Do you consider yourself disabled?
Yes No If yes, are you registered disabled?
9 - REFEREES Please give the names and addresses of two people who are in a position to comment on your experience, strengths and skills, but who are not related to you: one should be your current employer. If you do not want us to approach them without contacting you first, please put a cross in this box.
Name
Job
No
Tel Where did you see this job advertised?
Address Name
Yes
Job
Tel OFFICE USE
Address
EQUAL OPPORTUNITIES 5. ETHNIC GROUP Choose ONE Section from A toE, then tick the appropriate box to indicate your cultural
10 - ACHIEVEMENTS Please write a short autobiography here which will help explain the course which your working life has taken. Please mention the things which have influenced you; the main interests you have developed; the achievements you particularly remember. Draw out how your experiences and achievements relate to the particular competencies required by this job. Please use additional sheet(s) if necessary.
background.
A. White British English Scottish Welsh Other
(state)
Irish Any other White background (state)
B. Mixed White and Black Caribbean White and Black African White and Asian Any other Mixed background (state)
C. Asian
Asian British, Asian English, Asian Scottish, or Asian Welsh Indian Pakistani Bangladeshi Any other Asian background (state)
D. Black
Black British, Black English, Black Scottish, or Black Welsh Caribbean African Any other Black background (state)
Rehabilitation of Offenders Act You do not generally have to disclose details of spent convictions. If however the post you are applying for is exempt from the act by virtue of the (exemptions) order you must reveal details of all convictions spent or otherwise.
Have you been convicted of a criminal offence? If Yes, please give details of conviction and dates. You may continue on a separate sheet if necessary. E. Chinese Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group
Yes
No
I confirm that, to the best of my knowledge, the information contained on this form is accurate.
Chinese Any other background (state)
Signature
Date
Please complete this form in black ink or type. If any spaces are not big enough please use a separate sheet of paper. Please return this form to the address on the left.
IN CONFIDENCE
Application No. (for office use)
POSITION APPLIED FOR 1 - YOUR DETAILS Title
Surname
Preferred name
Forename Current Address
Email Address Postcode
N.I. No. Work Tel.
Home Tel.
2 - CURRENT (OR MOST RECENT) JOB SUMMARY Employer (name and address)
Type of Business Job Title (and grade if applicable) Reporting to (Job Title) Date of appointment
Current Base Salary
Other benefits Period of notice
Dates unavailable for interview
3.1 - EDUCATIONAL QUALIFICATIONS What Educational qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications.
From
To
Name of School/College/University
Major subjects studied, exams taken and results
3.2 - PROFESSIONAL QUALIFICATIONS What Professional qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications. Awarding body, qualification. level Major subjects studied, exams taken and results From To
4 - RELATIONSHIP TO STAFF OR SLH BOARD MEMBER If you are a member of the SLH board or a relative of an employee or board member please give details.
5 - TRAINING Please give details of any training courses you have attended in the last two years relevant to this application. Date Details of training attended
6 - PREVIOUS EMPLOYMENT Please give details of your employment history up to your present job.
Dates
Name, location & business of employer
Job title
Final Salary Reason for leaving
7 - CURRENT EMPLOYMENT DETAILS Please describe your present or most recent appointment, indicating to whom you are responsible to, and who is responsible to you. What do you consider to have been your major contribution in this post, and why? What are your main responsibilities and objectives? Attach copies of job description and organisation chart(s) if helpful.
EQUAL OPPORTUNITIES
SLH Group is committed to equal opportunities. In order to monitor the effectiveness of our policy and for no other reason, this information will be separated from your application and will be treated in the strictest of confidence. Please complete both sides of this strip.
1. GENDER Male Female
2. MARITAL STATUS Married
8 - CHANGE What attracts you to this new job in particular?
Single Other (state)
3. AGE 16 - 24 25 - 50 50 plus 4. DISABILITY Do you consider yourself disabled?
Yes No If yes, are you registered disabled?
9 - REFEREES Please give the names and addresses of two people who are in a position to comment on your experience, strengths and skills, but who are not related to you: one should be your current employer. If you do not want us to approach them without contacting you first, please put a cross in this box.
Name
Job
No
Tel Where did you see this job advertised?
Address Name
Yes
Job
Tel OFFICE USE
Address
EQUAL OPPORTUNITIES 5. ETHNIC GROUP Choose ONE Section from A toE, then tick the appropriate box to indicate your cultural
10 - ACHIEVEMENTS Please write a short autobiography here which will help explain the course which your working life has taken. Please mention the things which have influenced you; the main interests you have developed; the achievements you particularly remember. Draw out how your experiences and achievements relate to the particular competencies required by this job. Please use additional sheet(s) if necessary.
background.
A. White British English Scottish Welsh Other
(state)
Irish Any other White background (state)
B. Mixed White and Black Caribbean White and Black African White and Asian Any other Mixed background (state)
C. Asian
Asian British, Asian English, Asian Scottish, or Asian Welsh Indian Pakistani Bangladeshi Any other Asian background (state)
D. Black
Black British, Black English, Black Scottish, or Black Welsh Caribbean African Any other Black background (state)
Rehabilitation of Offenders Act You do not generally have to disclose details of spent convictions. If however the post you are applying for is exempt from the act by virtue of the (exemptions) order you must reveal details of all convictions spent or otherwise.
Have you been convicted of a criminal offence? If Yes, please give details of conviction and dates. You may continue on a separate sheet if necessary. E. Chinese Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group
Yes
No
I confirm that, to the best of my knowledge, the information contained on this form is accurate.
Chinese Any other background (state)
Signature
Date
