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Application
For
Employment
With
SELFA
Step
1
of
5
20%
Application for employment
(for posts involving working with children and young people)
Name
(Required)
First
Last
Address
(Required)
Street Address
City
Postcode
Email
(Required)
Phone
Mobile
(Required)
Are you 18 years of age or older?
Yes
No
Are you either a UK citizen or authorized to work in the UK?
Yes
No
Are you a car driver with access to a vehicle for work?
Yes
No
Do you have an Enhanced DBS issued within the last 3 years?
Yes
No
Position applying for
Education
Please provide details of relevant education and training
(Required)
Course/qualification
School/college or provider
Grade
Date completed
Add
Remove
Work Experience
Please provide details of previous employment, starting with the most recent.
Employer Name
Address
Street Address
City
Postcode
Start date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Postion held
Reason for leaving
Description of duties
Employer Name
Address
Street Address
City
Postcode
Start date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Postion held
Reason for leaving
Description of duties
Employer Name
Address
Street Address
City
Postcode
Start date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Postion held
Reason for leaving
Description of duties
Please explain any gaps in employment
Skills and experience
Having read the job description and person specification please outline how you meet the person specification.
(Required)
References & authorisation
Please provide details for two referees. One should be your current or most recent employer. The second should be someone who knows you in a working/volunteering/educational capacity.
Reference 1
Name
(Required)
First
Last
Position or title
(Required)
Relationship
(Required)
Email
(Required)
Can we contact prior to interview?
Yes
No
Reference 2
Name
(Required)
First
Last
Position or title
(Required)
Relationship
(Required)
Email
(Required)
Can we contact prior to interview?
Yes
No
If one of your references is not for your present or most recent employer, please tell us why.
Authorisation and acknowledgements
(Required)
I agree to the terms and conditions of this statement .
I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.
I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.
I consent to the processing of any information provided in line with SELFA’s Privacy Notice (https://shorturl.at/jDLQ5)
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