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Careers
 
 
 
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SENAD Group
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Application Form

Three parts must be completed in applying for this position:

  1. Application Form (This page - Download PDF)
  2. Equal Opportunities (Download PDF)
  3. Occupational Health (Download PDF)

Please take time to fill in the form, you may wish to prepare your answers first by downloading the PDF here. The 'Application' and 'Interests and Hobbies' sections below require more thought, it is recommended that you type and save them using word processing software before pasting them into the respective input section.

*= Required Fields

 
Job Reference 
*Please enter the Reference Number for the job you wish to apply for:

Personal Details 
*Title:
*Forenames:
*Surname:
*Date of Birth:
Previous/Other Names:
*Email Address:
*Current Address:
 
 
*Postcode:
*At current address since:
*Please enter at least one phone number
Home telephone number:
Mobile telephone number:
*National Insurance Number:
*Do you require a work permit?
Yes:
No:
*Are there any dates you would be unavailable for interview?
No:
Yes: (Please State)

Employment Details 
Current/Most Recent Employer
*Name:
*Address:
 
 
*Job Title:
*Salary:
*Date of Employment:
*Notice Period:
*Brief Description
of Duties:
Current/Most Recent employers will be contacted for a reference.
 
Please tick if you would like to be contacted before they are approached:

Training & Education Main Qualifications (related to this post): 
Education
School/College/University Qualifications Gained Grade
* * * *
Certificates will be requested at interview stage

Relevant training and non-qualification courses attended:
Course Duration
Certificates will be requested at interview stage

Please give Professional Registration Number:
Teachers give DfES No:
Main Subjects:
Subsidery Subjects:

Nurses give Pin Number:
Give Details of any Professional Membership (not listed above):
Date:
Body:
Status:
Have you recently completed a Criminal Records Disclosure?
No:
If yes, please give details:
Disclosure Number:
Date Recieved:

Employment History 
Please give details of all previous employment, starting with the most recent after that given in Employment History:

Dates from:
Dates to:
Employer Name:
Address:
 
 
Job Title:
Brief Description of Duties:
Reason for Leaving:

Dates from:
Dates to:
Employer Name:
Address:
 
 
Job Title:
Brief Description of Duties:
Reason for Leaving:

Dates from:
Dates to:
Employer Name:
Address:
 
 
Job Title:
Brief Description of Duties:
Reason for Leaving:

*Application 

Please give details of relevant experience, personal qualities and any other information in support of your application, you may find it useful to refer to the job description and/or person specification:


*Interests or Hobbies which may be relevant 


Drivers Details 
*Are you a car owner?
Yes:
No:
*Do you hold a current licence?
Yes:
No:
Please give details of any endorsements etc:

References 
Please nomiate 2 referees (other than your current/most recent employer) one of which should have known you for the last 5 years:

*Name:
*Title:
*Address:
 
 
Telephone Number:

*Name:
*Title:
*Address:
 
 
Telephone Number:

No appointment will be made without satisfactory references being received.
Please tick if you would like to be contacted before they are approached.

Declaration 
I declare that all the details given here are true and accurate. I accept that any omission or false statement may result in my dismissal.

I authorise the Company to approach any Government Agencies, Former Employers, Accountants or Personal Referees named to verify the information given and I authorise such agencies or individuals to provide the information requested.

I acknowledge that an employment offer made by the company is subject to the receipt of references and medical clearance satisfactory to the Company.
*Please tick to accept the above statements:

*Further Declaration 
Because of the nature of the work for which you are applying, this post is exempt from the provisions of section (42) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1975 (Exemptions) Order 1975.

Applicants are therfore not entitled to withhold information about convictions, including those for which other purposes are ‘spent’ under the provisions of the Act, and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Company.

Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies.
1. I have nothing to declare
2. I have something to declare, see details below

Successful applicants will be required to apply for a Disclosure from the Criminal Records Bureau. Further information can be obtained from www.disclosure.gov.uk

     
 
 
 

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