CSS Application Form Pt 2 rev2012 by S0U2D663

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									                      APPLICATION FOR EMPLOYMENT (PART 2)

IN CONFIDENCE

APPLICATION FOR THE POST OF:


WHERE DID YOU SEE THIS POST ADVERTISED?


1.   PLEASE GIVE DETAILS OF YOUR CURRENT OR MOST RECENT EMPLOYMENT:


 JOB TITLE          EMPLOYER          DATE      DATE     BRIEF DESCRIPTION OF         REASON FOR
                                      FROM       TO              ROLE                   LEAVING




Notice Required:                                         Current / last salary:



2.    PLEASE GIVE DETAILS OF YOUR EMPLOYMENT HISTORY
     (If you have worked in a non-paid capacity and would like to give us details, please do so)


 JOB TITLE          EMPLOYER            DATES            BRIEF DESCRIPTION OF         REASON FOR
                                     FROM   TO                   ROLE                   LEAVING




                                         Please continue on a separate sheet if necessary:
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3. PLEASE GIVE DETAILS OF YOUR EDUCATION AND QUALIFICATIONS GAINED:


SECONDARY SCHOOL/COLLEGE/          DATES            QUALIFICATIONS GAINED
       UNIVERSITY              FROM     TO




4. PLEASE GIVE DETAILS OF ANY TRAINING COURSES RELEVANT TO THIS POSITION THAT
   YOU HAVE ATTENDED IN THE LAST 3 YEARS:

        NAME OF              TRAINING/COURSE DETAILS            DATES
 ESTABLISHMENT/TRAINING
         CENTRE                                         FROM          TO




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5. PLEASE GIVE DETAILS OF YOUR PERSONAL INTERESTS/HOBBIES/LEISURE PURSUITS:




6. REFEREES – PLEASE GIVE THE NAMES & ADDRESSES OF TWO REFEREES:
   One must be your present or most recent employer. The second should be someone, not a
   friend or relative, who can give an opinion on your suitability for this post.

CURRENT OR LAST EMPLOYER:
TITLE

FIRST NAME

SURNAME

ADDRESS

POST CODE

TELEPHONE NUMBER

FAX NUMBER

EMAIL ADDRESS

SECOND REFEREE:
TITLE

FIRST NAME

SURNAME

ADDRESS

POST CODE

TELEPHONE NUMBER

FAX NUMBER

EMAIL ADDRESS



We will write for references if you are offered an interview.
If you do not wish your current employer to be approached at this stage please tick here:   


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7. PLEASE TELL US HOW YOUR OWN SKILLS, QUALIFICATIONS AND EXPERIENCE MEET
   THE PERSON SPECIFICATION AND WHY YOU ARE INTERESTED IN THIS POSITION:




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8. Do you possess a full current driving licence?                  YES           NO     
9. Are you licenced /able to drive a minibus?                      YES            NO    
10. Do you own a car that you could use and insure for work?       YES           NO     

11. Do you speak or read a foreign language?                        YES          NO     
    If yes, please give details:




12. Do you require a Work Permit to work in the United Kingdom?    YES            NO   
13. The successful candidate will be required to have a CRB check; please indicate if you would
   object to this:                                                 YES            NO   

Please either e-mail the completed form to:
recruit@carerssupportservice.co.uk
Or post to:
Carers Support Service
4 Holly Court
Holly Farm Business Park
Honiley
Kenilworth
CV8 1NP

For office use only: Application No:




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