Application for Employment
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People in Action
White Lion Chambers, 44 High Street,
Bedworth, CV12 8NF  Tel: 024 7664 3776


Post applied for
...................................................................

Relief............full/part time......... (please tick relevant box)

Prefered location, (tick all that apply)
Nuneaton.........Bedwoth..............Leamington Spa.........Warwick.......... Snitterfield............Gaydon.........Rugby...........Stratford...........
Kenilworth.........Atherstone.........Colehill.........Worcester........Coventry........
Alcester.......Redditch.......Evesham.......Kidderminster.......Malvern......
Droitwich.......Solihull........Leicestershire........South Staffs......



How many hours per week do you require?..................hrs

Do you have your own transport?           YES/NO
Do you have a current/full/clean driving license?  YES/NO
                                                                         

Date of Birth.........../............./.................

Surname.......................................................................
Forenames...................................................................
Preferred name............................................................
Address.........................................................................
........................................................................................
........................................................................................
...............................................Postcode........................
Tel: (home)...................................................................
Tel: (work)....................................................................
National Insurance No: .............................................

Present/most recent employment
Employer.......................................................................................Job title............................................................................

Date of appointment.......................................Period of notice required...................................................
.
Summary of present duties and responsibilities:
FULL EMPLOYMENT HISTORY - WITH AN EXPLANATION OF ANY GAPS IN EMPLOYMENT DATES
(Please continue on a seperate sheet if necessary)
(If you are applying for an internal vacancy, this section does not need to be completed)

Employers name and address

 

 

 

 

 

 

 

 

 

Jobs Page

position
dates employed

Reason for leaving