Devon Norse | Application Form

Application Form

Post:
Place of work:

Name:


Personal Details:


Address:
Postcode:
National Insurance No:
Home Tel:
Mob Tel:
Email:
Work Email:

Person to contact in emergency:


Name of next of Kin:
Home Tel:
Relationship:
Mob Tel:

Current / Last Employment:


Job Title:
Dates: from/to
Reason for leaving:
Salary:
Notice required:

Previous Employment:


(Must cover a 10 year employment history including periods away from work)


Previous Employment 1

Name and Address of employer
Job Title:
Salary:
Dates: from/to
Reason for leaving:
Add another

Educational Qualifications:


Educational Qualification 1

Secondary School / College / University:
Qualification and date obtained:
Add another

Professional / Vocational Qualifications/Membership of Training Bodies:


Training Body 1

Qualification:
Date:
Membership of Professional Bodies:
Add another

Other relevant training course completed:


Course 1

Organising body and title:
Date:
Brief description of course content and dates attended:
Add another

Referees:


Please provide the names and addresses of two referees. One referee should be your current or most recent employer or if you are a school or college leaver, a form teacher or tutor. Please note: References will be taken up for shortlisted candidates unless otherwise indicated. Do not incude friends or relatives. If self employed please provide one trade and one accountants reference. We may seek alternative references than those provided.



First referee


Name and Address:
Tel:
Email:
Can we contact prior to interview:

Yes No:

Relationship:


Second referee


Name and Address:
Tel:
Email:
Can we contact prior to interview:

Yes No:

Relationship:

Additional Information:


Do you hold a valid Driving Licence for the U.K.?

Yes No:

Type:

Provisional
Full
Other:

Have you had any endorsements on your licence in the last 11 years?

Yes No

If yes please specify:

Do you have the right to work in the U.K.?

Yes No

Supporting your Application:


Your application form plays an essential part in choosing the right person for a job. Please use the space below for any information that you feel will support your application.

Statement:


The majority of our positions are exempt from the provisions of the Rehabilitation of Offenders Act 1974 that allow convictions to be regarded as ‘spent’. For these positions we will need to carry out police checks. Consequently, all applicants must state whether they have any convictions, cautions or bind-overs. Any information given will be treated in complete confidence. Any failure to declare any convictions, cautions or bind-overs which subsequently come to light will lead to the withdrawal of any offer of employment, or to disciplinary action which may lead to dismissal. I have read the statement about the Norse policy on convictions etc, and


  • I have nothing to declare
  • I have information to declare (if ticked, please write below)

Please tick whichever statement applies
If your application is unsuccessful, we will keep your details on file for six months.

Declaration:


I confirm that the information given in respect of this application is correct to the best of my knowledge and belief. I understand that false or misleading statements or omissions could place any subsequent employment in jeopardy.