Application form

Post applied for:  TEAM LEADER

Please complete in black ink or type

 

 

 

 

 
 

 

 

 

Position: Team Leader

Area:           

Closing Date: 23.03.09

Interview Date: 7th, 8th, 9th April 09, or date organised directly with you.

 

 

 

 

 

Personal details – Part A

 

 

Preferred title:                                 First name: 

 

Surname/family name:     

 

Address: 

 

 

Post code:

 

E mail address:

 

Tel. (home):                                     Tel. (work  or mobile): 

 

Date of Birth:

 

 

References

 

Please give names, addresses and telephone numbers of two people who can provide references for you. They must be your last two employers.  If you aren’t currently in employment please see the enclosed guidelines on completing this form. Crossroads reserves the right to contact other previous employers.   We do not approach referees until after interview.

 

 

Present or previous employer

 

Name:

 

Job title: 

 

Organisation: 

 

Address:

 

 

Telephone:

 

E mail address:

 

 

How is this referee known to you?

 

Do you wish to be contacted before we approach this referee?

Yes/No 

 

 

 

Name:

 

Job title: 

 

Organisation: 

 

Address:

 

 

Telephone:

 

E mail address:

 

 

How is this referee known to you?

 

Do you wish to be contacted before we approach this referee?

Yes/No 

Sickness absence

 

How many days sickness absence have you had over the last two years?

 

 

Crossroads employment requires in majority of circumstances that you are able to drive and have access to a vehicle. 

 

Do you hold a current UK driving licence?   Yes/No

Do you have your own transport?                    Yes/No

 

 

Rehabilitation of Offenders Act 1974 and Exception Order 1975

 

Because of the nature of the work for which you are applying, you must provide information about any criminal record.  This includes convictions, cautions, reprimands and final warnings.   Our power to require this lies in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, which removes the normal operation of the Act in relation to specific occupations, including the provision of Home Care Services.  In the event of being employed in connection with this application, any failure to disclose such convictions could result in dismissal or disciplinary action.

 

If you have no convictions please write NONE ………………………

 

If you do have any previous or outstanding convictions, cautions, reprimands or final warnings, you will only be asked to supply details of the type of offence, date, sentence, fine etc if you are invited for interview.   Please see guidelines on completing the application form for further details. 

 

 

 

Declaration

 

I declare that all the information I have given on this application form is true and accurate, to the best of my knowledge.  Please note that if you give untrue or inaccurate information any employment contract may be invalidated and the employee subject to disciplinary action or dismissal.

 

Signed:                                                                     Date:  

 

 

If you downloaded your application from the internet please print it off and sign. 

 

Section A will be detached from your application.  All short listing will be carried out on a completely fair basis with Equal Opportunities Legislation and Policy

Application form

 

Post applied for: 

 

Please complete in black ink or type

 

 

 

 

 
 
 


 

 

 

 

Education & work history – Part B

 

Education and qualifications

 

Please tell us about the school/college/university you attended, starting with the most recent. 

 

Name of school/

College/university

Dates you started and finished

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualification and grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Voluntary work

Please give details of any voluntary work or community activity. 

 

 

 

 

Training

Please tell us about any training courses you have been on that you think are relevant to this application.

 

Course title and content

 

 

 

 

 

 

 

 

Organisation that ran training

 

Date training attended

 

 

 

 

 

 

Present or most recent employment

 

Employer’s name and address:

 

Dates of employment including month and year:                

 

Post title: 

 

Please tell us about what you did in your job:

 

 

 

 

 

Reason for leaving:

 

Notice required:                                                     Salary:

 

 

Past employment

 

Employers name and address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates

from & to

month & year:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job title & brief description of duties:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving:

 

 

 

 

 

If you need more space please continue on a separate sheet of paper

 

Information in support of your application

 

Please use this space to tell us how your skills, experience and knowledge match those in the job description and person specification.  You will need to give examples from employment or voluntary work to show how you meet these criteria.  Invitation to interview for this post will depend on how well you meet the criteria. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you need more space please continue on a separate sheet of paper