application form - Freshwater UK

Freshwater 2015/2016

   

APPLICATION FORM We welcome a broad diversity of talent to apply for our vacancies within Freshwater. If you need this information in Braille, large print or would prefer it in Welsh please contact our HR Department on 02920 545383.

Thank you for thinking about a career within Freshwater. We’re proud to offer a diverse range of roles and careers that encourage individuals from a variety of backgrounds to fulfil their potential and achieve their aspirations. By working with us, you can look forward to developing in your profession, and gain the experience of new challenges. As a fast paced, dynamic organisation, we have clear ethical values and we trade fairly. We act with honesty and we are passionate about equality and diversity. We look forward to receiving your application. For more information on careers with us, keep up to date by visiting our website: www.freshwater-uk.com APPLICATION GUIDELINES Freshwater will ensure that all applicants are treated equally throughout the whole selection process.

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Please complete the application form on-line (where possible) and when completed, email it to the Head of Human Resources ([email protected]).

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If completing the application form by hand then please use black pen – to facilitate photocopying.

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Please complete all sections of the form including the confidential information part and equal opportunity monitoring form.

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References will normally be taken up after the successful candidate has been made an offer of employment.

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Interviews will be held approximately two weeks after the closing date. We do not reimburse any expenses incurred by attending an interview.

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Please email completed application forms to: Sarah Whittle, Head of HR [email protected] Or send via post to: Sarah Whittle, Head of HR, Freshwater, Raglan House, Cardiff Gate Business Park, Cardiff. CF23 6JJ Tel: 02920 545383

Freshwater Application Form 2015/2016

Freshwater 2015/2016

   

APPLICATION FOR EMPLOYMENT

Please circle: Mr

Mrs

Miss

Ms

Dr

Other

Position Applied for

Full name

Home telephone number

Work telephone number

Where did you see this post advertised? (if an advertisement, please state which newspaper/on line medium) E mail address

CURRENT OR MOST RECENT WORK EXPERIENCE Name and address of employer

Position held

From (D/M/Y)

Notice required

Current Salary

Please summarise your current duties and responsibilities

Freshwater Application Form 2015/2016

To (D/M/Y)

Freshwater 2015/2016

    PREVIOUS WORK EXPERIENCE

(Continue on separate sheet if necessary)

Dates of employment Organisation From D/M/Y

To D/M/Y

Freshwater Application Form 2015/2016

Job title

Reason for leaving

Freshwater 2015/2016

    EDUCATION AND QUALIFICATIONS (Continue on separate sheet if necessary) Academic qualification(s)

Subject(s)

Level/grade

Institution

Date studied

Professional qualification(s)

Subject(s)

Level/grade

Institution

Date studied

Freshwater Application Form 2015/2016

Freshwater 2015/2016

    SPECIALIST SKILLS AND EXPERIENCE Please indicate sectors in which you have experience and where you have specialist skills.

MEMBERSHIP OF PROFESSIONAL BODIES Professional body

Freshwater Application Form 2015/2016

Grade obtained (if applicable)

Freshwater 2015/2016

    FURTHER INFORMATION TO SUPPORT YOUR APPLICATION Please specify how you have kept your knowledge and skills up to date. Also please provide examples of your achievements, any professional activity and training (subject and level).

CONFIDENTIAL INFORMATION Position Applied for

Location

Are you willing to work/travel to one of our other offices?

Y/N

PERSONAL INFORMATION Surname

Preferred Name

Title

Address

Post code

Email Address

Tel No (day) May we contact you at work?

Freshwater Application Form 2015/2016

Tel No (evening)

Freshwater 2015/2016

    YES / NO Do you hold a current Driving Licence? Are you a car owner?

YES / NO

YES / NO

Do you have any specific requirements in relation to attending and/or participating in an interview or assessment centre? NO / YES (please specify)

REFERENCES (one of whom, must be your current employer or most recent if unemployed) Name

Name

Position

Position

Working relationship and date(s)

Working relationship and date(s)

Address

Address

Post code

Post code

Tel no (day)

Tel no (day)

May we contact this referee prior to interview?

May we contact this referee prior to interview?

YES / NO

YES / NO

Freshwater Application Form 2015/2016

Freshwater 2015/2016

    EQUAL OPPORTUNITIES FORM Freshwater operates a policy of equal opportunity and strives to not discriminate against any person because of sex, race, colour, religion, belief or national origin. This information will only be used for this purpose and kept confidential. Birth and Nationality To ensure statutory requirements relating to young workers are met, please circle the applicable: Are you under 18?

YES / NO

Date of Birth National Insurance No. Nationality at birth

…………………………………………………….....

What is your present nationality?

…………………………………………………….....

Have you ever been a citizen of any country other than the UK?

YES / NO

If ‘Yes’, please give details ……………………………………………………..... Are you a legal resident in the UK?

YES / NO

Are you under immigration control?

YES / NO

If ‘Yes’, please give details ……………………………………………………..... Are there any restrictions on you continuing to live in the UK?

YES / NO

If ‘Yes’, please give details …………………………………………………….....

Gender

Marital Status

Welsh Language

Male

Married

Are you Welsh speaking?

Female

Single (never married)

Yes

Separated

Please circle the applicable:

Gender Identity

Divorced

Do you identify as transgender? Yes

No

Prefer not to say

Freshwater Application Form 2015/2016

Widowed Prefer not to say

No

Spoken:

Written:

Basic

Basic

Intermediate

Intermediate

Fluent

Fluent

Freshwater 2015/2016

    What is your sexual orientation? Bisexual

Gay Man

Gay woman/lesbian

Heterosexual/straight

Other

Prefer not to say

Which of the following regions, religious denomination or bodies do you currently belong to? If you do not belong to any of these please tick ‘none’. None

Jewish

Buddhist

Hindu

Christian

Sikh

Hindu

Prefer not to say

Other (please specify) …………………………………..

Disability

How would you describe your ethnicity?

None

White British

Specific learning difficulty

White Irish

Blind or partially sighted

White Scottish

Deaf or hard of hearing

White Welsh

Wheelchair or mobility difficulties

Other White Background

Autistic spectrum disorder / Asperger syndrome

Black or Black British – Caribbean

Mental health difficulties

Black of Black British – African

HIV / AIDS

Other Black Background

Unseen disability (diabetes, epilepsy, heart condition, cancer, MS)

Asian or Asian British – Indian

Two or more of the above Disability, special need or medical condition not listed above Prefer not to say

Asian or Asian British – Pakistani Asian or Asian British – Bangladeshi Chinese Other Asian Background Mixed – White & Black Caribbean Mixed – White & Black African Mixed – White & Asian Other Mixed Background Other Ethnic Background Not Known Prefer not to say

Freshwater Application Form 2015/2016

Freshwater 2015/2016

    Have you ever been convicted of an offence?

YES / NO

If yes, please give details:

You are not required to give information on ‘spent’ convictions under the Rehabilitation of Offenders Act 1974.

I declare that the information I have given is to the best of my knowledge true and complete. I agree that the information given may be used for registered purposes under the Data Protection Act 1998.

Name:

Signature:

Freshwater Application Form 2015/2016

Date: