Other Support Applicationform
Other Support Applicationform
This information has been complied to assist you in the completion of the application form.
Please remember the application form is an essential part of our selection process, and the
information you give will assist us in selecting a shortlist of candidates for interview, it is
therefore important that you complete the application in full. You are asked to provide any
additional information in support of your application in a covering letter.
Read through the information you have been sent, and particularly study the advertisement,
job description and person specification (where applicable)
Complete as fully as possible all of the sections, if any information requested is not
applicable to you then please state this in the relevant section. If you have more to write
than the space provided on the application form, use additional sheets of paper ensuring that
you mark clearly your name and the job applied for on each sheet.
Curriculum Vitae (CV) Please do not enclose a CV. You are asked to complete the
application form in full. If a CV is required this will be specifically requested. If you wish to
provide any additional information in support of your application please do so in the covering
letter.
Impairment:
This covers physical and mental impairment including learning disabilities and hearing and sight
impairments.
Long-term effect:
This is one, which has lasted or is likely to last for at least 12 months, or for the rest of a
persons life. The loss of mobility due to a broken leg, which a person is likely to recover from in
less than 12 months, or a long-term illness from which a person is likely to recover from within
12 months are not included.
Access Requirements: If as a result of a disability you have requirements relating to the physical
accessibility of the workplace, access to information in different formats or you require support
in the way of aids/adaptations to equipment, it is important that you specify these on the
application form.
PERSONAL DETAILS
Full Name EVA Preferred Title Miss
Previous Surname/s VILLEGAS QUEVEDO
Home Address 10 HATHWAY WALK
Postcode BS50UY
Home Telephone
No.
Mobile Telephone 07857443635
No.
Email Address [email protected]
Date of Birth, if under 21 or over 65 ________/______/__________
1. SECONDARY/FURTHER EDUCATION
Level of
School, College Dates
Examinati Subjects and Grades
etc From/to
on
2005-2007 LATIN, GREEK, ART HISTORY,
I.E.S EL CONTEMPORARY HISTORY,
PHILOSOPHY, PSYCHOLOGY,
ESPENILLO, LANGUAGE AND LITERATURE,
MADRID COMMUNICATION AND
INFORMATION
3. HIGHER EDUCATION
University/Polytechnic/College Dates Qualifications
UNIVERSITY CARLOS III OF MADRID SEPTEMBRE 6.9
COLLEGE OF COMUNICATION AND 2007-JULY 2012
INFORMATION. BIBLIOTECONOMY AND
DOCUMENTATION
4. DETAILS OF PREVIOUS EMPLOYMENT (start with current of last
position held)
Name, Address and Dates Salary Job Title and Main Duties
Email Address of From/to
Employer
(please see the guidelines for completing the application for employment form)
Please indicate if you need any particular aids or modifications to assist you in
attending for interview or carrying out the duties of this post.
9. CONVICTIONS
Please give details of any conviction, including the date of conviction and the
sentence imposed.
PRESENT EMPLOYER:
Capacity in
Name & Address & Email which you are
Telephone No.
Position/Profession Address known to this
person
SECOND REFEREE:
Capacity in
Name & Address & Email which you are
Telephone No.
Position/Profession Address known to this
person
THIRD REFEREE:
Capacity in
Name & Address & Email which you are
Telephone No.
Position/Profession Address known to this
person
Are you related to or closely acquainted with any elected Council Member or
senior employee of the Council? NO
The Working Time Regulations place a maximum limit on weekly hours worked.
Will you continue in any other employment, should you be offered this
appointment? YES / NO
Please note:
Deliberate omission or falsification of information could lead to the disqualification of your
application or later dismissal, if appointed.
Canvassing of Council Members or school staff/Governors, directly or indirectly, will disqualify
your application.
The appointment is subject to satisfactory evidence of your medical fitness, AND THE
RESULTS OF A Disclosure from the Disclosure and Barring Service Check, where applicable.
Following receipt of your application for this post consideration will be given to all applicants
and short-listed candidates will be contacted. If you do not hear anything within 6 weeks you
can assume that your application is not successful, but thank you for your interest.
Completion and submission of this form is taken as consent to process the information you
have provided.
Please sign and date below to confirm that the information given is
accurate.
Signature:
Date: