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Application Form: 1. Personal Details

This document is an application form for a position at BeyondAutism. It requests personal details, employment history, qualifications, references, and a declaration. The form collects contact information, work eligibility, education and training history, skills and interests, and availability for the open role. Applicants must sign to confirm the accuracy of the information and consent to its processing and potential use in employment records.

Uploaded by

Gareth Cotter
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123 views6 pages

Application Form: 1. Personal Details

This document is an application form for a position at BeyondAutism. It requests personal details, employment history, qualifications, references, and a declaration. The form collects contact information, work eligibility, education and training history, skills and interests, and availability for the open role. Applicants must sign to confirm the accuracy of the information and consent to its processing and potential use in employment records.

Uploaded by

Gareth Cotter
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application Form

Please complete in black ink or type

Position Applied for: Availability for position:

Where did you see this post advertised?

1. PERSONAL DETAILS

Surname/Family name: Title: Mr/Mrs/Ms/Miss/Dr

First names: Daytime Tel. No:

Previous or Other Names: Mobile No:

Home Address: Address for correspondence:


(if different from home address)

Email address:
Are you a car owner? Yes/No
National Insurance No.:
Do you hold a clean driving licence?
Nationality: Yes/No

If you are a national of a country outside Europe, please complete this section:

Do you have a work permit for the UK? Yes/No


If Yes, when does it expire?

You must have the right to work in the UK.


We will ask to see your work permit/visa at interview.

Are you related to any other employee or Trustee of BeyondAutism? Yes/No


If Yes, please state name and indicate relationship:
2. PRESENT OR LAST EMPLOYER

Name: Address:

Job Title:

Brief Description of Duties:

Dates employed: From: To:

Present Grade/Salary Notice required:

Reason for leaving:

3. PREVIOUS EMPLOYMENT since leaving school, including any gaps in


employment, and voluntary work (most recent first)

From To
Name and Address of Main Duties and Reason for
(mm/ (mm Job Title
Employer Responsibilities leaving
yy) / yy)
Please continue on a separate sheet if necessary

4. EDUCATION, TRAINING AND QUALIFICATIONS


Proof of qualifications will be required

From To School/College/University
Qualifications gained Grade
(mm/yy) (mm/yy) attended since age 11
For Teachers: Please give Professional Registration Number:

Main subject: Subsidiary subjects:

4.1 OTHER RELEVANT TRAINING, QUALIFICATIONS AND SHORT COURSES

Qualification gained
From To
Course or subject and where taken (please include grade
(mm/yy) (mm/yy)
achieved if appropriate)

4.2 DETAILS OF PROFESSIONAL MEMBERSHIP

Date Body Membership Status


5. OUTSIDE INTERESTS, HOBBIES ETC.

6. HEALTH

Are there any aspects of your health which may affect your ability to do the job for
which you have applied? Yes/No
Please see the person specification for the post to see if there are any specific requirements

If you have answered Yes, please give further details:

7. SUPPORTING STATEMENT
Please give details of relevant experience, skills and any other information in support of your
application. Candidates will be shortlisted based on how closely they meet the essential
requirements in the person specification. Please use this section to give examples of how
you meet these requirements, stating why you are applying for this post.

Please continue on a separate sheet if necessary.


8. EQUALITIES ACT 2010

Do you have a disability which may require adjustments to the interview process? Yes/No

If Yes what adjustments will you need?

9. REFERENCES

Please nominate two referees, one of which must be your most recent employer.
References will be sought on all short listed candidates prior to interview.

Do you have any objection to references being taken at this stage?


Yes/No

Name: Name:

Address: Address:

Email address: Email address:

Telephone No: Telephone No:

Relationship: Relationship:

Please note that if you are shortlisted for interview, we are required to take up at least one
reference prior to interview.

10. DECLARATION

I declare that, to the best of my knowledge and belief, the information contained on this form
is accurate. I understand that should my application be successful and it is discovered
subsequently that information is false, this may lead to the termination of my contract.

The information on this form will be processed in accordance with the Data Protection Act
1998 and by signing this form you are consenting to this information, including sensitive data,
being processed. If you are subsequently employed by BeyondAutism, this information will
form the basis of your employment records, otherwise it will be destroyed approximately 6
months after the vacancy is filled.

Signed: Date:

Thank you for completing this application form. Please return to: HR Department,
BeyondAutism, 305 Garratt Lane, London, SW18 4EQ
Tel: 020 3031 9705 Email: [email protected]

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