Application Form May 2021

Application Form
This application form contains 8 sections. Please ensure that all sections are completed.
If you are completing the form electronically, the boxes will automatically expand. If you are completing it by
hand, you may continue any answer on additional sheets, but please mark each sheet with your name and the
section of the form it relates to.
Please also download and complete an equal opportunities monitoring form. The information you provide on the
equal opportunities monitoring form will not be made available to the selection/interview panel.
MAKING AN APPLICATION
Please send the completed application form and equal opportunities monitoring form with your current CV to
Alistair Owen, HR Manager, at [email protected].
All applications will be acknowledged. Late applications will not be considered.
Section 1: Personal Details

TITLE OF THE POSITION YOU ARE APPLYING FOR:
Title (Mr / Mrs / Miss / Ms / Other – please specify)

Full name
Home address
Contact telephone number

Contact email address
Do you hold a current driving licence?
Are there any restrictions on you taking up
employment in the UK?
(If YES, please provide details)
Do you require any reasonable adjustments if you
are invited to interview for this post, for example
access to interview rooms, alternative equipment,
hearing loop etc? (If YES, please provide details)
Section 2: Personal Statement
This section asks you to give the reasons for your application, your main achievements to date and the strengths
you would bring to the post. Please respond to each of the criteria outlined in the Person Specification section of
the Job Description to demonstrate your suitability and help the panel assess your application.
Section 3: Employment History
This section is for you to detail your career history (in date order, current or most recent role first). Please
complete this section in full, as well as attaching your current CV. The boxes will automatically expand, however
you may continue on additional sheets if required.
Name and address of Job title / Position held Dates from and to Reason for leaving
employer
Please specify the notice period in your current

position
Please state your current salary
Please list all absences from work in the last 12
months and the reasons for these absences
Section 4: Education History

Name of educational institutions attended Qualifications gained Dates from and to
(schools, colleges, universities and other training)
Section 5: Other Interests / Activities

Please note here any other interests or activities you
take part in on a voluntary or recreational basis
Section 6: References
Please provide names and contact details of two referees, at least one of whom should be your current or most
recent employer. Any offer of employment made will be subject to the receipt of satisfactory written references.
Referees will not normally be contacted prior to interview and your permission with be sought before doing so.
Name of referee Position / Capacity in Telephone number Email address

which they know you
Section 7: Criminal Record

Please declare any criminal convictions, except those ‘spent’ under the Rehabilitation of Offenders Act 1974.
Declaration of a criminal record will not necessarily prevent an individual from working at Mountview. In certain
circumstances, employment is dependent on obtaining a satisfactory Disclosure and Barring Service (DBS) check.
Do you have any criminal convictions? YES NO
If YES, please provide details below:
Section 8: Declaration
Please read the following carefully before signing this application. If you are submitting your application by email,
insert your full name in the box to acknowledge that you have read and understood the declaration of personal
consent. You may be asked to provide a written signature later in the process.
I declare that the information given on this form is true and complete to the best of my knowledge and
belief, and I understand that any false information or deliberate omission will give Mountview the right to
terminate any contract offered. Submission of this form indicates your explicit consent that your data may be
processed in accordance with the provisions of the Data Protection Act and General Data Protection
Regulation (GDPR) 2018.
Signed:
Date:
Please note that the successful candidate will be required to complete a health questionnaire. Mountview also
reserves the right to ask the successful candidate to undergo a medical examination. Should we require further
information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to
inform you of our intention and to obtain permission prior to contacting your doctor.

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Application Form

All applications will be acknowledged. Late applications will not be considered.

Section 1: Personal Details

Title (Mr / Mrs / Miss / Ms / Other – please specify)

Contact telephone number

Please specify the notice period in your current

Section 4: Education History

Section 5: Other Interests / Activities

Name of referee Position / Capacity in Telephone number Email address

Section 7: Criminal Record

Do you have any criminal convictions? YES NO

If YES, please provide details below:

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