Position Applied For s3

Position applied for:

Return completed form with covering letter to:

1: Personal details

Title: Surname

First Names:

Address:

Postcode:

Home Telephone Number:

Mobile Telephone Number:

E-mail address:

National Insurance No:

2: Employment history (or attach full CV)

Present post: Date started:

Employer name and address: Salary and benefits:

Major duties and responsibilities:

1 Previous posts (please start with the most recent):

Job title Employer name and address: Dates Salary: Reason for (from-to): leaving

3: Education and training (or attach full CV)

Secondary education: Qualifications/grade:

Further/higher education: Qualifications (with date)/grade:

Are you undertaking any course of study at present? (if so, please give details)

Do you have membership of any professional bodies? (if so, please give details, including any offices held)

2 Please note that it is the Company's policy to verify the qualifications of all successful job applicants and you may be asked at a later stage in the recruitment process for your consent to checks being carried out.

4: Other information

What is the notice required in by your present employer?

Are you eligible to work in the UK Yes/No

If not, do you have the right to work in the UK and a Yes/No current work permit?

If so, please state the expiry date of your right to work in the UK and/or your work permit.

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

Where did you see the advertisement for the post?

5: References

Please give the names and addresses of at least two business referees, to include your current or most recent employer and your previous employer. If you have had more than 2 employers in the last 5 years, please provide the names and contact details of previous employment to cover the 5 year period. We will not approach them without permission from you.

1. Name: 2. Name:

Address (including post code) Address (including post code)

Telephone number: Telephone number:

May references be taken up before May references be taken up before interview? interview?

YES/NO YES/NO

6: Convictions

Have you ever been convicted of a criminal offence? If so please give details below of any unspent convictions. Spent convictions do not have to be declared as the job is not one covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

7: Supporting information

Please give any details you feel are relevant to support your application, including why you are interested in this post

8: Data Protection and Declaration

Data protection

Information from this application may be processed for purposes registered by the Company under the Data Protection Act 1998. Individuals have, on written request and on payment of a fee, the right of access to personal data held about them.

I hereby give my consent to Timberwolf processing the data supplied in this application form for the purpose of recruitment and selection.

4 Declaration

I confirm that the information provided within this application is truthful and accurate. I understand that any false or misleading statements could place any subsequent employment in jeopardy and result in my dismissal.

I understand that before taking up any employment offered by the Company, I will be required to provide documentary evidence of my right to work in the UK.

I understand that before taking up any employment offered by the Company, I will be required to complete a Medical Questionnaire with Wrightway Health (not withstanding my rights under the Equality Act 2010 with regard to disability).

I understand that any continuing employment with the Company may be dependent upon the receipt of satisfactory references where these are not obtained prior to my starting work with the Company

I declare that the information given in this application is to the best of my knowledge complete and correct.

Signed: Date: