APPLICATION FOR EMPLOYMENT

POST TITLE Ref No. CLOSING DATE

PERSONAL DETAILS

Title First Name(s) Surname M/F

Permanent Address Address for correspondence (if different)

Postcode Postcode

Daytime Telephone Number Evening Telephone Number

Mobile Telephone Number Are you holding a UK If NO, do you have a work passport or EU country visa? citizenship? YES / NO

YES / NO If YES, please state work permit number (you will be required to E-mail Address Do you have a clean driving produce this at an interview) licence?

YES / NO

PRESENT OR MOST RECENT EMPLOYMENT

Position held Salary

Name and address of present or most recent Starting date Leaving date / notice employer required Name

Name and telephone number of person who should Address be contacted for a reference

Postcode Tel No: May we take up your reference now? YES / NO

Reason for leaving

Brief description of duties

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PREVIOUS EMPLOYMENT Please list all the organisations for which you have worked, starting with the most recent, using a continuation sheet if necessary

Name of Employer Position held Dates Main reasons for leaving From To

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EDUCATION, TRAINING AND QUALIFICATIONS starting with the most recent

Name of university, college or school Dates Examinations taken, results and From To qualifications gained

SUPPORTING STATEMENT Please give details of how you consider your experience, knowledge, skills and personal qualities meet the requirements of the post as outlined in the job description and person specification, using a continuation sheet if necessary.

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ADDITIONAL INFORMATION

Have you previously applied for employment, or been employed with the UJIA or associated charities? YES /NO

If yes, please give details:

SPECIALIST SKILLS

Please give details of any specialist skills or interests

HEALTH

So far as you are aware, are you suffering from any disease or disability that might affect your ability to perform the job for which you are applying? YES / NO

If yes, please give details:

How many days have you been ill in the past two years? ______

REFERENCES

REFERENCES Please give details of two people preferably former employers (other than present employer or relations) that may be contacted for a reference

Name Name

Address/email address Address/email address

Postcode Tel No: Postcode Tel No:

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SECURITY REFERENCES For security purposes, we require personal references before visitors are allowed entry into the building. Please give names and contact details of anyone working at the UJIA who knows you, or a recognised person within the community, such as a rabbi or head teacher, or a former employer who knows you well and is able to confirm your identity. This person will only be contacted for verification if you are invited for an interview.

Name Name

Telephone number Telephone number

DECLARATION

I agree that employment with the United Jewish Israel Appeal is subject to satisfactory references and probationary period and that the information supplied by me on this form is correct and complete. I declare to the best of my knowledge, the information given is correct and I consent to it being held on file under the terms of the Data Protection Act 1998.

Signature______Date______

Please return the completed application form with a copy of your CV to:

Human Resources E-mail address: [email protected] UJIA 1 Torriano Mews Tel no: 020 7424 6400 Kentish Town London NW5 2RZ

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