<p> APPLICATION FOR EMPLOYMENT</p><p>Please complete all sections.</p><p>POSITION APPLIED FOR:</p><p>First name(s): Surname:</p><p>Present Address: Present Nationality :</p><p>Do you have Security Clearance? Contact telephone number:</p><p>If yes, who holds the clearance? Email Address:</p><p>When is the clearance due to expire? Do you hold a current, clean, UK driving license?</p><p>If not please provide details:</p><p>If you have a disability, please tell us about any If you do not hold Security Clearance, have you adjustments we may need to make to assist resided continuously in the U.K. for the last 5 you at interview: years?</p><p>Have you ever been convicted of a criminal What salary do you require? conviction? EMPLOYMENT HISTORY</p><p>Please start with your most recent position. If you are currently in employment, please be sure to include your present salary. </p><p>Current/ Most recent role: Salary:</p><p>Date joined (MM/YY): Other Benefits: Date left (MM/YY):</p><p>Reason for leaving:</p><p>Name and Address of employer: Reference contact details (Please note we will not apply for reference until an offer of employment is made and accepted):</p><p>Name:</p><p>Position:</p><p>Telephone:</p><p>Email:</p><p>EMPLOYMENT HISTORY CONTINUED</p><p>Previous Role: Salary:</p><p>Date joined (MM/YY): Other Benefits: </p><p>Date left (MM/YY):</p><p>Reason for leaving:</p><p>Name and Address of employer: Reference contact details (Please note we will not apply for reference until an offer of employment is made and accepted):</p><p>Name:</p><p>Position:</p><p>Telephone:</p><p>Email: EDUCATION</p><p>Please list briefly any Qualifications held. For Do you currently hold any Professional example, MSP, MoP. Memberships?</p><p>PERSONAL STATEMENT</p><p>Please provide any detail over and above that contained in your cv that may be relevant to the position applied for. E.g. Process / discipline knowledge. You may wish to use headings in order to set out the information clearly.</p><p>DECLARATION</p><p>I certify that all the information on this form is true and I understand that any misrepresentation may result in dismissal should I be appointed.</p><p>I accept that any offer of employment may be subject to satisfactory references applied by for the Company.</p><p>SIGNED: DATE:</p><p>Please return completed form to: Isobel Stepanek ([email protected])</p>