<p> For Internal Use Only Date received Ref No Y / N Letter SL I Bawso | Clarence House | Clarence Road | Cardiff Bay SP Entered Yes No Date: | CF10 5FB Direct Dail:029 22403347| Tel:02920644633| Fax: 02920 644588 Email: [email protected] Web: www.bawso.org.uk</p><p>APPLICATION FORM</p><p>You should attempt to answer all relevant questions as fully as possible. It is strongly recommended that you read the guidelines before you commence.</p><p>Post: Closing Date: </p><p>1. Personal Details Name: </p><p>Address:</p><p>Daytime telephone no: Evening telephone no: E mail address: Languages spoken:</p><p>2. References Please supply details of two referees. These should not include relatives or individuals who are solely friends. If you are in current employment, one reference must be from your current employer. References will not be taken up before interview.</p><p>Referee 1 Referee 2 Name: Address:</p><p>Daytime telephone no:</p><p>Email address:</p><p>In what capacity do you know this person?</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 1 of 6 3. Training & Further Education (formal and informal)</p><p>Please tell us about any training you have done or qualifications you have, working backwards beginning with the most recent, which you consider relevant to the post for which you are applying. We are also interested in relevant qualifications, work and life experience, which are all equally important. Where Start and finish Qualifications gained dates</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 2 of 6 4. Current/Previous Experience (paid and voluntary)</p><p>Name of organisation Start and finish Brief description of duties and position held & dates Current Salary</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 3 of 6 6. Membership of any professional or voluntary organisation relevant to this post:</p><p>7. Do you have a full driving license? YES/ NO</p><p>8. Do you have any convictions that are under the Rehabilitation of Offenders Act? YES/NO</p><p>If YES, please give details (NB Police checks may be requested for successful applicants)</p><p>9. Are you related to any member of the Board of Directors or member of management? YES/ NO</p><p>If YES, please specify whom and your relationship to them______</p><p>10. Are you happy for us to keep your personal information for any future opportunities at Bawso? YES/ NO</p><p>11. Do you have the right to work in the UK? YES/ NO</p><p>If NO please give further details:</p><p>______</p><p>______</p><p>______</p><p>______</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 4 of 6 13. Skills and General Information Please use this section to explain how your skills, knowledge and experience are relevant to this post and the work involved. Make sure you have read the Job Description and Person Specification carefully first. Remember to include any relevant voluntary work, involvement with women’s groups, community or voluntary organizations, and life experience as well as your present or previous employment. You may attach additional sheets if necessary.</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 5 of 6 Declaration I declare that the information supplied on this form is correct Signed: Dated:</p><p> mollyonserver\recruitment\applicationpacks\applicationform2011 Page 6 of 6</p>