<p> CONFIDENTIAL Application form for an advertised post as Chef at Holmwood House School</p><p>1. PERSONAL DETAILS</p><p>Surname: Forenames:</p><p>Title: Date of birth:</p><p>Address (home): Address (work): (if not at this address for 5 years, please also provide previous addresses on a continuation sheet)</p><p>Home Telephone: Daytime telephone:</p><p>Email address: Mobile No:</p><p>National Insurance Number:</p><p>2 PRESENT POST</p><p>Present Post (Title): Date Appointed:</p><p>Name of Company & Address:</p><p>Details of job:</p><p>Length of notice required: Current Salary:</p><p>3 PROFESSIONAL REFERENCES (one should be your present or most recent employer; relatives or friends should not be used as referees)</p><p>Name: Name:</p><p>Address: Address:</p><p>Post Code: Post Code:</p><p>Telephone number Telephone number</p><p>Email: Email:</p><p>Status: Status: </p><p>1 4 EDUCATION</p><p>Secondary Education Dates Name of School / Colleges attended: From To</p><p>Qualifications 16+ : Grade Date</p><p>Higher Education (if applicable) Date From To Subject(s): Institution: Degree: Class:</p><p>5 PREVIOUS POSTS HELD Previous employers may be approached by the school</p><p>Name and Address of Employer/ Dates Reason for Establishment Title of Post From To leaving</p><p>*Please use a continuation sheet if necessary</p><p>2 6 RELEVANT TRAINING Courses attended within the last three years:</p><p>Title Organising Body Date Length</p><p>7 RESPONSIBILITIES AND ACHIEVEMENTS</p><p>8 INTERESTS AND OTHER COMMENTS RELEVANT TO APPLICATION</p><p>9. REHABILITATION OF OFFENDERS ACT 1974</p><p>The post applied for is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’, must be declared. Accordingly, the following declarations are required:</p><p> I am/am not* included on the DBS Barred List;  I am/am not* disqualified from work with children, or subject to sanctions imposed by a regulatory body,  I have/have not* one or more convictions, cautions, or bind-overs. (If any convictions, cautions or bind- overs are held, details must be provided in a sealed envelope marked ‘Confidential’ and attached to this application)</p><p>I understand that if successful in this application, I will be required to obtain a Disclosure at the Enhanced level from the Disclosure and Barring Service.</p><p>How did you find out about the vacancy?</p><p>Signature: ______Date: </p><p>Please return the completed application form to the Headmaster, Holmwood House, Chitts Hill, Lexden, Colchester, Essex, CO3 9ST or by email at [email protected] before the closing date.</p><p>3</p>