CONTACT DETAILS |
Position Applied For
| Title
| Forename
| Surname (Family name)
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Date of Birth
| Address
| Driving Licence
| Nationality
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Age
| Post code
| Telephone Number
| Email
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EDUCATION Please give examination results, diplomas etc and approximate dates
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Name of School
| Name of College / University
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EMPLOYMENT |
Name of Latest Employer Average Gross Pay £ per week / month
| Job Title & Main Duties
| Date of Start / Leaving
| Reason for Leaving
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Name of Previous Employer Average Gross Pay £ per week / month
| Job Title & Main Duties
| Date of Start / Leaving
| Reason for Leaving
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Name of Previous Employer Average Gross Pay £ per week / month
| Job Title & Main Duties J
| Date of Start / Leaving
| Reason for Leaving
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PRACTICAL SKILLS |
Summarise skills acquired and specialist training received
| What qualities do you have which suit you to the job you are applying for?
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HEALTH |
Please give details of any medical treatment you are currently receiving
| State main cause of past ill health which have resulted in time off work
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Are you registered Disabled?
| If registered Disabled, please give registration | Are you a smoker?
| If a smoker, number smoked per day?
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Would you be willing to have a medical Examination if necessary?
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REFERENCES |
A (Experience)
| B (Character)
| Do you know anyone employed by this company?
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Can they be contacted now?
| Can they be contacted now?
| Can they be contacted now?
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GENERAL |
What are your main interests, sports & Hobbies?
| What Clubs or Societies do you belong to?
| What Professional Bodies or Trade Unions do you belong to?
| Do you have any commitments which might limit your working hours eg Military or Local Government?
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Do you have any part time job?
| | | Do you have any offences which are currently unspent under the Rehabilitation of Offenders Act 1974?
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AVAILABILITY
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When would you be available for interview?
| If offered this job, when could you start?
| Do you have any holiday commitments?
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ADDITIONAL INFORMATION |
Use this section if you wish to supply any additional information in relation to this application
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DECLARATION Please read this carefully, then submit your application
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I confirm that the above information is correct and understand that misleading statements may be sufficient grounds for cancelling any agreement made. I also understand that questions left unanswered may be discussed at interviews arising from this application |
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Please note: You may be requested to complete further forms in connection with this application. TRP will treat the information and data on this form in accordance with the TRP Data Protection Policy which is also available for inspection at our office. |
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