Application Form

Application For Employment

In order to apply for this role, please complete our Application Form below. Please complete all sections and answer as fully as possible.

Your Details

Full name: (required)

Address: (required)

Daytime telephone number: (required)

Email: (required)

Education

Please briefly list all your relevant academic qualifications, along with the school/college etc. you attended and the dates you obtained them. Please begin with the most recent:

Academic Qualifications: (required)

Professional Qualifications

Please list your most relevant professional qualifications below. If you do not have any you may leave this section blank.

Qualifications:

Previous Employment

Please list your previous employment in the box below. List your employment history in chronological order, beginning with your current or most recent employment. We require the following details: Your specific role, name and address of your employer, full employment dates and salary.

Employment History: (required)

Personal Statement

Please tell us why you are interested in this role, what skills and attributes you have, how soon you could start, and any other information you would like us to consider. Please ensure you refer to the job description in order to keep your answer relevant.

Personal Statement: (required)

Disability

Ellingham is a Disability Confident employer. Therefore we guarantee to interview any applicant who declares they have a disability who also meets the minimum criteria for the job.

Under the definition of the Equalities Act 2010 do you consider this scheme to apply to you? (required)

YesNo

Pre Employment Checks

Please provide details of two referees. One should be your current/most recent employer.

Referee 1 (name, address, telephone number): (required)

Email:

Relationship to you: (required)

Referee 2 (name, address, telephone number): (required)

Email:

Relationship to you: (required)

Right to work in the UK

We have a legal obligation to check that individuals have the right to work in the UK before we employ them. Please confirm that you have this right and that you have documentary evidence to prove this. You will be asked for this when you come for an interview.

I confirm I have the right to work in the UK and have documentary evidence for this: (required)

YesNo

Criminal Records Check

Due to the tasks involved this post may require a criminal records check. Do you have any convictions (spent or unspent), cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

Please note answering "Yes" will not necessarily mean withdrawal of an offer of employment: (required)

YesNo

If yes, please describe:

Statement

I confirm that the above details are correct. I undertake to inform Ellingham Employment Services of any changes as soon as possible. (required)

Yes

Date: (required)

Equalities & Diversity Statement

Ellingham Employment Service is committed to advancing equality and diversity as a key feature within all its activities, as it believes this to be ethically right and socially responsible. We aim to provide a working environment and culture which recognises and values differences regardless of race, gender, age, disability, sexual orientation, religion, belief, marriage, etc. We aim to pro-actively tackle discrimination and ensure that no individual or group is discriminated against for any reason. Therefore we welcome applications from all sections of the community. Please note this section of your application is confidential and is used solely for monitoring purposes.

Post applied for: (required)

Date of application: (required)

Where did you see the job advertised? (required)

Your ethnic origin:

You may wish to disclose your religion:

You may wish to disclose your age:

You may wish to disclose your gender:

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