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Example
Responsible to:
Employer's Name.
Location
Area in which the post will be based (e.g. Belfast, Bangor, Lisburn etc).
Closing date
Applications should be in no later than __________
Applicant's details
Name (Mr/Mrs/Ms)_______________________
Address _______________________________
______________________________________
Post Code _____________________________
Telephone _____________________________
E-mail ________________________________
Do you hold a current driving license? Yes/No.
Do you have access to a car? Yes/No.
Employment record
Please list your employers, and details of the position held, starting with the most recent and include any periods of unemployment. Please provide the same information for any previous employers on a separate sheet.
Employer:_______________________
Nature of Position:_______________
From - To:_________________
Reason for leaving:________________
Experience and skills
There are no formal qualifications necessary for this post. Please use the space provided below to explain what relevant experience and skills you could bring to this post. You may continue on a separate sheet if necessary.
Motivation
Please state briefly why you applied for this post.
Other relevant Information
Please use the space below to provide any relevant information in support of your application.
Hobbies and interests
Please use the space provided to list any hobbies or interests that you have.
References
Please list details of two referees (one of whom should be your most recent employer).
Referee One
Name ____________________
Address __________________
Address __________________
Postcode _________________
Telephone (daytime) ________________
Referee Two
Name ____________________
Address __________________
Address __________________
Postcode _________________
Telephone (daytime)________________
May I contact your referees prior to any offer of employment? Yes/No.
Rehabilitation of Offenders (Exceptions) Order (NI) 1979
You are not normally on application for employment, required to declare information about convictions that are 'spent'. However, owing to the nature of the post for which you are applying, the above Order prohibits you from withholding information about such convictions.
Have you ever been convicted of a criminal offence? Yes/No.
If you answered 'yes' please give the nature of the conviction.
Completed application
You should return your completed application form by dd/mm/yy to:
Employer's name.
Employer's address/PO Box number.
Declaration
I declare that the information on this application is correct.
Signed ________________ Date _____________