Job Application

Title:

Forename:

Surname:

Address:

Phone Number:

Email address:

National Insurance Number:

Do you have a current driving licence?

Yes

Groups:

Expiry date:

Details of endorsements (if applicable)

Education History

Employment History

Reference

Please note here the names and contact details of two persons from whom we may obtain both character and work experience references

Criminal Record

Please note any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders (Northern Ireland) Order 1978. If none please state.

General Comments

Please detail here your specific reasons for this application, your main achievements to date and the strengths you would bring to this post.

Health Details

EMPLOYEE MONITORING QUESTIONNAIRE PRIVATE AND CONFIDENTIAL EQUALITY OF OPPPORTUNITY

In accordance with the Fair Employment and Treatment (Northern Ireland) Order 1998, all must complete the Monitoring Questionnaire below:

We are an Equal Opportunities Employer. We do not discriminate on grounds of religious belief or political opinion. We practice equality of opportunity in employment and select the best person for the job.

To demonstrate our commitment to equality of opportunity in employment we need to monitor the community background of our employees, as required by the Fair Employment Act 1989.

Regardless of whether we practice our religion, most of us in Northern Ireland are seen as either Catholic or Protestant. We are therefore asking you to indicate your community background by ticking the appropriate box below.

I am a member of the Protestant Community

I am a member of the Catholic Community

I am a member of neither the Protestant or Roman Catholic Community

Personal Details