APPLICATION FOR EMPLOYMENT

Applicant’s Full Name

Email

Phone

Personal Information

Date of Birth

Place of Birth

National Insurance Number

Do you require a Work Permit to work in the UK?

YES

NO

Do you hold a Full UK Driving Licence?

YES

NO

Do you have use of a motor vehicle?

YES

NO

If Yes, Do you have Business Insurance?

YES

NO

Please give details of any driving convictions or current penalty points

How did you hear about this position?

Have you applied for a position with us before?

YES

NO

If Yes, please give details

Add answer here

Name of School, College or University / Qualifications achieved / Year (note you can enter multiple qualifications)

Thanks for Applying!

Professional Qualifications and/ or Memberships / Year of start and Finish

Current Relevant Training and / or Studies / Date

Other Interests

Employment History (Dates From / To, Name and Address of Employer, Position held, Reason for leaving) Please include FULL employment history, from leaving school, including any gaps, giving reason (e.g. College, left to have children). If you have ever been dismissed from employment, please give reasons

Current Employment Name and Address of Employer / Dates From / To

Position Held

Current Duties and Responsibilities

Reason for leaving (if applicable)

Notice Period

Reference 1 Name

Reference 1 Address

Reference 1 Position

Reference 1 Phone

Reference 1 Email

Reference 2 Name

Reference 2 Address

Reference 2 Position

Reference 2 Phone

Reference 2 Email

Do you have any criminal convictions?

YES

NO

Are there any current convictions/proceedings against you?

YES

NO

Are you prohibited from working with vulnerable people?

YES

NO

If you have answered YES to any of the above questions, please give full details

Enhanced DBS Check All Employees are required to have an Enhanced Disclosure and Barring Service (DBS) Check to meet the definition of regulated activity. Therefore, you are required to sign the Declaration below, before your application can progress. I give permission for application to be made for an Enhanced DBS Check in my name, and understand that an application will only be made for these checks if my application is successful. Should the checks reveal anything that is of real concern for the protection of the individuals with whom the organisation works, I understand that the offer of employment will be withdrawn. I am willing to pay the fee of £74.00 should I leave employment within the first 12 months.

Supporting Information: Please give reasons for applying for this position, and any additional information to support your application.

I can confirm that all information provided is true and correct and that there are no medical or other reasons that I know of which may prevent me undertaking the required duties of the position. I understand that any misrepresentation will invalidate my application, and if appointed, will result in instant dismissal.

Application Form

We aim to respond to all applications within 24 hours, usually we respond within 2 days and normally by email, so please remember to check your email and also your spam/junk mail in case we got put there! Thanks.

Please give details of TWO Referees. The first MUST be a present or past employer, or if you have recently left full-time education, your school or college. The second may be a personal reference.

HARMONY PROJECTS

Person Centered Care for You

info@harmonyproject.co.uk

+44 01484 629717

APPLICATION FOR EMPLOYMENT

Application Form