Your work history

Please give details of your previous employment, beginning with you current or most recent role: *

Employer Position Held Reason for leaving


Do you have secondary employment that would continue if we employed you?





Referees

Plese provide the contact information of your last two places of work. If you are in education or have recently left, please provide the contact information of two School/College/Uninversity referees.

  Reference 1 Reference 2
Name
Job Title:
Address
Email

Data Protection Statement

As a requirement of current Data Protection legislation, the information that you provide on this form and that obtained from other relevant sources, will be used to process your application for employment.

Once the recruitment process is completed, if you are unsuccessful, the data will be stores for a maximum of 6 months and then destroyed. If you are a successful candidate, relevant information will be taken from the application form and used as part of your personnel record and stored for the appropriate time period

Declaration

All of the information I have supplied in this application is a true and complete statement of the facts and, if employed, any false statement will constitute sufficient cause for dismissal. I further authorise you to contact all of my previous employers or referees for full information regarding my employment history once an offer of employment has been made and accepted

Thank you for your interest!