Application Form

Job Title

Position Applying for (required)

Personal Details

Title: (required)
—Please choose an option—MrMrsMissMs

Full Name: (inc middle name)

Address (inc postcode):

Telephone (home):

Telephone (mobile):

Email:

Nationality:

How will you get to work?

For St James (Nottingham) Ltd to comply with its obligations under the Asylum & Immigration Act, you will be asked to provide written proof of your right to work in the United Kingdom before any job offer is made to you. You will be given details of the original document's which are required at the appropriate time.

Do you have a full current driving license?
YesNo

Do you have any license endorsements?
YesNo

If 'YES', please give details:

Have you ever been convicted of a criminal offence, other than a spent conviction, under the Rehabilitation of Offenders Act 1974?
YesNo

If successful with your application, what notice period to do have to give your current employer?

How did you hear about the vacancy?

Hobbies & Interests

Reasons for wanting to work at St James

What can you bring to the role

Education & Qualifications

Qualifications gained

Additional Training

Professional Bodies

Future Qualifications

Employment History

List most recent first.

Employer Name:

Start Date:

End Date:

Starting Salary/Hourly Rate:

Final Salary/Hourly Rate:

Position Held:

Key Responsibilities:

Reason For Leaving:

Employer Name:

Start Date:

End Date:

Starting Salary/Hourly Rate:

Final Salary/Hourly Rate:

Position Held:

Key Responsibilities:

Reason For Leaving:

References:

Please give details of two referees (one of whom should be your present/last employer) who are not related to you. Contact will only be made with your authority.

Reference One

Name:

Company:

Telephone:

Email:

Do you give permission for us to contact this referee?
YesNo

Reference Two

Name:

Company:

Telephone:

Email:

Do you give permission for us to contact this referee?
YesNo

Disability:

Do you consider yourself to have a disability?
YesNo

If ‘YES’ you may give details if you wish:

How can we assist you with any special needs to enable you to attend an interview?

If your application is successful, you may be asked to consent to St James (Nottingham) Ltd verifying the information you have given in this form.