Application for Employment

Employment Form

Personal Details

Current or most recent employment

Disclosure of Criminal Background

I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be declared. I have not been disqualified from working with children, am not named on the Children’s Barred List and am not subject to any sanctions imposed by a regulatory body. I understand that recent checks will be requested.


Please give the names and addresses of two people for whom you have worked with and from whom we may obtain references, one of these must be your current / most recent employer. If you are (or were recently) a student, one referee should be a senior member of staff at your place of study. Please note that references will not be accepted from relatives or from referees writing solely in their capacity as friends.

Referee 1

Referee 2

Please state the reasons why you wish to apply for this post and give details of how you meet the requirements of the job description and person specification (or attach an application letter in which these points are covered).

Employment History

Previous Employment 1

Previous Employment 2

Previous Employment 3


Qualifications 1

Qualifications 2



Medical declaration