Standard Application For Employment (Page 2 of 2) in pdf

Summarise key job skills held with details of any specialist training received

Which qualities do you hold which are most relevant to the role applied for?

Please list your hobbies, interests & sports

Detail any Clubs or organisations of which you are a member

YES / NO

Do you have any other employment?

is yes please provide details:

Do you have any other commitments which could limit your availability for work?

E.g. Judicial, military or local government

YES / NO

if yes please provide details

Please detail any future training or educational plans you are planning

YES / NO

Have you ever been dismissed from employment other than redundancy?

is yes please provide reasons:

YES / NO

Have you ever been convicted of a criminal offence?

(Ref: Criminal offenders act 1974)

Please give details of other information relevant to your employment, such as achievements:

Referees: Names and Contact Information

Work Experience

Name

YES / NO

Can they be contacted now?

Telephone:

Character

Name

YES / NO

Can they be contacted now?

Telephone:

Please advise any dates/times when you are not available for interview

If successful with this application, what is your earliest possible start date

YES / NO

Do you know anyone else employed by Cogent Technology?

If yes please provide names:

Declaration

The Data Protection Act 1988 (DPA)

I can confirm the above information is correct and I consent to it

The information you provide on this application form will be processed

being processed (see DPA opposite) for the purpose of recruitment.

only of the purposes of recruitment by persons necessarily engaged

I also understand that misleading statements may be adequate

in the recruitment process. We may contact relevant third parties in

grounds for cancelling any offers or agreements made and that

order to verify certain information given in your application (Note:

questions left unanswered may be discussed at interviews arising

References are subject to your consent. You have a right to have

from this application.

your application processed manually and to appeal against any

Applicant Signature

negative outcome of automated processing. Upon completion of the

recruitment procedure, information on you may be stored for a period

of up to 6 months after which it will be destroyed.

Date

Office Use Only

Cogent Technology Ltd - Standard Job Application Form - Page 2 of 2

Equal Opportunities Monitoring Data - Optional

The following monitoring information is used to ensure that recruitment procedures do not lead to discrimination and that legal and other requirements are met. It is

separated from your completed form, so you cannot be identified, and will play no part in the selection process.

White

Indian

other Asian (state)

Black African

Pakistani

Black Caribbean

Chinese

other (state)

Black Other

(Specify)

Standard Application For Employment Page 2

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