Job Application Form (Page 4 of 4) in pdf

Job Application Form Page 4

REFERENCES

Please give name, address and position / occupation of at least two referees, one of which MUST be your previous

employer. References will only be taken up for successful candidates. Testimonials or references from friends and

relatives are not acceptable

1. Name:

Position:

Organisation:

Address:

Telephone Number:

1. Name:

Position:

Organisation:

Address:

Telephone Number:

1. Name:

Position:

Organisation:

Address:

Telephone Number:

CRIMINAL CONVICTIONS

YES* / NO

Do you have any criminal convictions?

*If yes, please provide details in full on a sperate sheet of paper. This should exclude any spent convictions under

section 4(2) of the rehabilitation of offenders act 1974.

DECLARATION AND SIGNATURE

The information supplied in this application form is accurate to the best of my knowledge.

………………………………………………………………………………………

……………………………………….

Signed

Date

By signing and returning this application form, you consent to Viva Brazil using and keeping information

about you provided by you - or third parties such as referees- relating to your application or future employment. This

information will be used solely in the recruitment process and will be retained for six months from the date of which

you are informed whether you have been invited to interview, or six months from the date of interview.

Thank you for your interest and good luck with your application!

Job Application Form Page 4