Application Form - Cafe Africa Page 2
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1
2Please
give
us
details
of
any
condition
/
disability
that
could
affect
your
ability
to
do
this
job.
What
reasonable
adjustments
could
we
make
to
enable
you
to
work
with
us?
History
of
Convictions
Have
you
ever
been
convicted
of
a
criminal
offence,
which
is
not
a
spent
conviction
within
the
terms
of
the
Rehabilitation
of
Offenders
(Northern
Ireland)
order
1978?
If
yes,
please
give
full
details.
Any
failure
to
declare
may
result
in
dismissal.
Education
and
Training
–
Please
list
your
last
two
places
of
education
/
training
Qualifications
achieved
or
being
studied
Grades
Employment
History
–
Please
list
your
last
three
employers
Length
of
service:
Name
&
address
of
employer
Rate
of
pay:
Position:
and
type
of
business:
Average
number
of
hours
Reason
for
leaving:
worked
each
week:
What
were
your
duties?
Manager’s
name:
Telephone
number:
May
we
contact
them?
Yes
/
No
References
–
Please
give
the
names
of
two
referees
(not
related
to
you),
who
can
be
contacted
to
provide
a
reference
Name:
Address
and
telephone
number:
How
do
you
know
this
person?
My
signature
confirms
that
all
the
information
given
of
this
application
form
is
true
and
complete.
I
understand
that
any
falsification
of
deliberate
omission
may
disqualify
my
application
or
lead
to
my
dismissal.
I
confirm
that
I
am
entitled
to
work
in
the
UK.
I
understand
that
my
employment
is
subject
to
references
that
are
satisfactory
to
Café
Africa
Signed:
____________________________________________________________________________
Date:
_____________________________________________
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