Job Application Form - Generate Page 7

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Are you closely related or married to a staff or Board member of Generate?
Yes/No
If yes, please state the name of the staff or Board member and nature of this relationship below:
If appointed when could you start? Give period of notice if applicable
References
Please give the detail of two references – see guidance sheet for further information.
Name of Referee
and relationship
to you:
Address:
Postcode:
Email:
Tel:
Name of Referee
and relationship
to you:
Address:
Postcode:
Email:
Tel:
Declaration
Statement to be Signed by the Applicant
Please complete the following declaration and sign it in the appropriate place below. If this declaration is not
completed and signed, your application will not be considered.
I agree that Generate can create and maintain computer and paper records of my personal data and that
this will be processed and stored in accordance with the Data Protection Act 1998.
I confirm that all the information given by me on this form is correct and accurate and I understand that
if any of the information I have provided is later found to be false or misleading, any offer of
employment may be withdrawn or employment terminated.
Signed:
Date:
Charity: 1069548 Company: 3461665

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