contents - leisure world colchester€¦ · web viewmarch 2015. post applied for: llcas: post...
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Post applied for LLCAS Post Number
Personal DetailsSurname ____________________________
Address ____________________________
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___________________________________
Postcode ___________________________
National Insurance Number
Initials ______________________________
Telephone (mobile) ___________________
Telephone (home) ____________________
Telephone (work) _____________________
Email ______________________________ Do you hold a current driving licence? (please tick)
Yes No Provisional
Please state dates when you are not available for the selection process
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Present Job or Most Recent EmploymentJob Title ____________________________
Name and Address of Employer __________
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Reason for Leaving ___________________
___________________________________Start and End Dates
Present Salary / Wage (£)_______________
Other Benefits _______________________
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Notice Required / Leaving Date __________
___________________________________ Are you entitled to Local Government Continuous Service? (please tick) Yes No
Brief Description of Present or Most Recent Job Responsibilities________________________________________________________________________
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Application forEmployment PER 029/1
March 2015
Employment History (most recent job first)Employer’s Name + Employment Dates
Job Title and Brief Description of Duties
Key Achievements Reason(s) for Leaving
If you have had any breaks in employment since leaving school or during your career please give details of these below.
Education and Membership of Professional or Trade BodiesPlease note that if you are selected for interview you will need to bring your original certificates relating to the qualifications/membership with you.
Secondary School / College/University Qualifications Gained (eg GCSEs, A-Levels)
Name of Professional / Trade Body Qualifications Gained / Membership Status
December 2010 PER 029/2
Other Relevant Training and Development Undertaken________________________________________________________________________
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Tell us why you are suitable for this postPlease continue on a separate piece of paper if necessaryThe information you provide in this section will be essential in assessing your application.
Please use this space to state your reasons for applying for the post by relating your skills, previous experience and personal qualities to the Job Accountability Statement and Person Specification for the job (included in this application pack). You may wish to include previous unpaid experience, such as voluntary activities, family duties and any leisure interests that are relevant to the role.
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ReferencesPlease give details of people, not related to you, who can provide references for your work experience (if applicable) and your suitability for the post.
Please note that we must check references for your last 3 years of employment which must include your current or last employer (can include unpaid work experience).
This section is not applicable to Colchester Borough Council staff, where internal references will be taken up if shortlisted.Employment Referee Name ______________________________Position _____________________________Address __________________________________________________________________________________________________Postcode ___________________________Telephone __________________________Email ______________________________
Other RefereeName ______________________________Position _____________________________Address __________________________________________________________________________________________________Postcode ___________________________Telephone___________________________Email ______________________________
Employment Referee (if the above referee does not cover your last 3 years of employment)
Name ______________________________Position _____________________________Address __________________________________________________________________________________________________Postcode ___________________________Telephone __________________________Email ______________________________
Employment Referee (if the above referee does not cover your last 3 years of employment)
Name ______________________________Position _____________________________Address __________________________________________________________________________________________________Postcode ___________________________Telephone __________________________Email ______________________________
Are you willing for your referees to be approached before interview? (please tick)Yes No
Do your referees know you by another name (eg your maiden name)? (please tick)Yes No
If yes, please tell us that name ________________________________________________
December 2010 PER 029/4
Other InformationAre you related to, or in a close personal relationship with, any Councillor or employee of the Council?Yes No
Have you ever been a Councillor at Colchester Borough Council?Yes No
If yes to either/both, please give details _________________________________________
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Entitlement to work in the United Kingdom (UK)To comply with the Immigration, Asylum and Nationality Act 2006, all prospective employees will be asked to supply evidence of eligibility to work in the UK.
We will ask to see appropriate official documentation (for example, your passport, full birth certificate, a document confirming your National Insurance Number). Do not send these now. Further information will be sent to you if you are shortlisted for the selection process.
Please sign and date this DeclarationTo the best of my knowledge and belief, the information given in this application is accurate. I understand that if I am appointed to this job, and it is later discovered I have given false information, my contract of employment could be ended immediately.
Signature ___________________________________ Date _________________________
Please send this application form back by the closing date to:Human Resources Service CentreColchester Borough CouncilRowan House 33 Sheepen RoadColchester CO3 3WG
Thank you for your interest in this post. Only shortlisted candidates will be contacted, normally within one month of the closing date.
For more information about the Council visit our website www.colchester.gov.uk
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If you need advice or assistance with your application telephone the Human Resources Service Centre on (01206) 282112 or [email protected]