APPLICATION FOR EMPLOYMENT

This application is private and confidential

Application for the post of: Community Development Worker

Completed applications must be received by 5pm on Friday 23rd March 2017
Please complete and return to: angie.stanton@re-dish.org
Or by post to: Re:dish, St Elisabeths Rectory, 28 Bedford Street, Reddish
SK5 6DJ

PART A: PERSONAL DETAILS

Family Name (BLOCK CAPITALS) TITLE Other Names in full

Permanent Address: Phone Number (daytime):

Phone Number (evening):

Email:

Please give names of three persons to whom reference can be made (Please obtain their permission.
Please indicate the relationship/capacity in which they are known to you)

Name: Occupation:
Address:
Relationship:
Name: Occupation:
Address:
Relationship:
Present Employer: (may we approach for a reference prior to interview?) YES / NO
Name: Occupation:
Address:

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PART B: EDUCATION AND TRAINING DETAILS

Secondary Schools attended From To Details of subjects & Examination

results

University/College From To Details of examination results and

(and other Further Education) qualifications held

Membership of Professional Bodies

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PART C: EMPLOYMENT DETAILS

PRESENT AND PREVIOUS APPOINTMENTS

Starting with your present appointment, please state what you have done in the course of your career,
in reverse chronological order:
Dates Name & Address of Employer Position Brief Description of Reasons for
From To Held Responsibilities Leaving

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PART C: EMPLOYMENT DETAILS

Describe your present appointment in terms of its responsibilities and relationships

Using the job description and person specification, please give a statement on your
experience, skills and knowledge, and explain why you think you would be able to make a
significant impact in this role.

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What period of notice would you be required to give your present employer?

Please give details of voluntary work of relevance to this application

I confirm that the information supplied by me, to the best of my knowledge and belief, is correct and
accurate. I agree to the information being processed in accordance with the Data Protection Act.

Signed: . Date: ..