Application for pre-registration employment (commencing July 2012 / 2013)

Title: Forename(s): Surname:
Phone: Day Phone: Evening Phone: Mobile Email Address:
Term Address:

Postcode: 		Vacation Address:

Postcode:
Nationality: Are you legally eligible for employment in the UK? (see below)
If selected to attend for interview, you will be asked to bring one of the following as proof of eligibility for work in the UK:
A) A British passport or document stating you have right of residence/permission for an indefinite stay in the United Kingdom or an Application Registration Card issued by the Home Office
OR if you do not have one of the above
B) A P45, P60 or National Insurance card AND your Birth Certificate
OR
C) A work permit AND a Passport or Home Office letter stating you can take the work which you are applying for.
Do you have any condition which could limit your ability to attend for interview at our first floor offices or to perform the particular job for which you are applying?
If yes please describe the condition and what adjustments we will need to make.

Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974?

Do you have a current driving licence? Is the licence clean? If not give details below
Do you own a car?

Education

Schools & University (include dates attended, subjects taken and grades obtained)

Interests

Please give brief details of pastimes, hobbies, sports, etc.

Personal References

Please give details of two people (not relatives) we could approach for references, after obtaining your permission.
Name:
Occupation:
Address:

Telephone: 		Name:
Occupation:
Address:

Telephone:

Employment History

Please give details of any employment you have had (name of employer, type of work and responsibilities). If work was vocational, please give full details of what this entailed.

Position interested in:

Declaration

The facts set out in this application are, to the best of my knowledge, true and complete and I agree to abide by the RPSGB Code of Practice for Pre-registration Recruitment