Add Enquiry
Staff Application Personal details Title
First Name
Surname
Other Names
Address
Postcode
Phone (home)
Phone (work)
Phone (mobile)
Email
Experience Please explain how your abilities and your experience make you suitable for this post and provide any other information that you consider relevant. Make a compelling case. Sell yourself!
Training Please detail any courses or seminars you have attended that may be relevant to this post.
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Qualification / Award (if applicable)
Course 2 Name of course and organiser
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Qualification / Award (if applicable)
Course 3 Name of course and organiser
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Qualification / Award (if applicable)
Health
Do you have any type of health condition or disability that may affect your ability to carry out the work for which you are applying? no yes If yes, please give details:
References Please provide the names and addresses of two people whom we may approach for a reference.
Referee 1 Name
Address
Capacity in which known to you
Referee 2 Name
Address
Capacity in which known to you
Declaration
Have you ever been convicted of any criminal offence? no yes If yes, please provide details (include all convictions, including "spent" convictions and motoring offences)
Life Cycle UK's policy (available on request) provides more information about how to proceed if you have any criminal convictions.
Child protection
Are you a person known to
any Social Services department or similar agency as being an actual or
potential risk to children? no yes If yes, please provide details
Have you ever been subject to any form of disciplinary sanction or reprimand relating to child abuse? no yes If yes, please provide details
As part of its Child Protection Policy, Life Cycle UK will take up references and may seek Disclosure from the Criminal Records Bureau. Information provided will be recorded. Please tick here to indicate that you have read the above statement and that you agree to Life Cycle UK proceeding as described
In order to
recruit to this post Life Cycle UK will (within the terms of the Data
Protection Act 1998) process personal information given in connection
with this application. Information relating to the successful applicant
will form part of our personnel records. No other use will be made of
information about applicants
By ticking the box below you consent to the
processing of personal information as described above. You further
declare that the information you have provided is true and accurate.
You understand that the provision of misleading information or
deliberate omission may be grounds for cancelling any appointment
arising from this application
Education and Training Secondary schools and colleges or universities attended Course / College
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Qualification / Award
Employment History Please list the jobs you have had beginning with your present employer (or most recent, if unemployed).
Employer1 Name and address of employer
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Reason for leaving
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
January
February
March
April
May
June
July
August
September
October
November
December
-
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
Reason for leaving
Final salary
Employer4 Name and address of employer
Job description and main function
From
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
January
February
March
April
May
June
July
August
September
October
November
December
-
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
To
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
January
February
March
April
May
June
July
August
September
October
November
December
-
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
Reason for leaving
Final salary
May we contact your employer for a reference
no
yes
not yet
Availability If appointed, when could you start work?
January
February
March
April
May
June
July
August
September
October
November
December
-
1
2
3
4
5
6
7
8
9
10
11
12
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14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
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