BLUEBIRD CARE APPLICATION FORMCONFIDENTIAL APPLICATION FOR

BLUEBIRD CARE APPLICATION FORM
CONFIDENTIAL APPLICATION FOR EMPLOYMENT

1. Application form
Position applied for

Date available to take up employment

Salary expectations

2. Prepared for work
Full time
YES / NO
Part time
YES / NO
Shift work
YES / NO

3. Personal details
Full name

Title

Address

Telephone numbers
Home

Mobile

Email address

National insurance number

Passport number

Issue Date

Do you own a car?
YES / NO
Have a current licence?
YES / NO
If yes, licence type
Provisional / Full
Driving licence number

Do you have any current driving convictions
YES / NO
If yes, give details including dates

4. Secondary education
School name, address and date attended
Examinations (subject, result, etc.)

5. Further education and training
University/College and date attended
Type of course
Subjects
Qualification or class of degree

6. Occupational qualifications
College/Institute or other name and date attended
Qualification/Level

7. Membership of professional body
Name
Level
Date

8. Previous employment
A full work history is required explaining any gaps in employment.
Present/last employer

Address

Job title

Duties/responsibilities

Start date

End date

Reason for leaving

Employers name & address
Job title
From
To
Reason for leaving

(month & year)

9. General
Interests/hobbies (give details of pastimes, sports, etc)

Offices held in social/sports clubs, etc

Public duties ( local councillor, etc) undertaken

If offered this position will you continue to work in any other capacity?
YES / NO
If yes, give details

10. Permission to work in the UK
Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK?
YES / NO
If you are successful in your application would you require permission to work in the UK?
YES / NO

11. Community/volunteer experience
Name and address of organisation
Position/title
Duties