STRICTLY CONFIDENTIAL

APPLICATION FOR EMPLOYMENT
Please print clearly in black ink. Complete all sections. Sign and date the
form.
Please do not submit CV's. Application form only.

Position applied for:

1. PERSONAL DETAILS

Surname:	First Name(s): Preferred Name:
Contact Address:
Telephone Number:
Mobile Number:
Email Address:
Residential Status:	Entitled	Entitled to Work	Registered
Do you hold a current driver’s licence:	YES / NO

2. EDUCATIONAL / PROFESSIONAL QUALIFICATION

SECONDARY EDUCATION

Qualification	Grade	Qualification	Grade

FURTHER EDUCATION & PROFESSIONAL QUALIFICATIONS

Qualification Level (GNVQ / NVQ / Diploma / Degree or equivalent)	Dates (to / from)	Course Title	Grade

MEMBERSHIP OF PROFESSIONAL BODIES

3a. COMPETENCIES

Please give a brief account of any particular training, experience or skills you have relevant to the post. Specifically relate this to the competencies in the job description. (Continue on a separate sheet if necessary):

3b. ADDITIONAL INFORMATION

Please detail any additional information which would support your application. (Continue on a separate sheet if necessary):

4. EMPLOYMENT HISTORY

Starting with your present post, list in reverse order every employment you have had. Please describe your last three jobs in detail so that we can compare your experience with the requirements of the job for which you are applying.

a) Current / most recent employer
From: (Month / year)	To: (Month / year)	Position held:
Number of employees supervised by you:
Notice Period:
Name & address of employer:
Nature of Business:
Reason for leaving / wishing to leave:
Description of your duties: (continue on a separate sheet if necessary)
b) Previous employment
From: (Month / year)	To: (Month / year)	Position held:
Number of employees supervised by you:
Notice Period:
Name & address of employer:
Nature of Business:
Reason for leaving / wishing to leave:
Description of your duties: (continue on a separate sheet if necessary)

c) Previous employment
From: (Month / year)	To: (Month / year)	Position held:
Number of employees supervised by you:
Notice Period:
Name & address of employer:
Nature of Business:
Reason for leaving / wishing to leave:
Description of your duties: (continue on a separate sheet if necessary)

d) Previous employment(s)
Date from:	Date to:	Name & address of employer:	Job Title

5(a): REFERENCES

Jersey Employment Trust reserves the right to approach your previous employers without your permission for a reference before offering employment. However, we will not approach your present employer prior to interview without your agreement. Referees should not be related to you.

* I do / do not wish my present employer to be contacted before interview. * Delete as appropriate

(b) An enhanced DBS check is required for this post at the offer of employment stage

Referee 1 (Current / most recent employer)	Referee 2 (previous employer)
NAME:	NAME:
ADDRESS:	ADDRESS:
TELEPHONE:	TELEPHONE:
EMAIL:	EMAIL:

6: SPECIAL REQUIREMENTS

Please advise any special requirements if selected for interview. (e.g. disability access)

DECLARATION

I hereby declare that the details shown are correct and complete to the best of my knowledge. I understand that any false statements or the withholding of any relevant information may provide grounds for rejection of my application, or termination of my contract of employment. I understand that the Jersey Employment Trust — Workforce Solutions Ltd will process this application subject to the Data Protection (Jersey) Law 2018. The applicant privacy statement can be found at - https://www.jet.co.je/job-vacancies-at-jet.aspx

I hereby consent to Jersey Employment Trust contacting the above-named referees and understand that any information provided by a referee will be treated in the strictest confidence.

Applicant's Signature: ______________________________________ Date: __________________

Please return your form to:

JERSEY EMPLOYMENT TRUST
THE OAKFIELD BUILDING
LA RUE DU FROID VENT
ST SAVIOUR
JE2 7LJ

admin@jet.co.je