ࡱ> \^[ )bjbj ^  ///CCC8{CxkkkkKKK!######$G/K  @KKGk\K"k8k!K!k0a Cmp r0L L L /0KKKGGKKKKKKKL KKKKKKKKK : Working with Men - Application Form. Please note that only information given on this application form will be considered in determining whether or not you will be called for interview. Please specifically address the criteria detailed in the Person Specification. CVs will only be accepted as a means of detailing your qualifications and previous experience. 1. JOB DETAILS Post applied for:  2. PERSONAL DETAILS Your family name: First names: Address Telephone Home: email address: Telephone work: May we contact you there? Yes / No If appointed, when could you take up the post?  3. EDUCATION, TRAINING AND DEVELOPMENT Please list your relevant qualifications or courses (or enclose a CV) School / College Name and AddressQualifications       4. CRIMINAL CONVICTIONS Do you have any unspent convictions or any pending judgements? If you have answered YES, please provide in the space below details of the conviction(s), the nature of the offence(s) and the date of any conviction(s) and any penalty / sentence imposed.   5. PRESENT OR PAST EMPLOYER Employers name and address:Post held:Date commenced (and left, if appropriate): Please give a brief description of your duties and responsibilities:    6. PREVIOUS, EMPLOYMENT AND EXPERIENCE Please give details of previous paid and voluntary employment. For each job, detail dates of employment, employer, and duties undertaken, starting with the most recent first (or enclose a CV). Employer From To Duties Undertaken     7. Please give details of any relevant skills / experience gained outside employment     8. SUPPORTING INFORMATION Please detail how you meet the person specification for this post, illustrating with examples from work, voluntary or life experiences, and stating why you are applying for this job. (Continue on additional sheet if necessary) 9. REFERENCES Please give the name and address of two referees, one of whom should be your current or most recent employer who can comment on your suitability for this post. No references will be sought without your consent Referee1Referee 2 Name: Name:Position:Position:Address: Address:Telephone NoTelephone No.Email address:Email address: In what capacity does this person know you? In what capacity does this person know you? 10. DECLARATION I declare that the information I have given on this form is correct and complete. False or misleading statements may be sufficient grounds for cancelling any agreements made, or for disciplinary action to be commenced. 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