This application form can be completed on screen if you copy and paste it into a 'Word' document.
Please email it to terry@helpingchildrenlocally.org or fax it to 01604 570 720.
Job Application
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Surname First Name Date of Birth |
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Full Address (inc postcode) |
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Home Phone No Mobile Phone No |
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Email address Nat Ins No |
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Are you a |
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Do you have a Full UK Driving Licence? YES NO Do you have your own car? YES NO |
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Do you have a criminal record? YES NO (If yes, please explain) |
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Are you happy to be self-employed? YES NO |
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Type of work would you prefer:-
Full time Part time from home How many P/T hours per day |
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What days can you work? Mon Tues Weds Thurs Fri Sat |
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Why would you like this role? |
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References (Please give two referees who are not relatives) |
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Full Name How known to you |
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Phone no email address |
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Postal address |
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Full Name How known to you |
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Phone No email address |
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Address |
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Current or last employer Phone No |
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Address |
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Job Title Salary per week £ |
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Responsibilities |
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How long did you work there? |
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Reasons for Leaving |
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Previous Employer Phone No |
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Address |
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Job Title Salary per week £ |
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Responsibilities |
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How long did you work there? |
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Reasons for Leaving |
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Previous Employer Phone No |
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Address |
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Job Title Salary per week £ |
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Responsibilities |
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How long did you work there? |
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Reasons for Leaving |
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I certify as follows:
* That my answers are true and complete to
* That if soliciting sales by telephone, I will give all customers the legally necessary verbal solicitation statement
* If soliciting sales face to face, I will wear my ID badge so customers can see the solicitation statement printed on it.
Signature ________________________________________ Date ________________________
FAX
Email to: terry@helpingchildrenlocally.org
Post to:
Fun Book Productions
Suite S42
Moulton Park
Northampton
Tel.01604 497606 : Fax.01604 570720


