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Job Application
Job Application Form
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Indicates required field
Name
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First
Last
Address
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Line 1
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City
State
Zip Code
Country
Email
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Phone Number
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Current / Most Recent Job Post:
Employer
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Position held
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Main duties / responsibilities
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Date started
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Notice period (if required)
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Reason for leaving
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Education / Training
Please state your educational background, and any training relevant to the post. Example- First Aid/Manual Handling
Qualification / Course
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Qualification / Course
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Qualification / Course
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Qualification / Course
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Qualification / Course
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Qualification / Course
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Date
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Date
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Date
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Date
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Date
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Date
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Further Information
National Insurance Number
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Do you require a work permit to work in the United Kingdom?
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Yes
No
If you answered Yes, please specify
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Do you have any medical conditions that might affect your work in the post?
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Yes
No
If you answered Yes, please specify
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Do you hold a valid CLEAN UK driving licence?
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Yes
No
Criminal Record
This position is exempt from the provisions of the Rehabilitation of Offenders Act 1974. You are therefore not entitled to withhold information requested by Dramatize about any previous convictions in this country or abroad which you may have, even if in other circumstances these would be regarded as “spent”
Do you have a criminal record
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Yes
No
Have you ever been barred from working with vulnerable adults or children?
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Yes
No
If you answered Yes, please give details of any criminal convictions you have had, excluding any “spent” under the Rehabilitation of Offenders Act 1974.
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Have you had a criminal records check (DBS)?
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Expiry Date of DBS
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Referees
Please provide details of two referees. At least one should be your current or most recent employer. Referees will not be contacted prior to interview without your permission.
Name
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First
Last
Name
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First
Last
Title
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Title
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Company
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Company
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Address
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Line 1
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City
State
Zip Code
Country
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Phone Number
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Email
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Email
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In what capacity do you know this referee?
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In what capacity do you know this referee?
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Emergency Contact Details
Name
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First
Last
Relationship
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Address
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City
State
Zip Code
Country
Phone Number
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Email
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Supporting Statement
Please tell us any other information you think is relevant, what you can bring to the role and what you think will be the best parts of the job.
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Declaration
I understand that this application form will be treated with the strictest of confidence by Dramatize.
I confirm that the information I have given is true. I understand that if any information given on the application form is found to be false it may result in disciplinary action, which could include dismissal.
Signed
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Full Name
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Date
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Submit