APPLICATION FOR EMPLOYMENT
Please complete this form in black ink or type.
If any spaces are not big enough please use a separate sheet of paper.
Parklands Conleach Road Please return this form to the address on the left.
Speke Liverpool L24 0TY
Tel: (0151) 285 5600 Application No.
Web: www.slhgroup.co.uk IN CONFIDENCE (for office use)
POSITION APPLIED FOR
1 - YOUR DETAILS
Title Surname Forename
Preferred name Current Address
Email Address
N.I. No. Postcode
Home Tel. Work Tel.
2 - CURRENT (OR MOST RECENT) JOB SUMMARY
Employer (name and address)
Type of Business
Job Title (and grade if applicable)
Reporting to (Job Title)
Date of appointment Current Base Salary
Other benefits
Period of notice Dates unavailable for interview
3.1 - EDUCATIONAL QUALIFICATIONS
What Educational qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications.
From To Name of School/College/University Major subjects studied, exams taken and results
3.2 - PROFESSIONAL QUALIFICATIONS
What Professional qualifications do you hold? If shortlisted, you should be prepared to provide proof of qualifications.
From To Awarding body, qualification. level Major subjects studied, exams taken and results
4 - RELATIONSHIP TO STAFF OR SLH BOARD MEMBER
If you are a member of the SLH board or a relative of an employee or board member please give details.
5 - TRAINING
Please give details of any training courses you have attended in the last two years relevant to this application.
Date Details of training attended
6 - PREVIOUS EMPLOYMENT
Please give details of your employment history up to your present job.
Dates Name, location & business of employer Job title Final Salary Reason for leaving
EQUAL
7 - CURRENT EMPLOYMENT DETAILS OPPORTUNITIES
Please describe your present or most recent appointment, indicating to whom you are responsible
to, and who is responsible to you. What do you consider to have been your major contribution in
this post, and why? What are your main responsibilities and objectives? Attach copies of job SLH Group is
description and organisation chart(s) if helpful. committed to equal
opportunities.
In order to monitor
the effectiveness of
our policy and for
no other reason,
this information will
be separated from
your application
and will be treated
in the strictest of
confidence. Please
complete both sides
of this strip.
1. GENDER
Male
Female
2. MARITAL STATUS
8 - CHANGE Married
What attracts you to this new job in particular? Single
Other (state)
3. AGE
16 - 24
25 - 50
50 plus
4. DISABILITY
Do you consider
yourself disabled?
Yes
No
If yes, are you
9 - REFEREES registered disabled?
Please give the names and addresses of two people who are in a position to comment on your Yes
experience, strengths and skills, but who are not related to you: one should be your current employer. No
If you do not want us to approach them without contacting you first, please put a cross in this box.
Name Job Tel
Where did you see
Address this job advertised?
Name Job Tel
OFFICE USE
Address
EQUAL
OPPORTUNITIES 10 - ACHIEVEMENTS
5. ETHNIC GROUP Please write a short autobiography here which will help explain the course which your working life has
Choose ONE Section taken. Please mention the things which have influenced you; the main interests you have developed; the
from A toE, then tick
the appropriate box to
achievements you particularly remember. Draw out how your experiences and achievements relate to the
indicate your cultural particular competencies required by this job. Please use additional sheet(s) if necessary.
background.
A. White
British
English
Scottish
Welsh
Other (state)
Irish
Any other White
background (state)
B. Mixed
White and Black
Caribbean
White and Black
African
White and Asian
Any other Mixed
background (state)
C. Asian
Asian British,
Asian English,
Asian Scottish,
or Asian Welsh
Indian
Pakistani
Bangladeshi
Any other Asian
background (state)
D. Black
Black British,
Black English,
Black Scottish,
or Black Welsh
Caribbean Rehabilitation of Offenders Act
African You do not generally have to disclose details of spent convictions. If however the post you are applying
for is exempt from the act by virtue of the (exemptions) order you must reveal details of all convictions
Any other Black spent or otherwise.
background (state)
Have you been convicted of a criminal offence? If Yes, please give details of conviction and
dates. You may continue on a separate sheet if necessary.
E. Chinese
Chinese British, Yes No
Chinese English,
Chinese Scottish,
Chinese Welsh or
other Ethnic Group I confirm that, to the best of my knowledge, the information contained on this form is accurate.
Chinese
Any other
background (state)
Signature Date
