Heart Church Job Application Form

Employment History

If applicable please state your previous employers starting with your present or last employer:
Previous Employment 1:
Start Date:

DayMonthYear
Date
End Date:

DayMonthYear
Date
Name of Employer
Employers Address

Street Address

Street Address Line 2

City

Post CodeCountry
Position Held
Main Duties:
Reason for leaving:
Previous Employment 2:
Start Date:

DayMonthYear
Date
End Date:

DayMonthYear
Date
Name of Employer
Employers Address

Street Address

Street Address Line 2

City

Post CodeCountry
Position Held
Main Duties:
Main Duties
Reason for leaving:
Previous Employment 3:
Start Date:

DayMonthYear
Date
Start Date:

DayMonthYear
Date
Name of Employer
Employers Address

Street Address

Street Address Line 2

City

Post CodeCountry
Position Held
Main Duties
Main Duties:
Reason for leaving:
Please list all other employment in the box below:

Education & Qualifications

Please give details of your education and qualifications:
School Attended:
Qualifications/Grades:
Year Taken:

DayMonthYear
Date
Qualifications/Grades and year taken:
Training/Development:
Please give details of any training and development courses or non-qualification courses which support your application including on-the-job training.
Professional Body:
Please give details of any professional bodies you are a member of.
Personal Statement:
Please use this section to explain what qualities, skills and experience you can bring to the post which you have gained through paid employment, voluntary work or interests which are relevant to your application for the job:

Rehabilitation of Offenders Act (1974):

Have you ever been convicted of a criminal offence which is, at the date of this application, not classed as “spent” under the Rehabilitation Of Offenders Act 1974?
Protecting Children & Vulnerable Adults:

Are you aware of any police enquiries undertaken following allegations made against you which may have a bearing on your suitability for this post? This information is requested in case the post that you are applying for brings you into contact with children or vulnerable adults such that a DBS check is required:
Right To Work In The UK:

Do you have the right to work in the United Kingdom?
Applicants will be required to provide documentary evidence of their right to work in the United Kingdom if invited for an interview.
Driving License:

Do you hold a full current driving licence which is valid in the UK?
Disability Discrimination:
Do you have a disability or any special needs that may require reasonable adjustments to be made in order for you to undertake the duties of the post? *
Do we need to make any specific arrangements in order for you to attend the interview? If yes, please give details below:

References:

Offers of employment are subject to satisfactory references. Please give details of two referees who are not related to you, one of which must be from your present or most recent employer. Contact will only be made with your authority.
Full Name:
Referee one
Job Title:
Referee one
Work Relationship:
Referee one
Company:
Referee one
Contact Number:
Referee one
Email:
Referee one
Address*

Street Address

Street Address Line 2

City

Post CodeCountry
Full Name:
Referee two
Job Title:
Referee two
Work Relationship:
Referee two
Company:
Referee two
Contact Number:
Referee two
Email:
Referee two
Address*

Street Address

Street Address Line 2

City

Post CodeCountry
I declare that the information given by me, to the best of my knowledge, is true and complete.

I acknowledge that dishonesty or the giving of incorrect information on purpose may render this application and any subsequent employment invalid and subject to summary termination.

In accordance with the Data Protection Act 1998, I hereby authorise Heart Church to process the information contained in this application form for recruitment and selection purposes.
Signature

Clear

Job Application Form