Please refer to the job description and person specification (on the recruitment page on our website) before applying for this role

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1 Please complete the application form below and return it to: Mrs Helen Dowling, Unit 29, Basepoint Evesham, Crab Apple Way, Evesham, Worcestershire WR11 1GP by no later than the closing date of Friday 29 th May Please refer to the job description and person specification (on the recruitment page on our website) before applying for this role Role applied for: Marketing Assistant Personal details: Please complete the following details Surname: Forename(s): Title: Address: Postcode: Home Telephone No: Mobile Telephone No: Work Telephone No: address: Can you be contacted at work? Yes No Education: Please include details of any academic, work based and professional qualifications. (Most recent first) Secondary School/College/University Qualifications Obtained Subjects Grades

2 Other Skills and Qualifications: Computer Literacy: (Please specify the software and indicate the level of competence between 1 and 5 where 1 = Basic and 5 = Advanced) Any other skills or qualifications which may be relevant for the job you are applying for: Present (Last) Employment Details: Your current (last) job title: Brief details of the nature of your work. Include details of Full time/part-time (if part-time, please indicate the average number of hours that you work/have worked per week): Salary/wage (current or on leaving). Please include separately details of any benefits or bonus payments: Notice required: Reasons for leaving (if applicable): Previous Employment History: Please give details of your career history (starting with the most recent). Your job title: Position & summary of main Reason for leaving: Salary on leaving:

3 Previous Employment History: Please give details of your career history (starting with the most recent). Continue on a separate sheet if necessary Your job title: Position & summary of main Reason for leaving: Salary on leaving: Please tell us why you would like this job and why you think you are suitable: Please give details of any other information, which may support your application for employment (e.g. any other achievements and hobbies)

4 Additional Information: Do you need a work permit for regular employment in the UK? Have you ever been convicted of any criminal offence (other than a motoring offence), which is not a spent conviction within the meaning of the Rehabilitation of Offenders Act 1974? If you have a disability, please provide details and give details of any adjustments that we could make to the job or office environment to enable you to do the job Have you ever applied to Exceptional Thinking or been interviewed for a position with it before? If yes, please give details How/where did you hear of this vacancy? References All appointments are subject to the receipt of satisfactory references. Please provide details of two appropriate referees to whom confidential enquiries may be made. One reference should be from your current or most recent employer. Please state whether we may approach these referees at any time or only after an offer of employment has been made. Name of manager/supervisor Name of manager/supervisor Company name, address & telephone number Company name, address & telephone number Relationship to you Relationship to you May we approach the referee for a reference at any time? Yes/No May we approach the referee for a reference at any time? Yes/No

5 Declaration: Please check all the answers you have given on this Application Form and carefully read this declaration before signing it. I understand that any offer of employment made by Exceptional Thinking will be subject to satisfactory references being obtained. The facts contained in this application for employment are, to the best of my knowledge, true and complete. I understand that any false statements may disqualify me from employment or render me liable to summary dismissal Signature: Date: Data Protection Statement: The information collected by this form allows us to make an informed decision as to whether to proceed with your application. We also use this information for research and statistical purposes. As part of our assessment, we may have to carry out checks to verify the information provided by you. We may obtain information about you from third parties (including referees) and disclose your personal data to certain third parties such as law enforcement bodies for this purpose. Equal opportunities: This section is to help monitor our Equal Opportunities policy. You do not have to answer any questions if you would prefer not to and this will have no impact on your application. Any information given in this section will be treated as strictly confidential and shall remain anonymous. It WILL NOT be used in the selection process. Please circle the relevant options. Ethnic Origin (not citizenship): White: Mixed: Asian or Asian British Black or Black British British White & Black Caribbean Indian Caribbean Irish White & Black African Pakistani African Any other White background White & Asian Bangladeshi Any other Black background Other ethnic group Any other Mixed background Any other Asian background Chinese Any other ethnic group Do you consider yourself to have a disability? Yes/No If yes, what is the nature of your disability?

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