Job Application Form



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For office use only Date received: Received by (initials): Interview date (if applicable): Vacancy Title: Post Reference Number: 1. Personal details Job Application Form Last Name: First Name: Home Telephone. Daytime Contact. E-mail address: National Insurance. Are you free to remain and take up employment in the UK? Driving Licence (if relevant to post applied for) Do you hold a full, clean driving licence valid in the UK? If no, please give details/ dates of offence(s) within the last three years Do you own a car or have access to one? Have you previously been invited for an interview with, or employed by, Ruskim? If yes, please state position(s) applied for / held:

2. Education/Qualifications School (11+) Study Dates Qualification and Grade Date Obtained College/University Study Dates Qualification and Grade Date Obtained Ongoing Professional Development Study Dates Qualification and Grade Date Obtained Training and Development Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application. Training Course Course Details (including length of course/nature of training) Current Membership of any Professional Body/Organisation Please give details:

3. Employment History Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first. Current or most recent employer Name of Employer: Position Held: Date Started: Salary on leaving this post: Reason for leaving: tice Period or Leaving Date (if no longer employed): Brief description of duties: Previous employer Name of Employer: Position Held: Date Started: Salary on leaving this post: Reason for leaving: tice Period or Leaving Date (if no longer employed):

Brief description of duties: Previous employer Name of Employer: Position Held: Date Started: Salary on leaving this post: Reason for leaving: tice Period or Leaving Date (if no longer employed): Brief description of duties: Continue on separate sheet if necessary

4. Information in support of your application Skills, abilities and experience Please use this section to demonstrate why you think you would be suitable for the post by reference to the job description and person specification (and by giving examples and case studies). Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities. Attach and label any additional sheets used. Continue on a separate sheet if necessary

5. References Please give the names and addresses of your two referees. Reference 1 Reference 2 Name: Job Title: Organisation: Name: Job Title: Organisation: Contact : Email: Contact : Email: How is this person known to you: Do you wish to be consulted before this referee is approached: How is this person known to you: Do you wish to be consulted before this referee is approached:

6. Declaration Statement to be Signed by the Applicant Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered. I agree that Ruskim Seafoods Ltd can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998. I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated. Signed: Date: If you return this form by email, you will be asked to sign your application at interview. 7. Submitting your application By Post: Mrs Kim Williamson Director Ruskim Seafoods Ltd Marine House Stafford Park 15 Telford TF3 3BB By E-Mail: kim@ruskim.co.uk Enquiries: Telephone: 01952 293344