Post Applied For:.....................................................................................................

How did you get to know about us:.........................................................................

Contact Details:

Tittle: Miss. Ms. Mrs. Mr.

First Name:.................................. Middle Name(s):...............................................

Surname:..................................................................................................................

Date of Birth:...........................................................................................................

Address:...................................................................................................................

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….............................................................................................................................

….............................................................................................................................

Telephone No. 

Day Time:.................................... Evening Time:...................................................

House Tel:................................... Mobile No.:........................................................

E-mail Address:.......................................................................................................

Nationality:..............................................................................................................

NI No.:.....................................................................................................................

Applicant's Personal Detail:

Secondary School/College

   

   

    

University Education:

   

   

   

Professional Registration: (Please Complete if Applicable)

Professional Body Membership/Registration No. Expiry Date

  

  

    

Employment History:

(Start with the most recent employment including all employment since leaving school) 

    

    

    

    

    

Professional Reference: These two should either be your Head of Department, Line Manager or Supervisor:

Name:......................................................................................................................

Organisation:...........................................................................................................

Position:...................................................................................................................

Address:...................................................................................................................

Tel. No.:.................................................... Fax No.:................................................

E-mail:.....................................................................................................................

Name:......................................................................................................................

Organisation:...........................................................................................................

Position:...................................................................................................................

Address:...................................................................................................................

Tel. No.:.................................................... Fax No.:................................................

E-mail:.....................................................................................................................

Additional Information: Please state other experiences or skills that you have acquired that will help your application. Including voluntary work experience, part time work. Continue on a seperate sheet of paper if necessary:

Criminal Records Cheeks: 

In addition to this application you will be asked to complete a CRB Form to provide evidence of Police Clearance. Non British Citizens will be required to provide reference letter of Good Conduct from Country origin.

REHABILATION OF OFFENDERS ACT 1974 EXCEPTIONS ORDER 1973

As a result of the nature of work for which you may be applying, the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974 does not apply by virtue of the Rehabilitation Act of 1874 Exception Order 1975. Applicants are therefore NOT entitled to withhold information about conviction which for any purposes are spent under the provisions of the Act. In the event of employment, any failure to disclose such convictions will result in your removal fro our register. Any information you may give us will remain strictly confidential. Paula Solutions Recruitment Services may contact you for your permission to disclose such conviction in detail if relevant to the position you are applying for.

Have you ever been convicted of a criminal offence? YES/NO

Declaration subject to the Rehabilitation of Offenders Act.

Equal Opportunities in Employment

PSRS (Manchester) Limited completely supports the principle of equal opportunities in employment. The aim of our policy is to ensure that no candidates or employee receives less favorable treatment on the grounds of gender, marital status or religious belief. Our policy aims to ensure that no candidate or applicant receives less favorable treatment on any of the above grounds or is disadvantage by conditions or requirements that cannot be justified. The information supplied on this form is kept separately from your application and does not form part of our decision-making process.

Please complete below section by ticking as appropriate:

White Pakistani  

Black Caribbean Chinese 

Black African Bangladeshi 

Indian   

Asian   

Other ethnic group (please describe:.................................................................

Equality Act 2010:

Do you have any disabilities for which reasonable adjustments need to be made to our selection process:

If yes, please specify:.............................................................................................

DECLARATION:

Please sign and complete the date on this section after you have completed all part of the form.

I certify that to the best of my knowledge the information given on this form is correct. I understand that if anyh information I have provided is found to be untrue, any offer of employment may be withdrawn or, in the event of discovery after appointment. I may be subject to disciplinary action that could result in my dismissal.

Sign:................... Print Name:..................................................... Date:.................