Position applied for *:
If you obtained this position, would you continue in any other employments?: Yes No
Do we need to make any disability-related adjustments to allow you to take part in the recruitment process:
Home Address *:
Home Telephone *:
Business Telephone *:
Email Address *:
Please list any qualifications you have below. These include qualifications such as GCSE's and A-Levels.
Please detail all previous employment covering a 10 year period where applicable.
Please include the following details: Name and Address of Employer, dates of employment from and to, job title, job duties and reason for leaving.
Previous Relevant Experience
List your current intrests:
Current Driving Licence *: Yes No
If yes, type of licence
Type of License:
Any current endorsements *: Yes No
If yes, give details
Any motoring prosecutions pending *: Yes No
List any criminal convictions other than "spent" convictions. If none state "none"
The information provided will be confidential and will be considered only in relation to this application
Reference 1 - Name:
Reference 1 - Telephone Number:
Reference 1 - Email Address:
Reference 2 - Name:
Reference 2 - Telephone Number:
Reference 2 - Email Address:
Please detail any further information you wish to put forward in support of your application
Privacy notice - job applicants
We process personal data relating to those who apply for job vacancies with us or who send speculative job applications to us. We do this for employment purpoises, to assist us in the selection of candidates for employment, and to assist in the running of the business. The personal data may include identifiers such as name, date of birth, personal characteristics such as gender, qualificaitons and previous employment history.
We will not share any identifiable information about you with third parties without your consent unless the law allows or requires us to do so. The personal data provided during an application process will be retained for a period of at least six months or, if required by law, for as long as is required.
This privacy notice does not from part of an employment offer or contract between us. If we make an employment offer to you, we will provide further information about our handling of your personal information in an employment context separately.
If you would like to find out more about pour data retention policy and how we use your personal data, you want to see a copy of the information about you that we hold or have any questions or issues regarding data protection, please email us with the Subject "Data Protection Request."
The above information is true. I understand that any job offer made on the basis of untrue or misleading information may be withdrawn on my employment terminated.
Copyright Grantham & District Mencap
Registered as a Charity and Affiliated to the Royal Society.
Reg. No. 1023576. Registered in England 2035303.
Fairview Farm, Gloucester Road, Grantham, Lincs, NG31 8RJ .
Tel: 01476 570507
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