Spark Blaenymaes Ltd
42-48 Dove Road
Blaenymaes
SWANSEA
SA5 5QD
Candidate No: __________________
(Office use only)
JOB APPLICATION FORM
Confidential
Spark Blaenymaes Ltd operates an Equal Opportunities Policy
Position applied for:
......................................................................
Project:
......................................................................
Closing Date:
......................................................................
Source of Advertisement:
...............................................................................
Please complete the form answering all questions and sign declaration
on page 5.
If you are appointed, the information you have given will form the basis of your Personal Record.
If someone completes the form or part of the form on behalf of the applicant, they must be named in
declaration 2 on page 5
Due to the nature of Spark Blaenymaes Ltd’s work, all positions will be subject to a satisfactory
appropriate level of Disclosure and Barring Service check before appointment is confirmed.
1
Personal Details
Surname (block capitals) _________________________________Initials:__________________
Address (block capitals)
_______________________________________________________________
______________________________________________________Postcode: ________________
Telephone Nos: ___________________ (home) ____________________ (mobile) ________________ (work)
Education and Training
Secondary, Further and Higher Education
Subjects
Qualification gained
eg GCSEs NVQ
Grade/level
Date
Other training and Professional Qualifications:
Title
Level/certificate awarded
Proof of qualification will be required before appointment
2
Date
Details of Present Job (or last job if currently not employed)
Name and address of employer:
Job Title:
Length of notice:
Date of appointment:
Present salary:
Briefly describe your current/most recent employment, highlighting duties, responsibilities, skills
or experience gained relevant to the post for which you are applying.
Details of Previous Employment
Please provide details of past employment, starting with your most recent:
From
(date)
To
(date)
Name and Address of
Employer
Position
Held
3
Final
Salary
Reason for
leaving
Application Statement
Please write here evidence of your ability to meet each of the essential and desirable points on the
specification for the post.
 Refer to each point and give details of skills, experience, knowledge and evidence of your
ability.
 You will be awarded points for the level of evidence you provide, applicants with most points
(best evidence) will be short listed.
 Include relevant experience from outside work, volunteering or the home.
Please continue over leaf if you need more space
4
Please give details of any interests or voluntary work activities:
Do you hold a current full UK driving licence? Yes/No (delete as appropriate)
Please give details of any endorsements:
References
Please give the name, address and position of two referees. One should be your present or last
employer. If you have not worked before a teacher, college tutor or somebody who has known you
for over two years would be suitable. Please note that a member of your family cannot be named as
your referee:
1.
Name ___________________________
2.
Name____________________________
Position: _________________________
Position __________________________
Address: _________________________
Address__________________________
Telephone number: ___________________
Telephone number:___________________
Do you have any medical or mental condition which could affect your ability to do this job? Yes/No
Do you consider yourself to be a disabled person? Yes/No
If yes please give details:
_________________________________________________________________________________
Please give details of your total sickness absence over the last 12 months: _____________________
_____________________________________________________________
Sign below, 1 or 2, whichever is applicable.
1 “I have completed this application form & I declare that the information given on this form is correct”.
Signed: _____________________________________________ Date: ____________________________
2 “I declare that______________________has completed this form on my behalf and the
information on this form is correct”
Signed applicant___________________________
Date__________________________
ST 06; 13
5