Supporting Coaches Workshop
Handout 3 – Application for Employment
Post applied for:
Application no
(for office
use only):
Where did you see the post advertised?
Part One: Personal Details
Title:
Last name:
First
name:
Address:
Postcode:
Home
telephone no:
Daytime
telephone no:
Email address:
Preferred method of contact:
National
Insurance no:
Mobile telephone no:
Referees
Please give the names and addresses of at least two people from whom references may be
requested. One of them should be your present or most recent employer (if applicable).
Please note: This should not be a relative.
Reference 1
Reference 2
Name:
Name:
Position (job title):
Position (job title):
Organisation:
Organisation:
Address:
Address:
Postcode:
Postcode:
Telephone no:
Telephone no:
Email:
Email:
Capacity in which the
applicant is known
to you:
Capacity in which the
applicant is known
to you:
May we contact your referees prior to
the interview?
YES
NO
Part Two: Qualifications and Experience
Coaching Qualifications
Course
Date
Continue on a separate sheet (if necessary).
Other Training and Development Courses
Course
Continue on a separate sheet (if necessary).
Date
Qualifications Obtained from Schools, Colleges and Universities
Please list highest qualification first (where applicable).
College/University
Course(s)
Qualifications Obtained
(Grades/Level)
School
Subject(s)
Qualifications Obtained
(Grades/Level)
Present Employment
(If now unemployed, please give details of your most recent employer.)
Name of employer:
Address of employer:
Postcode:
Position held:
To whom
responsible:
Department:
Salary/grade:
Other benefits:
Date of appointment:
Brief description of your duties and responsibilities:
Please continue on a separate sheet (if necessary).
Last day of service
(if no longer employed):
Period of notice:
Reason for leaving:
(if no longer
employed):
Previous Job History (most recent first)
Employer
From–To
Job Title
Continue on a separate sheet (if necessary).
Main Duties
Reason
for Leaving
Additional Information
Do you hold a current and clean car driving licence?
Yes
No
Do you have access to a car/vehicle for work purposes (where applicable to the role)?
Yes
No
If no, do you have access to other suitable modes of transport for work purposes (where
applicable to the role)?
Yes
No
Do you consent to completing a medical clearance form, self-disclosure form and
undertaking an enhanced DBS check if required?
Yes
No
Have you been convicted of a criminal offence (other than motoring offences and
spent convictions)?
Yes
No
If yes, please give details/dates of offence(s) and sentence:
Successful applicants will be required to complete a detailed medical questionnaire
and may be required to attend a medical examination prior to being appointed.
Number of days’ sickness absence in the last
two years:
Please state number of occasions sick in the last
two years:
Personal Statement
Abilities, Skills, Knowledge and Experience
Please use this section to explain in detail how you meet the requirements of the job
description and person specification, referring to current/previous employment, voluntary
work and any personal interests or hobbies, in particular relating to coaching. Attach and
label any additional sheets used.
Continue on a separate sheet (if necessary).
I certify that, to the best of my knowledge, the information provided in this application form is
correct. I understand and acknowledge that any false claims made or withholding of any
relevant information may result in the withdrawal of any offer of appointment or termination of
employment.
Signature: ______________________ Date: __________________________
Part Three: Equal Opportunities Monitoring Information
[Insert name of organisation] is committed to the promotion of equality of opportunity in its
employment policy, practices and procedures.
This form will be separated from your application form and treated in the strictest of
confidence. The information you provide will be used for statistical purposes only and will
not be used as part of the recruitment selection process. It is helpful if you complete all
sections of the form.
Date of birth:
Age:
Gender:
Male
Female
Please tick the box below that best describes your ethnic origin.
White
Mixed
Black or Black British
British
White and Black Caribbean
Caribbean
Irish
White and Black African
Non-UK
White and Asian
African
Any other
black background
Any other
mixed background
Asian or Asian British
Chinese or other ethnic group
Indian
Chinese
Pakistani
Vietnamese
Bangladeshi
Any other
Asian background
Other ethnic group
Please tick this box if you do
not wish to provide
this information.
Disability
Do you consider yourself disabled?
If yes, please give details:
Yes
No
Do we need to make any specific arrangements in order for you to attend the interview?
Yes
No
If yes, please detail:
How did you hear about this vacancy?
© The National Coaching Foundation, 2014