Application Form 1Position Applied For2Employment History3Previous Employment4Education5Your Suitability for this Post6References7Equality and Diversity8Declaration Position applied for(Required) Reference No. Please indicate preference(Required) Full Time Part Time Personal DetailsName(Required) Forename Middle Surname Address(Required) Street Address Address Line 2 City County Post Code Telephone No. (Home)Telephone No. (Work)Mobile Telephone No.Email(Required) Enter Email Confirm Email Employment HistoryName and address of current or most recent employerCurrent or most recent postCurrent or last salaryDate commencedDate left (if applicable)Period of notice requiredOutline your current role, duties and responsibilities Reason for leaving (if applicable) Previous EmploymentMost recent first. Please explain any gaps in employmentDate From: Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leavingDate From Date To Employer name and addressAppointment and brief detailsReason for leaving and salary on leaving EducationSecondary education onwardsFrom To Name of School Examinations PassedClick + to add to listSubjectGrade Add RemoveHigher/further education or professional qualificationsDate From Date To University / College / Professional Body QualificationsClick + to add a rowSubjectGrade Add RemoveDate From Date To University / College / Professional Body QualificationsClick + to add a rowSubjectGrade Add RemoveDate From Date To University / College / Professional Body QualificationsClick + to add a rowSubjectGrade Add RemoveOther relevant trainingInclude From and To dates and Course details Your suitability for this postPlease illustrate with examples from your current or previous post(s) how you meet the essential and desirable criteria referred to in the application pack. You may also provide additional information in support of your application.Your suitability for this post ReferencesReferee 1.Name Position Company Address Street Address Address Line 2 Town/City County Post Code Telephone No.May we contact your referee prior to interview? YES NO Referee 2.Name Position Company Address Street Address Address Line 2 Town/City County Post Code Telephone No.May we contact your referee prior to interview?(Required) YES NO Criminal ConvictionsHave you ever been convicted of a criminal offence or do you have any pending criminal charges?(Required) YES NO Please give detailsNote that for certain posts where there is access to children and vulnerable adults, NEA may require applicants to have a full Disclosure and Barring Service check. Equality and DiversityNEA is a national charity which is committed to providing equal opportunities for its staff and job applicants. NEA’s Equality and Diversity Policy is regularly reviewed to ensure it achieves the its objectives of ensuring that no applicant or member of staff receives less favourable treatment on grounds of religion or belief, race, colour, nationality, ethnic or national origins, age, disability or health condition, gender/sex, marital status, sexual orientation or political affiliation. As part of this review, NEA monitors job applications for the ethnic origin, age, sex/gender and the disability/health status of the applicants. As part of this process, you are requested to complete the attached questionnaire. You are not required to write your name on the form. You can upload the completed form below, and we will detach it before passing your application to those assessing submissions. NEA needs your help and co-operation to enable it to do this, but filling in this form is voluntary. All replies will be treated in the strictest confidence and the information will only be used internally by NEA as part of the monitoring of its equal opportunities policy. No information will be provided to any other individual or organisation. Thank you for your co-operation. Download the monitoring form here Please let us know if you are returning the completed monitoring form:(Required) YES NO Please upload the monitoring form hereMax. file size: 10 MB. DeclarationDeclaration(Required)I declare that the information I have given is, to the best of my knowledge, true and complete and can be treated as part of any subsequent contract of employment. Please tick to agree to the declaration belowSignatureDate DD slash MM slash YYYY NEA notes that the information requested on this form is covered by the Data Protection Act 2018. It will be handled in confidence and will only be used for the purpose of processing and assessing your application for employment. If successfully appointed to a post within NEA this document will become part of your formal contract of employment. NEA's full privacy policy is available at www.nea.org.uk/privacy-policy. Applicants must note that NEA will require further checks on identity and eligibility to work in the UK before commencement of employment.
