Application Form (2023) 1Position Applied For2Employment History3Previous Employment4Education5Your Suitability for this Post6References7Declaration 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 responsibilitiesReason 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 Email Enter Email Confirm Email 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 Email Enter Email Confirm Email 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. 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.
