Application Form - Hodgson Sayers

Number of days absent in the last 2 years
Please state number of times in the last 2 years
Education
Date From Date To Name of School / Educational Establishment Examinations taken and Qualifications (Specify Grades)
Training & Competencies
Training Course or Competency Date Completed Expiry Date
Have you ever been convicted of a criminal offence?
Have you any prosecutions pending?
If yes, please give details / dates of offence(s) and sentence:
Employment History
Name and Address of Employer Date From Date To Job Title / Job Function / Responsibilities Salary & Reason for Leaving

Reference One
Name
Their Position (Job Title)
Work Relationship
Organisation
Date Employed From
Date Employed To
Address
Postcode
Telephone Number
Email Address
Reference Two
Name
Their Position (Job Title)
Work Relationship
Date Employed From
Date Employed To
Address
Postcode
Telephone Number
Email
I confirm that the information provided in this application and within my Curriculum Vitae is truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file
Consent
Please tick if you do not wish us to hold your details
Any personal information that you provide to us, or that we obtain from you will be processed in accordance with the requirements of the General Data Protection Regulations (GDPR) & the Data Protection Act 2018. Hodgson Sayers may keep your details on file pending suitable opportunities that may arise in the future.
Comments
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Reference One

Date From	Date To	Name of School / Educational Establishment	Examinations taken and Qualifications (Specify Grades)

Name and Address of Employer	Date From	Date To	Job Title / Job Function / Responsibilities	Salary & Reason for Leaving

Training Course or Competency	Date Completed	Expiry Date