Gardener/Grounds Maintenance Operative Job

Applications must be received by noon on Friday, 23 November

Click here for job application pack

 

SAFFRON WALDEN TOWN COUNCIL

APPLICATION FORM

 

 

                                 STRICTLY CONFIDENTIAL

        This application form is an integral part of our selection procedure.

        It has been designed to enable you to give us a meaningful written representation

        of yourself and your career interests.  Please complete the form accurately in black

         type, but if sections do not apply, leave them blank.  If you have insufficient  room to provide

        the relevant information in any section, please continue on a separate sheet.

 

 

PART A:  JOB DETAILS

 

Post applied for

 

PART B:  PERSONAL DETAILS

 

Preferred title (Mr/Mrs/Ms/Miss/Dr etc)         

 

Surname

 

 

Forenames

 

 

Address

 

                                                                                             

 

(Work

 

(Home

 

)Mobile

 

:Email

Car Owner      YES/NO

 

Current driving licence  YES/NO

 

Detail of endorsements

 

 

The Asylum and Immigration Act 1996 makes it a criminal offence for us to employ those who do not live or work in the United Kingdom, therefore we will require evidence of legality prior to appointment.  Documents which can support this include your passport or national identity card. Please refer to the accompanying document “Evidence of right to work in the UK”

 

Do you require a work permit to work in this country      YES/NO

 

National Insurance Number

 

In accordance with the Rehabilitation of Offenders Act 1974, applicants should give details of any criminal convictions which may be relevant to their application.

 

Relevant details

 

 

 

 

PART C:  EDUCATION AND TRAINING

 

Establishment Name

From

To

Examination results

(include subject, level & grade)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART D:  PRESENT OR MOST RECENT EMPLOYMENT

 

Name and address of employer

 

 

                                                                                             

 

Position held                                                      

 

 

Dates employed                       

 

 

Salary

                    £…………………….....per annum

 

Key roles/achievements

 

 

Reason for leaving

 

 

 

Date that you could take up new appointment

 

 

PART E:  EMPLOYMENT HISTORY

 

Name and address of employer

 

 

 

Position held                              

 

Dates employed                    

 

Salary

                    £…………………….....per annum

 

Key roles/achievements

 

 

 

 

Reason for leaving

 

 

 

Name and address of employer

 

 

 

                                                                        

 

 

Position held                              

 

 

 

Dates employed                    

 

 

Salary

                    £…………………….....per annum

 

 

Key roles/achievements

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

 

Name and address of employer

 

 

 

                                                                        

 

 

Position held                              

 

 

Dates employed                    

 

 

Salary

                    £…………………….....per annum

 

 

Key roles/achievements

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

PROVIDE ADDITIONAL INFORMATION ON A SEPARATE SHEET IF NECESSARY

 

 

 

 

PART F:  MEMBERSHIP OF PROFESSIONAL INSTITUTES

 

Give details of the membership body, type of membership and dates during which membership applied

 

 

 

 

 

 

 

 

        

 

 

PART G:  PRESENT/MOST RECENT UNPAID ACTIVITY 

Name and address of organisation

 

 

 

 

Position held

 

Dates involved

 

Key roles/achievements

 

 

 

Reason for leaving (if relevant)

 

PART H:  REFEREES

Do you wish to be approached before referees are contacted   YES/NO

 

Please give details of two referees (one of which must be your present or last employer)

 

Name

 

Name

Address

 

 

 

 

Address

 

( and email

( and email

 

Position

Position

 

PART I:  SUPPORTING STATEMENT – please continue on additional paper if necessary

 

 

 

 

 

 

 

 

 

 

 

 

PART J:  DECLARATIONS

PART J:  Declaration of business or other interests will not necessarily disqualify you from consideration but potential conflict interests must be declared.  To avoid allegations of bias any relevant relationships must be disclosed.  If undisclosed then the candidate may be liable to disqualification from further consideration or to being summarily dismissed from their appointment.

 

To the best of my knowledge the information I have given is correct. I understand that giving false information or omitting to give relevant information could disqualify my application and, if I am appointed, could lead to my instant dismissal

 

 

........................................................................................              ........................................

(Signature)                                                                                   (Date)

I understand that direct or indirect canvassing of councillors for any appointment shall disqualify me from appointment.  I have not canvassed in connection with this application

 

 

........................................................................................              ........................................

(Signature)                                                                                   (Date)

I have the following relationships and financial interests which are relevant to/conflict with this post

 

 

 

 

 

........................................................................................              ........................................

(Signature)                                                                                   (Date)

If appointed, I consent to my personal information being held for the purpose of administration of my employment

 

 

........................................................................................              ........................................

(Signature)                                                                                   (Date)

 

Please make sure your application is received by 12 noon on the closing date.

 

 

 

 

 

 

 

 

 

 

PART K:  EQUAL OPPORTUNITIES POLICY MONITORING FORM

(this information will be used for monitoring purposes only and will not be available to those involved in the selection or recruitment process)

 

PART K:  Monitoring the effectiveness of our equal opportunities policy is important to us and we expect candidates to complete the form.  It will not be used for the short-listing process and will not discriminate against your selection.

 

The Town Council is an equal opportunities employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment and is treated fairly in accordance with the Equality Act 2010.  Recruitment, selection and promotion procedures will be monitored to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

 

To assist in monitoring the operation of its equal opportunities policy, and for no other reason, please answer the following questions. (Tick where appropriate)

 

Position applied

 

Date of birth                                                    Age                                         

 

Male

 

Female

 

I have a disability I would like the Council to know about    YES/NO

 

I have special requirements you will need to take into account in testing/interview  YES/NO

 

Please indicate your cultural/ethnic origin

 

Black African                                                           Pakistani

 

Black Caribbean                                                     Other Asian (please specify

 

Black Other (please specify)                               White

 

Bangladeshi                                                         White Irish

 

Chinese                                                              White other (please specify)

 

Indian                                                                 

 

Any Other (inc. mixed race) (please specify)

 

 

 

Thank you for your assistance in completing this form

 

 

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Posted on 25/10/2018