Part B Application Form
Part B Application Form
Part B Application Form
Office Use Only Applicant No. Post Number Post Name Closing Date Please complete all sections
QUALIFICATIONS Academic / professional qualifications in date order (most recent first) Subject Qualification Grade
Proof of professional qualifications will be required at interview Current membership of relevant professional or technical bodies and membership status
WORK HISTORY CURRENT OR LAST JOB Name of employer___________________________________________________________ Address___________________________________________________________________ Job Title__________________________________ Period of Notice___________________ Dates from ____________________ To____________________ Brief description of duties / responsibilities
Reason for leaving PREVIOUS JOBS (in date order, most recent job first) Name and address Job title and main duties Date of employer from
Date to
YES / NO
INFORMATION IN SUPPORT OF YOUR APPLICATION Please give brief details of experience and training (including voluntary work) relevant to the post. Please refer to the person specification and job description. Please do not attach a C.V.
REFEREES (one of whom should be your present/last employer) If you are not in employment, please give a previous employer, head of school / college or someone who knows you well. Please ensure that your referees are in a position to respond promptly. If you believe there may be difficulty in obtaining references you should discuss the matter with the contact in the job advertisement. PRESENT/LAST EMPLOYER Name Address OTHER REFEREE Name Address
Post Code:
Tel. No:
Tel. No: NO
Please note we will ask referees to confirm sickness levels Failure to disclose relevant information requested in this application form will disqualify a candidate and discovery of erroneous information after appointment may lead to dismissal. Applications will only be accepted from candidates eligible to work in the UK (please see enclosed information) Canvassing Councillors or any employee, either directly or indirectly, will disqualify you. I declare that the information on this form is correct and that I agree to it being held and processed in accordance with the data protection Act 1998. Signature: Date:
(If completing this form electronically, in submitting this form you are agreeing that the information on this form is correct, and to it being held and processed in accordance with the data protection Act 1998.)
Please ensure you have completed parts A and B and return the form to:Gloucester City Council, Human Resources, North Warehouse, The Docks, Gloucester, GL1 2EQ, or as advised in the covering documentation.
If applicable, please include the post number on the front of the envelope.