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Job Application Form Part Time Academy Coaches

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Walsall Football Club

Job Application Form

Title of post applied for: Closing Date:

Before completing this form, please read the accompanying guidance notes. Please write clearly in black ink or type.

Confidential
1. PERSONAL DETAILS (BLOCK CAPITALS PLEASE)
Surname: First Name or Initials:
Former surnames Preferred Name or
if different: Title (Optional):
Address: Telephone Number
Email Address
Nat. Insurance No:
If you are not a British passport holder or a European Citizen, or you do not
Nationality:
have the permanent right to remain in the UK, you will require a work permit.

Do you need a work permit Yes If you already have a work permit, when does it expire?
to be employed in the UK? (Please note that your current work permit may not be valid for this post.)
No
Where did you learn of the post?

Preferred work arrangements: Full-time Job share Term time only 30 hrs a week

2. EDUCATION AND PROFESSIONAL QUALIFICATIONS RELEVANT TO THE ROLE


(Original documents as proof of qualification will be required at interview)

Secondary School / Dates


Examinations taken Date Result
College / University From To

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Professional Qualifications currently held: how obtained, grade and date

Other relevant Educational or Training Courses, with dates

3. PRESENT POST

Title of Post: Salary:


Name of
Business of Employer:
Employer:
Address: Date Commenced:
Date Ended (if applicable):

Town: Post Code:


Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable):

Reason for leaving or wishing to leave:


Period of notice required to terminate present employment:
Please notify us of any dates you are available for interview:

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4. PREVIOUS EMPLOYMENT
(Please use continuation sheet if necessary.)

Name and Address of


Position held Reason for leaving Final salary
Employers

Description of duties:

Description of duties:

Description of duties:

Description of duties:

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5. RELEVANT SKILLS, ABILITIES, KNOWLEDGE, EXPERIENCE AND YOUR REASONS
FOR APPLYING FOR THIS JOB

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6. OTHER INFORMATION

What activities outside work interest you? (State any positions held you consider relevant.)

Do you hold a current driving licence? Yes No Do you have access to a car? Yes No

Disabilities
If selected for interview, do you require any special arrangements to be made on
Yes No
account of a disability?
If “yes”, please give brief details of the effects of your disability on your day-to-day activities, and any other
information that you feel would help us to accommodate your needs during your interview and fulfil our
obligations under the Equality Act 2010:

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975


Have you any convictions that are not spent under Rehabilitation of Offenders Act? Yes No
If Yes, please provide further details:

As this post is covered by the Rehabilitation of Offenders Act 1974(Exceptions) Order 1975, both spent and
unspent convictions must be declared.

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7. REFERENCES

Referee 1 Referee 2
Title (Mr, Mrs etc): Title (Mr, Mrs etc):
Full Name: Full Name:
Job Title: Job Title:
Organisation: Organisation:
Address: Address:

Town Post Code Town Post Code


Tel No: Tel No:
E-mail address: E-mail address:
Please state if we may obtain this Yes Please state if we may obtain this Yes
reference prior to interview. reference prior to interview.
No No

8. DECLARATION

I declare that the information given in this application form is true and complete. I understand that if I have
given any misleading information on this form or made any omissions, this will be sufficient grounds for
terminating my employment.

Signature: Date:

Name:
The information provided by you on this form may be processed for purposes permitted by the General Data
Protection Regulation. You have, on written request, the right of access to personal data held about you. The
company treats personal data collected during the recruitment process in accordance with our Data
Protection Policy.

PLEASE NOTE:

Due to the current COVID-19 restrictions, you may be asked to attend an initial interview online via Zoom. However,
any subsequent interview will be face to face with specific social distancing guidelines in place in accordance with the
Company protocols.

Only those candidates shortlisted for interview will be contacted. Your details will not be retained on file if you are not
short listed for interview in accordance with the Company’s GDPR policies.

Applications received after the closing deadline will not be considered.

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