Home » Events » Wave of Light » Event Registration Application form - A Application for employment. "*" indicates required fields Step 1 of 8 12% This form must be completed in full in order for your application to be considered.Position applied for:*How did you hear about the role?*Part AInformation provided in this section will be used in the shortlisting process for this vacancyEducation and qualificationsProfessional training and qualifications (Include professional registration number and expiry date if applicable)Other training or experience which may be relevant Work history Please complete details of your current and previous employment as requested below. • list the employment in chronological order, most recent first • please include your full work history from time of leaving school or college • include any posts that were undertaken on a voluntary basis Job title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesJob title and name of employerStart dateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date left/notice requiredSalaryAddress Address Line 1 Address Line 2 Town/City Postcode Main duties and responsibilitiesReason for leavingDo you need to input another job?NoYesPlease include all details from any other jobs Additional detailsLanguage skillsDo you speak, write or use any language other than English? (please provide details in the box below)Reason for applyingUsing the Person Specification for this role as a guide, please outline under each point how your skills and abilities meet the requirements of this particular post. It will not be sufficient to simply list skills and abilities. You should provide examples of these in your application. (500 - 1,000 words)* Part BInformation provided in this section will be removed prior to the short listing process for this vacancy to ensure an anonymous application.Personal detailsTitle/Preferred Pronoun*Forename(s)*Surname*Address* Address Line 1 Address Line 2 Town/City Postcode Telephone*Email* National Insurance NumberDo you require a work permit to work in the UK? (If yes, please give details)*Do you require a work permit to work in the UK?YesNoDetails of work permitDo you have a current driving licence?*Do you have a current driving licence?YesNoDetails of any points References Please give the details of two people who are available to give work experience references. This should include one from your present or most recent employer. NB: References will not be requested until a post has been offered.Reference one name*Reference one company*Reference one address* Address Line 1 Address Line 2 Town/City Postcode Reference one telephone*Reference one email*Reference two name*Reference two company*Reference two address* Address Line 1 Address Line 2 Town/City Postcode Reference two telephone*Reference two email* The Rehabilitation of Offenders Act 1974By virtue of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975, the provisions of Section 4.2 of the Rehabilitation of Offenders Act 1974 do not apply to any employment which is concerned with the provision of health services and which is of such a kind as to enable the holder to have access of persons in receipt of such services in the course of his/her normal duties.Section AHave you ever been convicted of a criminal offence in the UK or any other country? (You do not need to disclose convictions deemed as ‘Spent’ under the Rehabilitation of Offenders legislation) If yes, please give details in the box below.NoYesDetails of criminal offence in the UK or any other country. Declaration and ConsentI confirm that the information given on this form is true and complete to the best of my knowledge. I agree that any deliberately false or misleading information will be sufficient cause to reject my application, withdraw any offer made, or if employed to dismiss without notice.*YesNoI am fit to carry out the duties of the position applied for.*YesNoIf required, I agree to give consent to approach my medical practitioner for a medical report, or to attend an Occupational Health Practitioner in order to confirm that I am fully fit and able to carry out the functions/duties intrinsic to the job and/or, where appropriate, provide assistance on whether any reasonable adjustments can be made.*YesNoIf I am unsuccessful, the employer may process the information contained on this form in accordance with Data Protection Legislation.*YesNoIf I am unsuccessful, the employer may retain my details in accordance with Data Protection Legislation and may contact me should other vacancies arise that I may be more suitable for.*YesNoI agree to my employer releasing information where appropriate in circumstances where the validation of the information given is required.*YesNoSigned*Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Equal Opportunities Monitoring FormWe ask you to complete this form to assist us in monitoring our practice in recruitment only. This will be separated from your application on receipt by the HR Administrator and any shortlisting panel will not be allowed to see it. You are not obliged to complete this equal opportunities monitoring form, but we would respectfully ask that you do.Would you like to complete the form?Please select from drop downYesNoGenderMaleFemaleIntersexNon-binaryPrefer not to sayIf you prefer to use your own term, please specify in the box belowYour own termAgeAge16 - 2425 - 2930 - 3435 - 3940 - 4445 - 4950 - 5455 - 5960 - 6465+Prefer not to sayEthnicityPlease answer which best describes you. Asian or Asian BritishPlease select from drop downIndianPakistaniBangladeshiChineseAny other Asian backgroundAny other Asian backgroundBlack, Black British, Caribbean or AfricanPlease select from drop downCaribbeanAfricanAny other Black, Black British, or Caribbean backgroundDetails of any other Black, Black British, or Caribbean backgroundMixed or multiple ethnic groupsPlease select from drop downWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed or multiple ethnic backgroundDetails of other Mixed or multiple ethnic backgroundWhitePlease select from drop downEnglish, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White backgroundDetails of any other White backgroundOther ethnic groupPlease select from drop downArabAny other ethnic groupDetails of any other ethnic group Do you consider yourself to have a disability or health condition?Please select from drop downYesNoPrefer not to sayThe information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with HR, or the recruiting manager if you are a job applicant.What is your sexual orientation?What is your sexual orientation?HeterosexualGayLesbianBisexualIf you prefer to use your own term, please specify in the box belowYour own termWhat is your religion or belief?What is your religion or belief?No religion or beliefBuddhistChristianHinduJewishMuslimSikhPrefer not to sayIf other religion or belief, please specify in the bow belowOther religion or belief
