Application for Employment

1.  
Application
Position applied for     Job ref no.
Available to take up employment (date) from
Salary Required £   per annum
Which Centre are you applying to work at:
London      Old Windsor      Brands Hatch 
Are you applying to work:
Full-time      Part-time      Weekends     
How did you hear about us: 
 
2.  
Personal Details
Title 
First Names     Last Name
Address 
Postcode 
Telephone Day    
Mobile 
Email address 
 
3.  
General Health
Are you aware of any medical condition which may affect your ability to undertake the full duties of the post safely and without risk to yourself?    YES     NO   (If yes, please give details)

Are you likely to require any adjustment to the premises or working arrangements to be made on account of a disability of any kind?    YES     NO   (If yes, please give details)
Please note that any offer of employment will be subject to completion of a medical questionnaire. Battersea Dogs & Cats Home will consider making such adjustments as are reasonable in compliance with the Disability Discrimination Act 1995.

How many days sickness absence have you had from work or other activity in the last 12 months? Please give reasons.
Number of days
Reasons
 
4.  
Driving
Do you own a car?
YES       NO 
Do you have a current clean driving licence?   Provisional       Full       HGV       NO      
 
5.  
Education
 Secondary School & Further Education   Dates   Examination 
 FromTo   
  
  
  
  
  
  

Please give details of additional qualifications or training (with dates where possible) including membership of professional bodies.
 
6.  
Community / Volunteer experience
 Name and address of organisation   Dates   Position / Job title and duties 
 FromTo   
  
  
  
  
  
  
 
7.  
Spare time activities / Interests
Please describe 

Do you have any business interests or spare time activities directly related to animal welfare?
    YES     NO   (If yes, please give details)
 
8.  
Present / Most recent employer

 Name and address of employer and nature of business 

 Salary 

 Date Joined 

 Date Left 

 Notice required 


 Name and job title of person at current employer to contact for reference



Current / Most recent position held
Details of duties and responsibilities
Reason for leaving / Wanting to leave

Previous employment

 Dates   Employer's Name   Job title   Duties and responsibilities   Reason for leaving 
 FromTo   
  
  
  
  
 
9.  
References
Battersea Dogs & Cats Home requires employment refereces to cover the last 3 years. Please give names and addresses of your current and recent employers to cover this period. If you attended an educational establishment in the last 3 years please give the name of your tutor, the course you attended and the address of the establishment.
 Current / Most recent employer   Previous employer   Previous employer 
Name of referree
Position in organisation
Organisation name
Address
Postcode
Telephone number
 
10.  
Why do you to apply for this role?
Please state your reasons for applying to Battersea Dogs & Cats Home and why you feel you would be suitable for this position. This information is used for short listing candidates for interview.

 
11.  
Recruitment Policy
In order to comply with the Asylum and Immigration Act 1996 any offer of employment will be subject to the provision of documentation showing your entitlement to work in this country.

Are you currently eligible for employment in the UK?    YES       NO 
Please state what documentation you are able to provide to demonstrate that you are eligible to work in the UK

Rehabilitation of Offenders Act 1974
You must declare any unspent criminal convictions registered against you. If you have none, please state "No convictions to declare".

It is Battersea Dogs & Cats Home's policy to employ the best qualified personnel and provide equal opportunites for the advancement of the employees including promotion and training and not to discriminate against a person because of race, colour, national origin, sex, sexual orientation, religion or belief, marital status, disability or age.

I authorise the company to obtain references to support this application once an offer of employment has been made and accepted and release Battersea Dogs & Cats Home and referees from any liability caused by giving and receiving information.

Declaration: I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statements may be sufficient cause for rejection or, if employed, dismissal.
   
Name Date 
12.  
Data Protection Notice
Battersea Dogs & Cats Home will use your information, including any which you provide on our application form, to assess your suitability for employment with us. If your application is unsuccessful we would like to keep a record of your information in case other job opportunities arise in the future which we think may interest you. If you do not wish us to do so, please tick here.

If your application is successful we will use your information for personnel administration and management purposes. We will disclose your information to our service providers and agents for these purposes. We may keep your information for a reasonable period if you cease to be employed by us.

We may share your personal data with organisations that provide and administer employee benefits such as pension schemes and payroll and where we are required to do so by operation of law.

By returning this form, you consent to our processing your sensitive personal data (such as data relating to your health or criminal convictions) for the above purposes.

You have a right to ask for a copy of your information and to correct any inaccuracies. We may monitor or record communications for training and evidential purposes.