Application For Employment
This is the first stage in the selection procedure for the Welsh Football Trust and will identify suitable applicants to
attend for interview.
This part of the assessment is based on the information which you provide below. It is important, therefore, that you
include as much information as possible about yourself and what you have done.
Please complete each section below in black ink as this form may be photocopied.
Please do not enclose a CV, copies of certificates or copies of references with this application form.
Please ensure that all parts of the application form are completed in full and returned to Dragon Park, National
Development Centre, Newport International Sports Village, Newport, NP19 4RA
Title of post applied for:
Receptionist / Executive PA
Closing Date:
24 July 2015
1. PERSONAL PARTICULARS (BLOCK CAPITALS PLEASE)
Surname:
Former surnames
if different:
Forenames:
Preferred title (Dr, Mr,
Mrs, Ms, Miss etc):
Tel No (home):
Address:
Tel No (business):
Tel No (mobile):
<Town>
<Post Code>
Preferred Contact:
E-Mail address:
Nat. Insurance No:
Nationality:
Do you have the right to
work in the UK?
Yes
No
Applicants will be required to provide documentary evidence of their
right to work in the United Kingdom if invited for an interview.
If you already have a work permit, when does it expire?
How did you hear about the post?
Preferred work arrangements:
Full-time
Welsh Football Trust Application Form: January 2014
Job share
Term time only
Part-time
2. EDUCATION AND PROFESSIONAL QUALIFICATIONS
Please detail in chronological order, with most recent first. Please continue on a separate page if necessary.
(Include professional qualifications, apprenticeships or government-sponsored schemes, as appropriate.
Indicate whether full-time, part-time or home study). Original documents as proof of qualification may be required
at interview
Secondary School /
College / University/
Dates
From
To
Examinations taken
Date
Result
Professional Qualifications and/ or membership currently held: Grade and date
Other relevant Educational or Training Courses, with dates (including Health and Safety related- i.e. Manual
Handling or First Aid)
Welsh Football Trust Application Form: January 2014
3. PRESENT POST
Title of Post:
Salary/Grade:
Name of Employer:
Business of 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:
4. PREVIOUS EMPLOYMENT
Name and Address of
Employers
Position held
Description of duties:
Description of duties:
Description of duties:
Welsh Football Trust Application Form: January 2014
Dates
From
To
Reason for
leaving
Final grade/salary
5. RELEVANT SKILLS, ABILITIES, KNOWLEDGE, EXPERIENCE AND YOUR REASONS FOR APPLYING FOR
THIS JOB. (Please read the Job description and outline how you feel you match the requirements of the
job- continue on a separate sheet if necessary) (Please include any language and relevant IT Skills)
Welsh Football Trust Application Form: January 2014
6. OTHER INFORMATION
What activities outside work interest you? (State any positions held you consider relevant.)
Do you hold a current driving license?
Yes
No
Do you own a car?
Statement
Have you ever been convicted of a criminal offence (which is not a spent conviction
under the Rehabilitation of Offenders Legislation)
Any unexplained gaps in employment in the last 5 years
Change this to - Does your license have any endorsements?
Other questions to consider
Yes
Yes
No
No
Are you currently subject to any contractual “restraints of trade” clauses?
Do you have any commitments that might limit your working hours?
Are you willing to work overtime and weekends when require?
Please give details of any holidays that you have arranged:
If answered yes to any of the above, please give details.
(You are reminded that failing to disclose information requested as above or falsification of information may
lead to dismissal from the company on the grounds of gross misconduct.)
If offered a job with Welsh Football Trust, you will be required to obtain and submit to the Company a certificate
from the Criminal Records Bureau, giving details of any convictions.
Welsh Football Trust Application Form: January 2014
7. REFERENCES
Please give the details of two referees who are not related to you, who we can approach for a confidential
assessment of your suitability for this job. (One of these must normally be a previous employer).
(Tick in box if you do not wish your employer to be contact before an offer of employment is made)
Referee 1
Title (Mr, Mrs etc):
Referee 2
Title (Mr, Mrs etc):
Full Name:
Full Name:
Job Title:
Job Title:
Organisation:
Organisation:
Address:
Address:
Town.
Post Code.
Town.
Tel No:
Tel No:
E-mail address:
E-mail address:
Fax No:
Fax No:
Please state if we may obtain this
reference prior to interview.
Welsh Football Trust Application Form: January 2014
Yes
No
Please state if we may obtain this
reference prior to interview.
Post Code.
Yes
No
8. DECLARATION
Data Protection Act 1998
Any data about you will be held in secure conditions with access restrictions. Data will also be used for employment
monitoring purposes however all data will be kept anonymous. If you are unsuccessful, your application will be
destroyed after 3 months. If you are the successful candidate, relevant information will be taken from this form and
used as part of your personal record.
Rehabilitation of Offenders Act 1974
Under the Rehabilitation of Offenders Act 1974 criminal convictions can become spent or ignored after a rehabilitation
period, although they remain on the Police National Computer. The rehabilitation period varies depending on the
sentence or order imposed by the court - not the offence. Custodial sentences of more than two and half years can
never become spent.
Asylum and Immigration Act 1996 (Section 8)
This act makes it a criminal offence for an employer to take on new staff whose immigration status prevents them from
taking up the post in question. This applies to all types of employment, including part-time, temporary or casual
appointments. For most jobs you will only be asked to produce one or two documents if you are offered the job.
Documents will be checked as a completely separate process.
Declaration
DECLARATION OF APPLICANT
I confirm that the above information is correct.
I consent to The Welsh Football Trust using and keeping information I have provided on this application or elsewhere as
part of the recruitment process and/or personal information supplied by third parties such as referees, relating to my
application or future employment. I understand that the information provided will be used to make a decision regarding
my suitability for employment and if successful the information will be used to form my personnel record and will be
retained for the duration of my employment. If I am not successful, I understand that The Welsh Football Trust will retain
the form for as long as is deemed necessary and that The Welsh Football Trust may use it to contact me in the event of
there being any other vacancies for which I may be suitable.
I declare that the information contained in this application is complete and correct. I understand that, if I have knowingly
provided false information in my application, I may be disqualified or dismissed after appointment.
I consent to the use of this information as outlined above.
Signature: _________________________
Welsh Football Trust Application Form: January 2014
Date: ________________________