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Position sought (please select) Preferred location (please select)

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Permanent Address:   *
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Tel. No. (inc. STD code):   *
E-mail address:   *

Term time address: (current undergraduates only)
(please give dates)
 
Tel. No. (inc. STD code):
E-mail address:

 
 
Do you need a work permit?
Please give details of chronic illness or disability
 

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School/College

Please enter, in chronological order, the name and and dates of all educational establishments attended, not including universities.

Name of School/College Date From Date To

Examinations

Please list all attempts including failures. Include GCSE's, A-levels, NVQ's etc. Do not include degrees.
Date Level Subject Grade

University

Please enter, in chronological order, the name and and dates of all educational establishments attended.

Name of University Date From Date To Results or class of degree obtained /expected

Undergraduates should provide the following information in respect of expected results above:
Course Title Principal Subjects Results to date e.g. Part 1

Postgraduate/Professional

List postgraduate qualifications, professional qualifications and part qualifications.
Date Qualification Subject Grade

Were all professional examinations passed at your first attempt?
If no, give details?
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What positions of responsibility did you hold? E.g. Sports captain, prefect

(Undergraduates and applicants for junior positions only)
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List all abilities (spoken and written) in foreign languages.

Indicate abilities in the use of applications software.
Do you have regular access to the internet?  Yes  No  

You may like to indicate interests outside the workplace. Please give an indication of any position of authority held.
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Please list your past two employers

1. Employer's name:
Brief description of duties:
Dates From:
To:

2. Employer's name:
Brief description of duties:
Dates From:
To:

Please give details of two people who have agreed to provide references. For applicants for ACA or ACCA training vacancies, one should comment on your current academic achievements (e.g. tutor, head teacher).

For applicants for senior positions, one must be your current employer. In all cases one should provide a personal reference (they must not be related to you).
Full Name & Title:   *   Full Name & Title:   *  
Address:   *   Address:   *  
    *       *  
    *       *  
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Occupation:   *   Occupation:   *  

Please explain why you wish to join Barnes Roffe, indicating the relevant qualities you possess.

The Commission for Racial Equality has requested that employers monitor applicant's ethnic origin and it would therefore be helpful if you would provide the following information:

White: Black Other (please specify): Bangladeshi:
Black Caribbean: Indian: Chinese:
Black African: Pakistani: Other (please specify):
Other Notes: 
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Please state the source of your information regarding this vacancy
 
 
 

Confirmation Statement

I am happy that all information submitted by me on this form be acurate and is to the best of my knowledge

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