Application form


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NameApplication form
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APPLICATION FORM CONFIDENTIAL

Post Applied For: Accredited Parliamentary Assistant for Molly Scott Cato MEP

Reference: MSCAPA16
Our preference is for you to return your completed form electronically to swjobs@greenmeps.org.uk . You will receive an email acknowledgement.
Alternatively, you can post a printed copy to:

Office Molly Scott Cato MEP (MSCAPA16)

Unit 216

Brunswick Court

Brunswick Square

Bristol

BS2 8PE
All applications to be received by: 11:59pm Wednesday 28th December 2016.
Please read carefully all instructions before completing this form. Please use dark ink or type as it will be necessary to make copies of your application. PLEASE DO NOT ENCLOSE A CV AS IT WILL NOT BE LOOKED AT.
1. SURNAME:

OTHER NAMES:

2. HOME ADDRESS in full, including telephone numbers (work and home):


3. a) Please provide a telephone number(s) where we may contact you, following our shortlisting (in addition, an email address or fax number back-up would be helpful). Only shortlisted candidates will be contacted:


  1. Where did you see this vacancy advertised?



4. Are you subject to any conditions relating to your employment in the UK?
If YES, please give details:

5. If you were selected, when could you start? Please give periods of notice if applicable:


6. Please use the space below to tell us of any disability or health issues for which we may need to make adjustments to our test/interview selection process (for example, a hearing induction loop) if you are shortlisted.

EDUCATION/QUALIFICATIONS (including any examinations which you are about to take or are awaiting results):
a. SECONDARY EDUCATION
NAME OF SCHOOL DATES QUALIFICATION SUBJECT GRADE

OR COLLEGE e.g. GCSE/A-level

b. HIGHER EDUCATION
NAME OF INSTITUTION DATES QUALIFICATION GRADE


OTHER RELEVANT COURSES AND TRAINING, INCLUDING IT

EMPLOYMENT HISTORY

(including voluntary or unwaged work)
Name and Address Dates Job Title with a brief description of duties

and responsibilities

Please continue on a separate page if necessary.

REASONS FOR APPLYING FOR THIS POST

Before completing this section, please read the job description and key requirements for this post carefully. Use this section to indicate how far your achievements, personal qualities, life experience, knowledge and skills match the key requirements for the post. You may include paid and unpaid work, work within the home and leisure interests in your statement.

Please continue on a separate page if necessary.

REFEREES

Please give the name, address and telephone number of two professional/associate referees. One should be you current/ latest employer. Applicants leaving full-time education should give appropriate academic referees.
Name:
Position:
Organisation/Company:
Relevant dates:
Address and postcode

Tel:

Fax:

Email:


Name:
Position:
Organisation/Company:
Relevant dates:
Address and postcode:
Tel:

Fax:

Email:

DECLARATION
I hereby declare that the information I have given is accurate and complete:

Signature of Applicant: Date:

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