Please fully complete this form and return to, you may also include a cv if you wish

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NamePlease fully complete this form and return to, you may also include a cv if you wish
A typeDocumentation
Application For Employment

Please fully complete this form and return to, you may also include a CV if you wish.

Role Applying For:

Department /


Personal Details


Mr / Mrs / Miss / Ms / Other

Last name:

First Name:

Middle names:


Main Telephone Number:

Alternative Telephone Number:

Email Address:

Eligibility to Work

Are you eligible to work in the UK?

Yes / No

If you hold a visa or work permit please give details:


Name of School / College / University

Type of Qualification (A Level, GCSE etc.)



Professional Qualifications / Memberships

Name of Organisation / Establishment

Type of Qualification /Membership



Please give of any other relevant training or development you have received:

Competency Questions

It is very important that our staff can relate to and live the Monmouthshire Building Society values. Therefore these questions ask for specific examples of your experience in relation to our values. You may like to use examples from your career, education, volunteering or other extra-curricular activities.
We are looking for a detailed answer so please think about providing:

  • An overview of how the situation came about

  • What part you played in it

  • Why did you take the approach you did

  • What the outcome was

  • What you learnt from it

If you do not have any experience relating to a value please leave it blank.

personal service


We commit to consistently providing services which are more friendly, personal, efficient and flexible than those of our main competitors.
Tell us about a time when you have provided outstanding service to a customer (internal or external or client.

competitive products

We listen to our customers and ensure that, in a fast changing world, our products and services continue to match their requirements.

Give an example of when you have made an improvement to something or where you have given feedback in order to improve something.

financial security

We ensure that the financial strength and security built up over many years are maintained for the long-term benefit of present and future members.

Tell us about a time when you have had to continue with something to realise the long term benefit.

community support

We recognise as a mutual organisation the benefits of actively supporting the local communities in which we operate.

Tell us about a time when you have supported a community or charitable cause.

fair treatment

We strive to treat all customers fairly, balancing the interests of investing and borrowing customers as equitably as possible within the framework of market forces.

Give an example of when you felt something was unfair and what action you took.

Employment History

Please start with the most recent position and account for all gaps in employment; education, career breaks, maternity etc. We will need to obtain references for at least five years of employment so please ensure you provide full contact details. If you have had any employment gaps (4 weeks and over) we will also ask you to provide evidence in the form of your benefits office address or a contact name who can provide evidence. Your referees will not be contacted until a conditional offer of employment is made.

Present or most recent employer:

Job Title:

Type of Business:

Start Date:

Leave Date:

(if applicable)

Current Salary:

Details of benefits:

Reason for leaving:

Period of Notice:

Please give brief details of your key duties and responsibilities including any achievements

Company Details

Job Title

Dates Employed

Reason for Leaving



Telephone Number:



Telephone Number:



Telephone Number:



Telephone Number:

Please attach a CV with further employer details if applicable.

Please also provide details of two personal referees:

Referee Name:

Referee Address:

Additional Information

How do you feel your skills and experience relate to the job which you are applying for?

Please include any details in support of your application and include any other skills or qualifications not mentioned earlier e.g. typing skills, etc.:

What are your main spare time/leisure interests?:

Do you have any other employment which you intend to carry on if you are successful in gaining employment with the MBS Group?

Yes / No

If Yes please provide details of the employer and hours worked:

Do you know or are you related to any current member of staff at the Monmouthshire?

Yes / No

Do you hold a current driving licence?

Yes / No

If yes are there any penalty points?

Yes / No

Have you ever been banned from driving?

Yes / No

Are you subject to any restrictive covenants regarding your current / past employment?

Yes / No

If Yes please provide details:

Do you have any holidays booked?

If yes please list dates:

Dates you are not available for interview:

Reasonable Adjustments
If you require any assistance during the application stage or any selection process should you be shortlisted please contact the MBS HR team at
Disclosure and Barring Service (DBS) Checks and Credit Checks
As a Financial Services organisation Monmouthshire Building Society uses credit checking and the Disclosure and Barring Service to assess applicants’ suitability for positions of trust. The Society complies fully with the Code of Practice and undertakes to treat all applicants for positions fairly. It undertakes not to discriminate unfairly against any subject of a disclosure on the basis of a conviction or other information revealed. We also comply fully with our obligations under the Data Protection Act 1998 and has a policy regarding the safe handling, use, storage, retention and disposal of Disclosure information. If you wish to see a copy of our DBS Retention and Disposal policy please contact the MBS HR team at
By completing this application form you are giving your permission for us to conduct a credit check and to undertake a DBS check. A DBS check will not be completed until we propose an offer of employment with the Society. You will be contacted by our provider (Experian Background Checking) via e-mail and text to notify you that your online application must be completed. This will provide you with a direct link to your online application which must be completed within an acceptable time period. You will also be required to provide three forms of identification (i.e. a driving licence, passport, utility bill, bank statement) one of which must be photo identification.
In order for us to process the DBS application and credit check request we require the following information:

Surname at birth

(if different from current)

Forename at birth

(if different from current)

Please state the dates you used this name.

Please state the dates you used this name

Any other previous surnames

Any other previous forenames

Please state the dates you used this name.

Please state the dates you used this name.

Date of Birth


National Insurance Number

What date did you move into your current address?

If you have lived at your current address for less than five years, please provide your residential addresses over the last 5 years:

Previous Address & postcode (if less than 5 years)

Resident from date:

Previous address & postcode (if applicable)

Resident from date:

I confirm that the information I have provided in support of this application is complete and true and understand that knowingly to make a false statement for this purpose is a criminal offence.
I consent to the Disclosure and Barring Service (DBS) checking the details I have provided in support of this application against the data sources specified in the notes for guidance, in order to verify my identity and process this application.
I consent to this information being used to undertake a Basic Criminal Disclosure and a Credit Report by Experian Background Checking and understand that the contents of which will be provided to the Monmouthshire Building Society. I acknowledge that my involvement with Monmouthshire Building Society is subject to information held in this report.

Have you ever been refused or had revoked or withdrawn any membership of or authorisation of registration by the FCA, its predecessor bodies (including) SIB, any recognised SRO or RPB) Mortgage Code, Compliance Board or professional bodies, have you ever resigned from, or discontinued membership of or authorisation by such body? Are you currently or have you ever been the subject of public censure, disciplinary proceedings, suspension, expulsion by any of the bodies listed above?


Have you ever been refused or had revoked or withdrawn, any authorisation to carry on insurance, investment, mortgage intermediary or banking business?


Have you ever been convicted by a court (including civil or military) for offences (including motoring offences) which are not spent convictions under the Rehabilitation of Offenders Act 1974, (including any criminal offence for dishonesty, Fraud, financial crime, violence or other offences under the legislation relating to Banking and financial services, companies, insurance or consumer protection) or have Been subject to penalties for tax evasion? (Please be assured that disclosing a Conviction will not necessarily be a bar to obtaining a position, however if you do not disclose a conviction which is later revealed in a criminal records (DBS) check, we may withdraw an employment offer.)


Have you ever been a defendant in any civil proceedings, or a party to any arbitration, in relation to any investment business, mortgage intermediary business or other financial business?


Have you ever had a petition for bankruptcy presented against you, or been declared bankrupt, or had your estate sequestrated, or are you currently the subject of such proceedings, sequestration of your estate?


Have you ever defaulted on a loan, had any judgement debt entered against you, made a compromise or arrangement with one or more of your creditors, or made proposals for such, ceased trading in circumstances in which one or more of your creditors did not receive full payment?


Have you been involved as a director, secretary or partner in any financial services or mortgage intermediary business that has ceased trading, or gone into insolvency, liquidation or administration within the last three years?


Are you or have you ever been in arrears with any credit agreement, including your mortgage or rent, or voluntarily / involuntarily given up possession of your home, or had your home repossessed by a lender?


Are you currently repaying any monies due to a previous employer in respect of an industry debt / are you in dispute with any previous employer regarding monies allegedly owed by you?


If you have answered yes to any of the above questions please provide full details on a separate sheet.

It is the Group’s duty to ensure that its staff are fit and proper to conduct business whilst in their employment. Part of this confirmation of ‘fit and proper’ will be obtained by undertaking a credit search. Your signature below will be considered due authorisation for this.
The 1998 Data Protection Act controls the obtaining and use of data about individuals. The information provided by you as part of your application, together with any other personal information you provide or, the Group obtains e.g. references from former employers, referees and sensitive information such as medical details, will be retained by the Group for 3 months following the conclusion of the recruitment period. If you are successful with your application and subsequently take up employment with the Group this information will be retained for the duration of your employment and at least 6 years after you leave. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. Your personal details will not be passed to any third party (except in response to an employment reference request or as mentioned above), without your consent. Your details will be used to assess your suitability and competence to work for the Group and, statistical analysis purposes. By signing this application you are giving your consent to the Group to obtain and hold personal data as described above.
We will check your details with/against fraud prevention databases. Should our investigation identify fraud or the commission of any other criminal offence by you (on your part) when applying for, or during the course of your employment with us, we will record details of this on fraud prevention databases. This information may be accessed from the UK and other countries and used by law enforcement agencies and by us and other employers (and potential employers) to prevent fraud.

I certify that the details given in this application are accurate to the best of my knowledge.



Equal Opportunities Monitoring
Monmouthshire Building Society wishes to promote equality of opportunity and we seek your co-operation in achieving this aim by completing this monitoring form. The data will only be used to produce anonymous statistical analysis, and will only be retained for a period of six months after the completion of the selection process. If you prefer not to answer any questions please leave them blank.
We thank you for your co-operation.

Role Applying For:

Department /


Sexual Orientation

(please place an X next to)




Gay man


Gay woman/lesbian

Marital Status:



I consider myself to be disabled:

Yes / No

Prefer not to say

Ethnicity (please place an X next to which best describes your ethnic group or background):


Mixed/multiple ethnic groups:

Welsh/English/Scottish/Northern Irish/British

White and black Caribbean


White and black African

Gypsy or Irish Traveller

White and Asian

Any other white background

Any other mixed/multiple ethnic background

Asian/Asian British:

Black/African/Caribbean/Black British:






Any other Black/African/Caribbean/Black British background:


Other ethnic group:

Any other Asian background


Any other ethnic group:

By completing this form I give my consent to Monmouthshire Building Society recording and processing information about me in the above categories.

March 2016

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