London South Bank University Students Union Application for Employment

Please refer to the Job Description and Person Specification before making your application. Applications received after the closing date will only be considered in exceptional circumstances. Please complete this form in black ink using block capitals, or type. All sections should be completed. All information will be treated in the strictest confidence. Completed forms should be sent to: Applications Section, London South Bank University Students Union, Thomas Doyle Street, London SE1 6OG. Please mark envelope Private and Confidential.

POSITION APPLIED FOR:

INITIALS

FIRST NAME

FAMILY NAME

ADDRESS (To which correspondence should be sent)

POSTCODE CONTACT DETAILS Tel Home: Tel Work: Mobile: E-mail: Do you require a work permit to work in the UK? National Insurance Number

PRESENT EMPLOYMENT POSITION HELD

NAME & ADDRESS OF EMPLOYER

Date Appointed Period of notice required Basic Salary POSTCODE

Briefly describe your present duties & responsibilities (If necessary use a continuation sheet):

ALL PREVIOUS EMPLOYMENT - Most recent first, including unpaid and voluntary work. Employer Inc. Address &
Telephone Number

Period of Service From To

Position held & main responsibilities

Reason for leaving

EDUCATION-Secondary Education onwards

Please give details in chronological order, stating most recent first.

Schools/Colleges/Polytechnic/University attended

Dates attended From To

Examinations passed & Qualifications obtained with grades

TRAINING & SHORT COURSES ATTENDED

Detail non-qualification training you have undertaken that is relevant to the post for which you are applying

Course

Dates

Place of study/Subjects

PROFESSIONAL/TRADE BODIES
Please state any membership of professional/trade bodies, with dates

RELEVANT EXPERIENCE AND SKILLS

Please give details of any work experience and personal skills you feel will be of interest to the selection panel and any other details you believe relevant to your application. If applicable, please give details of unpaid or voluntary work. NOTE: When completing this section please refer to the person specification for the position and try to demonstrate how you fulfill the criteria listed. Please continue on the reverse of this page and attach additional sheets as necessary.

RELEVANT EXPERIENCE AND SKILLS (continued)

Please attach additional sheets as necessary.

REFEREES
Please provide the names, addresses and occupations of two referees (not relatives), whom we may approach regarding your application. One referee must be your current or most recent employer. References will be taken up if you are invited for interview. If you do not wish any referee to be contacted at this stage, please place an X in the relevant box. Name Occupation Address Name Occupation Address

Post Code Telephone E-mail

Post Code Telephone E-mail

Where did you see this position advertised? DECLARATION

I certify that the information given on this form is correct. I understand that any willful omission or falsification May lead to the disqualification of this application or dismissal if appointed to the post applied for.

Signature:

Date:

In accordance with the Data Protection Act 1998 I consent to London South Bank University Students Union processing personal data contained in this application form and other data which LSBUSU may obtain on me or other people for the purposes of recruitment and selection for employment, including contacting the referees I have nominated. I consent to the processing of personal data defined in the act as sensitive data in connection with Equal Opportunities monitoring; pre-employment medical clearance and the commission of offences.