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Joseph Warne ATG Form
Joseph Warne ATG Form
Personal Details
Title
Mr
Address
Forenames(s)
Joseph
Telephone Number
07706837329
Email address:
Surname
Warne
Postcode
CR4 2BT
Mobile Number
07706837329
joeywarne@hotmail.com
(We will use email for all our correspondence with you if completing by
hand please write as clearly as possible ALL CAPS is good!)
Where do you work at the moment, or, your most recent job?
Job Title
Employment History : please tell us about any other previous positions you have held which may be relevant to this
application
Dates from / to
September 2010 July 2015
Employer
Stokewood Surgery National Health
Service
Education
Secondary education (name/place)
Barton Peveril College September 2010 July 2012
Online
September 2015
No
If yes, please tell us where you were based and what your
role was.
n/a
Yes
n/a
Please note that, in accordance with Section 8 of the Asylum and Immigration Act 1996, all new employees are required to
provide us with documentation that proves they have the right to work in the UK before commencement of contract.
If invited for an interview, do you have any access Yes
requirements we need to take into consideration? Yes/No
If Yes, please tell us what would help you.
No
n/a
No
To ensure that the recruitment process is as fair as possible, if you answer Yes to the question above, you will be sent a short
form to return to the HR Department on which you can provide further details confidentially. Information about past
convictions will only be considered in relation to the job you are applying to undertake.
References
Please provide names and addresses of your two last employers where possible who can provide details of your previous work.
1. Name
Jenny Cross
2. Name
Deborah Humphries
Occupation
Duty Manager
Occupation
Practice Manager
Company
Airhop Trampoline Park
Company
Stokewood Surgery NHS
Address
12 Middleton Industrial Estate
Address
Fair Oak Road
Guildford
Fair Oak
Surrey
Eastleigh
GU2 8XW
Hampshire
SO50 8AU
Telephone number
07845436167
Telephone number
023 80603115
Email
j.cross@airhoptrampolinepark.com Email
k_warne@sky.com (will
forward the email on)
Time known
Any
Time known
9am 5pm Mon-Fri
Type of reference
Current Manager
Type of reference
Previous Manager
May references be taken up prior to a job offer
Yes
May references be taken up prior to a job
Yes
being made? Yes/No
offer being made? Yes/No
Data Protection
It is Ambassador Theatre Groups policy to keep unsuccessful applications on file for a period of 4 months. Where other
positions arise which we think may be suitable, we will contact you to let you know.
I would like my application to be kept on file and would like to be informed if other suitable positions arise
which I may be suitable for. Yes/No
Declaration
I hereby give my consent to Ambassador Theatre Group to process the data supplied in this
application form for the purpose of recruitment and selection. Yes/No
Yes
Where we consider it appropriate for the role, financial checks will be completed and I agree to
these checks being taken now, or at any time during my employment. Yes/No
Yes
I declare that the information given in this application is, to the best of my knowledge, complete and
accurate. Yes/No
Yes
Please note:
Any false, incomplete or misleading statements may result in withdrawal of a job offer or dismissal.
Yes
https://www.surveymonkey.com/s/ATGEOMQ
All information will be treated in confidence and will not be seen by staff directly involved in the appointment and used only to
provide statistics for monitoring purposes.
Thank you for your assistance.