Ways People Can Be Discriminated Against

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|Cranstoun Job Application Form | |All appointments are subject to an enhanced CRB disclosure and satisfactory reference checks before any candidate is offered a post. |

|Post Applied for: |Young People’s Outreach Worker |Post Number: |Ref: 951 |

|Have you worked for Cranstoun before |Yes | |From |      |To |      |No |NO |

|Please complete this form fully using black ink or type. C.V.s are not accepted. Applications received after the closing date will not normally be considered. |

|THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE. |

|Section 1: Personal details |

|Last Name: |Mott |First Name: |Jean |

|Address: |9 Stockheath Road | | |Leigh Park | | |Havant | |Postcode: |PO9 5HE |

|Home Telephone No: |02392480318 |

|Daytime Telephone No: |02392480318 |Mobile Telephone No: |07887912736 |

|E-mail address: |jean.mott@softsmiths.co.uk |

|National Insurance No: |W |K |6 |3 |5 |9 |3 |2 |D |

|Are you free to remain and take up employment in the UK with no current immigration restrictions? |Yes |Y |No | |

|Job Share Details |Yes | |No |N | |Are you applying on a job share basis? | | | | |

|Driving Licence – if relevant to post applied for. |Yes |Y |No | | |Do you hold a valid UK Drivers Licence? | | | | | | | | | | |

|If you are successful you will be required to provide relevant evidence of the above details prior to your appointment. |

|Section 2: Present Employment | |Present Employment (If now unemployed please give details of your last employer)...
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