POSITION APPLIED FOR *

SURNAME *

MAIDEN NAME (If applicable)

FORENAMES * (In full)

STYLE OF ADDRESS * (e.g. Mr, Mrs, Miss, Ms)

EMAIL *

HOME ADDRESS

POSTAL CODE *

TELEPHONE NO *

DATE OF BIRTH *

Educational Details

PLEASE GIVE FULL DETAILS OF EDUCATION WITH APPROXIMATE DATES OF ATTENDANCE *
Name of school, Type of school (Primary / Secondary), Date (From / To)

QUALIFICATIONS * – CSE, GCE, GCSE, RSA etc.
Level (CSE, GCE, O'Level, GCSE etc.), Date of Examination, Subject, Grade

THIRD LEVEL EDUCATION IF APPLICABLE
College / University, Level (HNC, HND, Degree etc.), Course, Date

DETAILS OF ANY OTHER QUALIFICATIONS HELD OR EXAMINATIONS TAKEN

Additional Information

PREVIOUS EMPLOYMENT *
In reverse chronological order, i.e. starting with present or most recent employer

ANY OTHER INFORMATION IN SUPPORT OF YOUR APPLICATION

REFERENCE *
Give name and present address of one responsible person who should be willing to answer character reference (Academic or employment past or present is sufficient).

TELEPHONE NO OF REFERENCE *

ARE YOU PHYSICALLY FIT? *

GIVE DETAILS OF ANY ILLNESS, OPERATION OR ACCIDENT RESULTING IN LENGTHY ABSENCE FROM WORK

TO INCLUDE YOUR CV WITH THIS APPLICATION, CLICK BROWSE:

THE FOREGOING PARTICULARS ARE COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF *

Fair Employment and Treatment (Northern Ireland) Order 1998

LexZander Limited does not discriminate on the grounds of religious belief or political opinion and practises equality of opportunity in employment. Most important of all, the merit principle is operated by selecting the best person for the job.

To show that LexZander Limited is a fair employer and to demonstrate clearly and openly the commitment to equality of opportunity in employment, LexZander Limited is required by law to record the community background of employees and job applicants.

You are asked to help by indicating below the community background to which you belong. The information you give on this form will be treated in the strictest confidence and will not be used for any purpose other than monitoring this equality of opportunity in employment policy. It is an offence for somebody to knowingly give false information to any other person seeking information for monitoring purposes.

PLEASE INDICATE THE COMMUNITY TO WHICH YOU BELONG BY TICKING THE APPROPRIATE BOX BELOW: *

I AM A MEMBER OF THE PROTESTANT COMMUNITY

I AM A MEMBER OF THE ROMAN CATHOLIC COMMUNITY

I AM A MEMBER OF NEITHER THE PROTESTANT NOR ROMAN CATHOLIC COMMUNITY

PLEASE TICK THE APPROPRIATE BOX: *

MALE

FEMALE