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Candidate Application
Candidate Details
Personal Details
Title
Mr
Miss
Ms
Other
Title
Forename(s)
*
Surname
*
Email Address
*
Home Phone Number
Mobile Phone Number
Address
Date of Birth
Place of Birth
Nationality
Marital Status
Single
Married
Separated
Divorced
Widowed
Other
Marital Status
Maiden Name
Residential Status
*
Entitled
Licensed
Entitled for Work
Registered
Have you been continuously resident in the Channel Islands for more than 5 years?
*
Yes
No
When did you arrive in the Island?
*
Previous Education
Please list schools, colleges and universities
School/College/Uni Name
Education Type
School
College
University
Other
Study Type
Full-time
Part-time
Distance learning
Attended From
MM/YYYY
Attended Until
MM/YYYY
Add More
Remove
Qualifications
Exam Date
MM/YYYY
Awarding Body
Exam Subject
Qualification
Results Achieved
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Courses & Training
List any technical, professional, occupational or commercial training/courses
Course Name
Date Completed
MM/YYYY
Add More
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Membership of Professional Bodies
Name of Body
Date Achieved
MM/YYYY
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Languages
Language
Fluency
*
1
2
3
4
5
1 = very basic, 5 = fluent
Add More
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Employment History
Start with current or most recent employer
Employer Name
Job Title
Brief Description of Duties
Employed From
MM/YYYY
Employed To
MM/YYYY
Reason for Leaving
Final Base Salary
Please List Benefits
Notice Required
Add More
Remove
Additional Information
Are you in good health?
*
Yes
No
How many days sickness absence have you had in the last two years?
*
Do you have any convictions, which under the terms of the Rehabilitation of Offenders (Jersey) Law 2001 are not considered 'spent'?
*
Yes
No
Please give details of conviction
Reason for application
Please state briefly why you have applied for this post, indicating past achievements, experience and personal qualities relevant to your application and what contribution you would expect to make to the post.
Interests & Leisure Pursuits
Please indicate your main interests and leisure pursuits
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