Candidate Details Personal Details Title MrMissMsOther Title Forename(s) * Surname * Email Address * Home Phone Number Mobile Phone Number Address Date of Birth Place of Birth Nationality Marital Status SingleMarriedSeparatedDivorcedWidowedOther Marital Status Maiden Name Residential Status * EntitledLicensedEntitled for WorkRegistered 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 SchoolCollegeUniversityOther Study Type Full-timePart-timeDistance learning Attended From MM/YYYY Attended Until MM/YYYY Add More Remove Qualifications Exam Date MM/YYYY Awarding Body Exam Subject Qualification Results Achieved Add More Remove Courses & Training List any technical, professional, occupational or commercial training/courses Course Name Date Completed MM/YYYY Add More Remove Membership of Professional Bodies Name of Body Date Achieved MM/YYYY Add More Remove Languages Language Fluency * 1 2 3 4 5 1 = very basic, 5 = fluent Add More Remove 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 To help prevent spam, please confirm you are human. If you are human, leave this field blank. Submit Application
