MAP Application Form V2 Current 4
MAP Application Form V2 Current 4
MAP Application Form V2 Current 4
Please complete all sections of this form. Please do not include a separate CV as this will not be used for short-listing.
ROLE DETAILS
ROLE:
LOCATION:
PERSONAL DETAILS
Address Line 1
Address Line 2
RECRUITMENT SOURCE
Please state where you saw our vacancy advertised:
NB: The job description forms the basis for short-listing; only information explicit on completed application forms will be
considered.
Qualification, Grade and
From To Educational Establishment
Dates
Leaving Date
Salary
4. PREVIOUS WORK EXPERIENCE – PLEASE ENSURE YOU EXPLAIN ANY GAPS IN EMPLOYMENT
7. RELATIONSHIPS
Please give the names and addresses of two people to whom reference can be made, one of
whom should be your present employer (if employed). State the capacity in which the referee is
known to you (references from friends or relatives will not be accepted). References will be taken
up after interview.
Name Name
Address Address
Phone Phone
Email Email
9.CRIMINAL CONVICTIONS
Applicants are required to state whether they have any convictions (please tick as applicable)
I have information to declare and have attached relevant information (please send to
Due to the nature of our work with vulnerable people, all convictions, including those normally
considered ‘spent’ under the Rehabilitation of Offenders Act 1974, must be disclosed. Failure to
disclose convictions may lead to a withdrawal of an offer of employment or disciplinary action
once employed.
10. DECLARATION
I confirm that the information given on this form is, to the best of my knowledge, true and
complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.
Signature Date
11.MONITORING
Applicants are requested to complete the recruitment monitoring form by clicking this link to
enable MAP to monitor recruitment and diversity. Completion of this form is voluntary and the
information provided will be treated as confidential.
The form will be kept separate from your application and the people involved in the selection
process will not use it for shortlisting purposes.