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Central & Northern Office
Unit N, Old Station Yard,
Oxford Road,
CV23 9RU

Southern Office
Unit 1, Camps Farm,
Hoe Lane,



Thank you for your interest in this post. Please complete this accurately, giving as many details as possible of your skills and experience relating to this job application. Any areas marked with an asterix (*) are mandatory to complete. Shortlisting will be based on the information gathered from the form, read in conjunction with the person specification. The following information is necessary to ensure that full consideration can be given to all candidates. The information given will be treated as confidential.

Position Applied For*:

1. Applicant Details:


Family Name*:

Forename name*:

Previous names*:

Home address*:

Post Code*:

Telephone nos: please include full STD code



Mobile (where possible)*:

Email address*:

National Insurance number*:

Would you like to be contacted at work*: YesNo
Do you hold a current driving licence?* YesNo
Are there any restrictions regarding your employment? e.g. do you require a Work Permit?*YesNo
*If you answer Yes please supply details:

How much notice do you need to give to your current employer?*:

2. Employment Record

Please start with your current or most recent employment. Briefly describe the main duties and responsibilities of your post. If you wish to expand on specific areas of responsibility, please do so in Section 5: Experience /skills.
Current/most recent employer / organisation

Name of organisation*:

Address of organisation*:

Job Title*:




Brief description of duties*:

Reason for leaving/changing*:

Previous employment. Please include all full time and part time positions.

Employer / organisation

Name of organisation:

Address of organisation:

Job Title:




Brief description of duties:

Reason for leaving/changing:

Breaks in employment history If you have had any breaks in employment since leaving school, give details of these periods and your activities during these times e.g. unemployment, raising family, voluntary work, training.

Date From:

Date To:


3. Education

Please tell us about your education and any qualifications which you feel are relevant to the post. Include relevant courses which you are currently undertaking. Please start with the most recent.

Name of school / college / university / training body*:

Subject studied*:


Date gained*:

4. Training

Please list any training you have received or courses which did not lead to a qualification but which you feel is relevant to the advertised post.

Training Course*:


5. Experience / Skills

Information in support of this application*

This section is for you to give specific information in support of your application. After reading the Job Description and Person Specification provided in the advert carefully, consider to what extent you have gained the skills and experience necessary for the post. Your experience need not have been gained in paid employment and may include special interests relevant to the post. It is important that you provide evidence of your achievements by giving examples to support your application. You may wish to use the headings in the person specification in order to set the information out clearly.

6. References

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your references are.
1. Name and address:


Telephone number:

Mobile Telephone Number:

Email address:

2. Name and address:


Telephone number:

Mobile Telephone Number:

Email address:

Note: (i) Referees will be contacted before interviews.

(ii) If either of your referees know you by another name please give details.

(iii) References will not be accepted from relatives or from people writing solely in the capacity of friends

Upload CV*:

7. Declaration and Signature

I certify that, to the best of my belief, the information I have provided is true and I understand that any false information will result, in the event of employment, in disciplinary investigation by the company, and is likely to result in dismissal.



Disclosure of Criminal Convictions

Short-listed candidates will be asked to complete a ‘Disclosure of Criminal Convictions’ form and, where appropriate, a Disclosure will be sought from the Criminal Records Bureau in the event of a successful application. A conviction will not necessarily be a bar to obtaining employment.

General Data Protection Regulations 2018

By signing and returning this application form you consent to TopGrass UK Ltd using and keeping information about you provided by you – or third parties such as referees – relating to your application or future employment. This information will be used solely in the recruitment process and will be retained for six months from the date of interview if unsuccessful. If successful, your data will be kept in accordance with GDPR. Thank you for completing the form. You will be notified of the outcome after the short listing process.