Please complete this Application Form as
completely as possible, stating clearly
the dates you are available for.
Please give details of posts you
have held, starting with your current
Give details below of all Voluntary
work you have been involved in.
Please give the names and addresses
of two people whom we may contact
for a confidential assessment of
your suitability for this job. The
first must be your present employer
or, if unemployed your last employer.
Other referees could be a previous
employer, some other appropriate
person unrelated to you, or if this
is a first job application, your
head teacher or college tutor.
Disclosure and Conviction
Please give details of any criminal
convictions you have had which might
relate in any way to the post for
which you are applying. (Under the
terms of the Rehabilitation of Offenders
Act 1974, and the Rehabilitation
of Offenders Act (Exceptions) Order
1975; and the Rehabilitatiol1 of
Offenders (Northern Ireland) Order
1978 and the Rehabilitation (Exceptions)
Order (Northern Ireland), you do
not have to disclose information
about certain convictions depending
upon their seriousness and how long
ago they were).
Please tell us why your experience
and skills make you a good candidate
for this post. If you wish please
include relevant aspects of your
non paid work experience, voluntary
activities or time spent in caring
responsibilities at home.
To the best of my knowledge, there
is no reason in respect of my physical
or mental health why I should not
be able to carry out the tasks described
for this post. I confirm that the
information given on this form is
correct and complete and that misleading
statements may be sufficient grounds
for cancelling any agreements made.
Voluntary Work :
I understand that the Ulster Quaker
Service Committee does not accept
responsibilty for loss or damage
to my personal property during my
By typing your name above and
submitting this online form, you
declare that the information that
you have given is correct.