Apply Now – NIA Recruitment Services Ltd

Step 1 of 5 - PERSONAL DETAILS

PERSONAL DETAILS

Title

First Name

Middle Name

Last Name

Tel No. Evening (including STD Code)

Mobile No

Street Address

City

State/Province

ZIP / Postal Code

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date

Place of Birth

N.I. No.

Previous Name

Do you own a car?

Yes

N.O.K.

Tel

Employment History

Name & Address of Employer 1

Position / Duties

From

Reason for Leaving

Employment History

Name of Employer 2

Position / Duties

From

Reason for Leaving

Relevant Experience

Please use this section to state how your skills, experience and training would enable you to meet the requirements of the role for which you are applying

Rehabilitation of Offenders Act 1974

Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 Exemption Order 1975. Applicants are therefore, not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of this Act, and in the event of employment, and failure to disclose such convictions could result in disciplinary action on behalf of EDMAR RECRUITMENT SERVICES LTD In accordance with Department of Health guidance on the protection of children, (DOH circular 88/9) all applicants appointed to the posts involving substantial access to children will automatically be subject to a police records check. Do you agree that such checks may be made concerning you if required? Yes/ No Have you ever been convicted of a criminal offence, or been made subject to any Order, civil or criminal, made by a Court of Law, involving offences against the person, children, or the handling of money? Yes/No If yes, please give details in a separate envelope and return it with your completed application form. Any information will be dealt with in a confidential manner and will only be considered in relation to an application for a position to which the order applies. Disclosure of information will not automatically exclude you from registration with EDMAR RECRUITMENT SERVICES LTD I certify that to the best of my knowledge the details provided by me on this form are correct, that I possess all the qualifications which I claim to hold and agree to abide by the terms and conditions of engagement.

I certify that my responses and all the information that I have provided in this application form are true and accurate to the best of my knowledge I am aware that any deliberate omission or falsification or misrepresentation in the application form and process will result in this application process being terminated or summarily dismissal from employment I authorise Edmar Recruitment to make any necessary enquiries as part of verifying information during this application process, and there after where applicable, I consent that Edmar recruitment can verify my professional standing with relevant bodies

Yes