Full Application

Rowlands Application For employment

STRICTLY PRIVATE AND CONFIDENTIAL

Position applied for

Type Of Work

Permanent	Temporary	Dates available (if temporary)
Full Time	Part Time

Personal Details

Surname
Given Names
Maiden Name
Date Of Birth
Age
Address 1
Address 2
Address 3
Address 4
Postcode
Home Telephone
Work Telephone
Mobile Telephone
email

Residential Status
Please complete ONE of the following:

1) I have full Jersey Housing Qualifications. Please state which category
2) I arrived in the Island more than five years ago and have resided here ever since. Please state date of arrival
3) I arrived in the Island less than five years ago. Please state date of arrival

Employment History
Please fill in your details starting with the present or last job. Permission will be sought before references are taken up.

Job History 1

Employers name and address

Job Title

Type of company

Date Started

Date Finished

Duties and Responsibilities	Reasons for leaving	Salary

Job History 2

Employers name and address

Job Title

Type of company

Date Started

Date Finished

Duties and Responsibilities	Reasons for leaving	Salary

Job History 3

Employers name and address

Job Title

Type of company

Date Started

Date Finished

Duties and Responsibilities	Reasons for leaving	Salary

Job History 4

Employers name and address

Job Title

Type of company

Date Started

Date Finished

Duties and Responsibilities	Reasons for leaving	Salary

Salary

Current salary and benefits
What is the realistic minimum required

Education History and Qualifications

Name, type and location of school/college etc			Qualifications gained
Name, type and location of school/college etc			Qualifications gained
Name, type and location of school/college etc			Qualifications gained

Professional or other qualifications

Qualifications

Languages (Please state fluency)

The information collected on this form is subject to the Data Protection (Jersey) Law 2005. It is collected for the purpose of recruitment advice and selection and any unauthorised use of disclosure is strictly prohibited. Rowlands may verify the information you have provided on this form by contacting the individuals/companies/educational establishments concerned. If you have any concerns about this, please call +44 (1534) 876214, or e-mail jobs@rowlands.co.uk.