Vacancies Application Form Please enable JavaScript in your browser to complete this form.1. Personal DetailsTitleDate of BirthNameFirstLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodePhoneMobileEmailNational Insurance No.Do you hold a full, clean driving licence valid in the UK? YesNo2. Education / Qualifications / Training (copy)School 11+Date StartedDate EndedQualification & GradeCollege / UniversityCollege Uni / Date StartedCollege Uni / Date EndedOngoing Professional DevelopmentPlease use the space above to give details of any ongoing professional development which is relevant to the post and supports your application. Training & Development Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application. Training CourseCourse DetailsCurrent Membership of any Professional Body/Organisation 3. Current / Most Recent EmployerCurrent or most recent employer (Name & Address)Previous employment: Please include any previous experience (paid or unpaid), starting with the most recent first. Position HeldName of EmployerDate StartedDate EndedReason for leavingSalaryDescription of DutiesContact / ReferencePrevious EmployerName of EmployerPosition HeldDate StartedDate EndedReason for leavingSalaryDescription of DutiesContact / Reference4. Why does this job role interest you? (Word limit 300 words)5. Why do you want to work for Streetlight UK? (Word limit: 300 words)6. Information in support of your application (Word limit 500 words) (copy)Skills, abilities and experience Please use this section to demonstrate why you think you would be suitable for the post by reference to the contract description and person specification (and by giving examples and case studies). Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities. 7. Convictions/ DisqualificationsRehabilitation of Offenders Act 1974 (Exceptions)(Amendment) Order 1986 We would draw your attention to the following statement:- “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, by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act”. Please provide details below if you have been convicted of a criminal offence or been the subject of a conditional discharge or probation order. (Past criminal proceedings are not necessarily an obstacle to taking up a post. This occurs only where the offence/s is/are deemed relevant. Any details will be discussed with you should you be the successful candidate based on your supporting statement, interview and references). 8. Reasonable adjustments/Arrangements for interviewIf you need us to make any adaptations for your interview to accommodate any disability you may have please tell us what these should be? 9. Asylum & Immigration Act 1996All applicants called for final interview will be asked to produce evidence of their eligibility to work in the UK, in compliance with the Asylum and Immigration Act 1996. Further information on the UK Government’s immigration policy can be found on www.homeoffice.gov.uk Immigration and Nationality page. Do you need a permit to work in this country? YesNoIf you need a permit, are there any limitations/conditions on the work permit? (e.g. a visa with a limited duration)YesNoIf yes, please give details: If appointed when could you start? Give period of notice if applicable ReferencesRef 1: Name / Address / Contact InformationPlease provide details of their relationship with you: Employer/colleague/line manager etc.Ref 2: Name / Address / Contact Information (copy)Please provide details of their relationship with you: Employer/colleague/line manager etc. DeclarationStatement to be signed by the applicant Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered. I declare that the information given on this form is correct and complete to the best of my knowledge. I understand that if it is discovered that information has been fraudulently or misleadingly supplied, Streetlight UK reserves the right to terminate any contract of work without notice at any stage. Because of the sensitive nature of the duties the post-holder will be expected to undertake, I understand that I must declare details of any criminal convictions (spent and unspent), cautions, reprimands and final warnings, and any other information that may have a bearing on my suitability for the post. I understand that in the event of a successful application for this post, an Enhanced Disclosure DBS check may be sought and, if so, that a final offer of contract will be dependent upon a satisfactory result. I understand that the final offer of contract is also subject to the receipt of satisfactory medical clearance and two satisfactory references. I understand that by completing and returning this form I am consenting to Streetlight UK storing and processing my personal information, including any information gained through references and DBS checks, subject to the General Data Protection Regulations. Date / TimeSubmit