CBA Application Form

1. Vacancy Details

Post applied for ^* (required)

How did you learn of this vacancy?

2. Personal details

Surname ^* (required)

First Name ^* (required)

Title

Address ^* (required)

Postcode ^* (required)

3. Contact details

Home number

Mobile number

Business number

Email ^* (required)

May we, with discretion, phone you at work? ^* (required)

Yes

No

4. Current membership of any professional or technical organisations

Please enter below the details of membership of any relevant technical or professional bodies or societies (note these will be verified on appointment).

5. Qualifications relevant to this application (including technical and/or professional)

Please provide details (note that these may be verified on appointment)

Qualification 1

Type of qualification

Institute or Organisation

Subject and Result

Date awarded

Qualification 2

Type of qualification

Institute or Organisation

Subject and Result

Date awarded

Qualification 3

Type of qualification

Institute or Organisation

Subject and Result

Date awarded

Qualification 4

Type of qualification

Institute or Organisation

Subject and Result

Date awarded

Qualification 5

Type of qualification

Institute or Organisation

Subject and Result

Date awarded

6. Training Courses

Detail below any training you have received or any relevant short courses attended that are relevant to this role.

7. Employment History

Employee 1/Current employer

Employer's full name and address

Dates of employment (from – to)

Job title, key achievements, and areas of responsibility

Reasons for leaving and final salary in role

Length of notice required for current position

Employee 2

Employer's full name and address

Dates of employment (from – to)

Job title, key achievements, and areas of responsibility

Reasons for leaving and final salary in role

Employee 3

Employer's full name and address

Dates of employment (from – to)

Job title, key achievements, and areas of responsibility

Reasons for leaving and final salary in role

Employee 4

Employer's full name and address

Dates of employment (from – to)

Job title, key achievements, and areas of responsibility

Reasons for leaving and final salary in role

Employee 5

Employer's full name and address

Dates of employment (from – to)

Job title, key achievements, and areas of responsibility

Reasons for leaving and final salary in role

8. Interest and suitability for the post

Why are you interested in applying for this post (max 3,000 characters)? ^* (required)

Relevant experience (max 3,000 characters) ^* (required)

Spare time interests and vocational activities (max 2,000 characters)

9. Additional information

Criminal record

Please give details of any unspent criminal offences in accordance with the Rehabilitation of Offenders Act (Exceptions) Order 1975 and/or (Northern Ireland) 1979.

10. Referees

Please give details below of two referees that we can contact. With each referee’s details, please indicate where asked whether the referee can be contacted before interview.

Referee 1

Name

Job title

Address

Phone number

Email address

May we contact this referee before interview?

Yes

No

Referee 2

Name

Job title

Address

Phone number

Email address

May we contact this referee before interview?

Yes

No

11. Declaration

Your privacy is important to us and we want you to know what we do with your personal information. The information on this form will be used for recruitment and selection purposes only. If your application is successful it will form part of your employment record. All unsuccessful applications will be destroyed 6 months after the closing date.

Are you eligible to work in the UK? ^* (required)

Yes

No

If it is discovered that you have given any information that you know to be false, or withhold any relevant information, your application may be rejected or any subsequent employment terminated.

I confirm that the information contained in this application form is correct. I understand that any false information or deliberate omission will disqualify me from employment or render me liable for dismissal.

Signature ^* (required)

Date (format is YYYY/MM/DD) ^* (required)

Please also complete the separate equal opportunities monitoring form here: https://www.archaeologyuk.org/about-us/job-vacancies/equality-and-diversity-monitoring-form.html