Application form

	APPLICATION FOR EMPLOYMENT
	POST APPLIED FOR	Town Clerk and Responsible Finance Officer

	CLOSING DATE
	Please read the guidance notes before completing every section of the form

PERSONAL DETAILS
Last Name		First Name(s)
Address		Telephone Number
		Daytime
		Evening
Postcode		Email Address
Date of Birth

EDUCATION AND TRAINING
Schools, Colleges and/ or Universities attended	From	To	Courses taken/Examinations passed (with levels)








Professional Qualification and Membership of Professional Institutions (with dates)






Other Courses attended (including internal training courses)





* Candidates invited for interview will be required to produce documentary evidence of any qualifications recorded above.

PRESENT/LAST EMPLOYMENT
Name and Address of Employer:
		Title of post held
		Type of Business
		Period of notice
Date of appointment	From	Salary and Grade/Scale
	To
Summary of Main Duties:

PREVIOUS EMPLOYMENT (including voluntary and/or domestic activities where appropriate)
Name and Address of Employer	Position Held	Dates From/To	Salary	Reason for Leaving
ROGER	MAN

EXPERIENCE

Explain why you would be a good applicant for the post, including experience you have gained and the skills and personal qualities that you have to offer. Remember to relate your comments to the job description and person specification.

(Please continue on a separate sheet if necessary)

REFERENCES
Please give the name, address and the job title of two referees, not relatives, one of whom should be your current or most recent employer.
Name:			Name:
Job Title			Job Title
Address			Address

Phone No			Phone No
Email Address			Email Address
May we take up reference before Interview?	Yes	No	May we take up reference before Interview?	Yes	No

ADDITIONAL INFORMATION
Are you related to any Elected Member or Officer of Market Rasen Town Council?	Yes	No
If so, please give details here:
Are you an Elected Member of Market Rasen Town Council? (if the answer is yes you are ineligible to apply for this post)	Yes	No
Have you ever been an Elected Member of Market Rasen Town Council?	Yes	No
(If yes please state the official date when you ceased to be a member)
Are you allowed to work in the UK?	Yes	No
NI Number

Criminal Convictions

Have you a current criminal conviction or caution, i.e. one that is not spent?

If so please give Details

Yes

Miscellaneous
Do you have other employment?			Yes	No
If yes please give details	Name of Employer	Job Title	Weekly Hours Worked



Do you intend to continue with this employment			Yes	No

DECLARATION
I understand that canvassing of Members of Market Rasen Town Council, directly or indirectly, in connection with this appointment or knowingly failing to disclose a relationship will disqualify me. I declare that the information given on this application form is to the best of my knowledge true and complete. I understand that the council reserve the right to verify claims made in this and any subsequent findings of misleading/false information may lead to disciplinary action and dismissal.
Signed……………………………………………………	Date…………………………………………………………
Thank you for your interest in this vacancy. Unfortunately, we cannot reply to every application, therefore if you do not receive a reply within four weeks of the closing date please consider your application unsuccessful.

Please return this Application to: The Town Clerk, Market Rasen Town Council, Festival Hall, Caistor Road, MARKET RASEN, LN8 3HT. or townclerk@marketrasentc.co.uk

Please note that you will be asked to sign this application form if you are invited to an interview.

D/HP	For Office Use Only		Requirements
Interview	Yes	No	Reason for Decision
Offer	Yes	No	Reason for Decision

GUIDANCE NOTES

GENERAL INFORMATION

The information on this form will be seen and used by those involved in the recruitment process to select the successful applicant. If you are appointed this will also form the basis of all personal records.

EMPLOYMENT DETAILS

Please ensure your employment details and dates are continuous, document your major responsibilities starting with your current employer. Please show periods of any unemployment, domestic activities or voluntary work.

EXPERIENCE

This section offers you the chance to promote yourself and demonstrate the relevance of your experience, knowledge, voluntary work, etc., to the person specification and job description. Please make sure your answer is clear and legible and continue on a separate sheet if necessary.

ADDITIONAL INFORMATION

Under the Local Government Act 1972, Members of the Local Authority are disqualified from being appointed by the Authority to any paid office and this restriction continues to apply for a 12 month period from cessation of office.

CRIMINAL CONVICTIONS

Convictions Not Spent
You must list any convictions that are still current under the Rehabilitation of Offenders Act(1974). These will not be taken into consideration unless they are relevant to the post. Please tick 'Yes' and list the convictions if you have any. If you have no current convictions or cautions tick 'No'.

Spent Convictions
If the post you are applying for involves any of the following activities it is exempt under the Rehabilitation of Offenders Act. This means that you must tell us about all convictions and cautions - even from a long time ago. These post are those with regular, unsupervised access to:

Children under eighteen
Vulnerable Adults

If you are applying for one of these posts you will be asked to complete an additional form giving details of

all convictions and cautions. If you are successful you will be required to complete a 'Disclosure'

Application form. This form will be checked by the Criminal Records Bureau so it is important to tell the

truth.

NATIONAL INSURANCE NUMBER

If you are successful you will be required to provide evidence of your national insurance number. If you do not have a national insurance number you will need to provide proof that you are allowed to work in the UK, e.g. work permit, E.U. passport.

MRTC 2023