South West Water - Application Form

Job title and reference
Where did you see this vacancy?

Personal

Forename:

Surname:

Preferred name:

Address:


Town:
County:
Post code:

Home phone:
Work phone:
Mobile phone:
E-mail:

Education

School (secondary school and further education)	Qualifications obtained Please give grades and subjects

Professional Qualifications

Present / Most Recent Employer

Position Held:

From - To:

Employer's name and address:

Summary of main job responsibilities:

Reason for leaving:

Salary:

Notice Period:

Previous Employers

Position:

From - To:

Reason for leaving:

Employer's name and address:

Position:

From - To:

Reason for leaving:

Employer's name and address:

Position:

From - To:

Reason for leaving:

Employer's name and address:

Position:

From - To:

Reason for leaving:

Employer's name and address:

Please show how your skills, qualifications and experience are relevant to this position

Relationship to any South West Water employees
Name:		Position:		Relationship:

Have you ever been convicted of an offence, excluding those 'spent convictions' under the Rehabilitation of Offenders Act 1974

Yes No

References (one should be your current or most recent employer)

Name:
Address:



Telephone:
Occupation:
Capacity Known:
Can this person be contacted prior to interview?
Yes No

Name:
Address:



Telephone:
Occupation:
Capacity Known:
Can this person be contacted prior to interview?
Yes No

Equal Opportunities Monitoring

I agree that South West Water has a responsibility to protect its business, employees and customers. As a result, everyone who is offered employment will be requested to undergo a verification check carried out by a third party on our behalf. The nature of the check will vary in relation to the post applied for, and may include details of current/previous employment, education, residency, and relevant professional qualifications. An offer of employment may be withdrawn if the results of the checks are not to South West Water's satisfaction. I declare that the above information is accurate and complete to the best of my knowledge and belief.