Careers – Jamia Shan-e-Islam

1Personal Information

2Emergency Contact

3Next of Kin

4Health

5Qualification / Achievements

6Relevant Experience / Employment

7Personal Profile

8Working for us

9References

10Bank Account Details

11Declaration

Position Applied for *

Title *

(Mr, Miss, Mrs etc.)

Full Name *

First

Middle

Last

Upload a Photo of Yourself

Click or drag a file to this area to upload.

Where possible, provide a photo of yourself against a plain white background.

If you are experiencing technical difficulties in uploading your photo, then please email it to [email protected] along with your full name.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Telephone

Mobile Number *

Email *

Confirm Email

Nationality *

Date of Birth *//

Place of Birth *

Country of Birth *

Have you lived at any other address in the last 5 years? *

Address 1 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Add another? *

Address 2 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Add another? *

Address 3 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

National Insurance Number *

Are you eligible to work in the UK? *

Do you hold a full UK driving licence? *

Do you have any points or convictions etc? *

Please provide details *

Name *

First

Middle

Last

Relationship to Applicant *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Telephone

Mobile Number *

Email *

Confirm Email

Name *

First

Middle

Last

Relationship to Applicant *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Telephone

Mobile Number *

Email *

Confirm Email

Have you been absent from work in the past 2 years? *

State total number of days *

Number of occasions *

Are there any Medical Conditions we should be aware of? *

Please specify conditions *

Are you registered disabled? *

Provide your disability number and details *

Please start with the latest Qualifications / Achievements

Add another? *

Previous Employer 3

Name and address of Institution/ Employer *

Date from *//

Date to *//

Job Title *

Salary *

Reason for Leaving *

Add another? *

Previous Employer 4

Name and address of Institution/ Employer *

Date from *//

Date to *//

Job Title *

Salary *

Reason for Leaving *

Use this section to add any further information which directly relates to your suitability for this position *

Why do you want to work for JAMIA SHAN-E-ISLAM? *

Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. (NB. References will only be taken if you commence employment with us)

Referee 1

Name *

First

Last

Work Relationship *

Organisation *

Date Employed From *//

Date Employed To *//

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Work Telephone *

Email *

Confirm Email

Referee 2

Name *

First

Last

Work Relationship *

Organisation *

Date Employed From *//

Date Employed To *//

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Work Telephone *

Email *

Confirm Email

Name of Bank / Building Society *

Bank Sorting Code *

Example: 20-50-40

Address of Branch *

Account Payee Name *

Account Number *

Roll Number (if applicable)

Usually for Building Society Accounts

I confirm that the information provided in this application and within my Curriculum Vitae is both truthful and accurate. I have omitted no facts that could aﬀect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file. *

Please tick if you agree with the above statement,

It is a condition of your employment that you have a satisfactory enhanced Disclosure and Barring Certificate. If such a certificate is not supplied, or if when it is received, it is not deemed suitable to us, your employment will be terminated. During your employment with us you will be asked to submit to further checks and if any such check contains information which we feel is not acceptable, your employment with us may be terminated. Jamia Shan-e-Islam undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. After initial assessment, Jamia Shan-e-Islam may keep your details on le pending suitable opportunities that may arise in the future. *

Please tick if you do not wish us to hold your details.

Name *

First

Last

Sorry, there are no positions available at this time.

Qualification 2

Qualification 3

Qualification 4

Qualification 5

Qualification 6

Qualification 7

Qualification 8

Qualification 9

Qualification 10

Previous Employer 2

Previous Employer 3

Previous Employer 4

Referee 1

Referee 2