aura leisure & libraries

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1 Vacancy Details Position Applied For Recruitment Requisition Number (Quoted on Advert) Is this application for Employment? (Refer to Advert) Is this application for Relief Work? (Refer to Advert) Yes Yes hamdden a llyfrgelloedd aura leisure & libraries This form should be completed and submitted via to PERSONAL DETAILS Are you currently an employee or relief worker for Aura Yes If yes provide Payroll Ref : Title Surname Forename(s) Address (to be used for recruitment) Mobile Number Home Number Address: Post Code: Do you hold a current valid driving licence? Yes What type of licence? (If driving is an essential requirement of the position please include in your supporting statement) CURRENT/MOST RECENT POSITION Employer Position Held Salary Date Started Reason for Leaving

2 Please give details of current/most recent duties and responsibilities: EMPLOYMENT HISTORY: Please provide details of previous employment (including any periods of when not employed. If leaving or in full time education enter the school or university details) Employer Position Held Salary Date Started Date Left Reason for Leaving EDUCATION AND QUALIFICATIONS Date Subjects Qualifications/Exam (include grade/ attainment level) Awarding Body

3 PROFESSIONAL MEMBERSHIPS Professional Body Level Date SUPPORTING STATEMENT 1. Please outline how you can demonstrate your ability to uphold our Aura values and behaviours and in particular, in relation to this position. The Aura values and behaviours can be found on the Aura website at

4 SUPPORTING STATEMENT 2. Please provide details of relevant skills and experiences you have gained through paid and / or voluntary employment and any other relevant work activities or interests which add value to your application for this position. (These details will be used for shortlisting therefore it is essential that the information and examples you provide demonstrate how you meet the criteria outlined in the Person Specification)

5 ADDITIONAL INFORMATION Are you related to or do you have a close personal relationship with any board member or employee of Aura? (We ask for this to ensure that our recruitment process is as fair and objective as possible) REHABILITATION OF OFFENDERS ACT 1974 Under the provisions of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 you need not normally disclose details of any `spent` convictions. You must however disclose any unspent convictions and if the post you are applying for involves working with vulnerable adults or children then you must disclose all convictions, cautions, reprimands or final warnings. Have you been convicted of any criminal offence (including driving offences) Yes Please provide details: GUARANTEED INTERVIEW SCHEME FOR DISABLED APPLICANTS (DISABILITY CONFIDENT) Aura guarantees to interview disabled applicants who meet the essential criteria for the post. Applicants with disabilities do not have to provide any information unless they want to and any information regarding disability will only be used to ensure that applications are given full consideration under the Guaranteed Interview Scheme Do you wish your application to be considered under the above scheme? Yes REFERENCES Please give the names and details to whom reference can be made in support of your application covering a minimum of 2 years. We reserve the right to contact any of your previous employers. Relatives, Partners or Board Members, MUST NOT be nominated as referees. To do so will disqualify the applicant for the appointment. School or College leavers must provide one referee from a senior member of staff from their school, college or university. References will only be applied for once a verbal offer has been accepted.

6 REFERENCE 1 Name Employer/Organisation Address Telephone Number REFERENCE 2 Name Employer/Organisation Address Telephone Number DECLARATION AND DATA PROTECTION ACT 1998 (OR EQUIVALENT LEGISLATION) Any personal information supplied by you will be held, stored, used and/or processed as and when necessary by Aura and Flintshire County Council (who provide HR Services on behalf of Aura Leisure and Libraries Limited) for the purposes of carrying out their function, for equal opportunities monitoring and for the prevention and detection of crime. Disclosure of your personal data may take place and be given to external parties should they show reasonable cause for disclosure to be made and to the extent that the law allows. By submitting this form I agree that any information I provide may be used and shared within Aura and Flintshire County Council for the above purposes. By submitting this form I consent to Aura and Flintshire County Council undertaking appropriate pre-employment checks as appropriate to the position applied for. Signed Date Thank you for taking the time to complete this application, please your completed form to If you are unable to your form please post to: Aura Recruitment, Employment Services, Flintshire County Council, County Hall, Mold, Flintshire CH7 6NG

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