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Why do you want the job?
Please use this space to tell us how you match
with the things we are looking for
(person specification).
Now that my children are all at school I would like to
work during the day. I work in the pub for a few hours
each evening and really enjoy it, but I would like to do
something more interesting and rewarding.
I have lived in this area all my life so I know my way around. I know
all lot about what’s going on from talking to other mums when I take
my kids to school. Also chatting to people in the bar is a good way to
learn about local events and things
I like people and can talk to anyone from any part of society with
confidence. My sister has a son with learning difficulties and I have
spent a lot of time with him as he has grown up. I have enjoyed
watching him mature and admire how he has coped with some of the
things that have sometimes stopped him doing the things he wants to
do.
I think disabled people should have the same chances as non-disabled
people.
I am good at explaining things to my children and husband. I help
train up new bar staff at work and show them how to clean the pipes,
work the till and change barrels.
You have to be confident to work behind a bar, especially at closing
time. I have also learnt how to sort out arguments in the bar and stop
fights breaking out.
Tell us a bit about when you worked in a
team?
I am part of a good team at the bar. We get
on well and enjoy working together.
Everyone mucks in with all the different jobs.
What are your ambitions?
I want to see my children grow up happy
and healthy. If they live good lives and do
no harm to other people that’s what
matters most. I am not ambitious for
myself I just want to do a job I enjoy,
working with people and helping them to
live as good a life as me.
What support might you need to do
the job?
I have never worked with people with
learning difficulties so I expect I have a lot
to learn.
Can you cook?
YES/NO
Can you drive?
YES/NO
Please give details of any relevant education, training or
qualifications
School, college, or other From To Any
qualification
Fieldhouse School 1975 80 GCSE English
Work – list all the jobs you have had.
Start with the most recent.
You can include unpaid work
Date you
Started
Date
you left
Employer Please tell us
a bit about
what you did
Wages
February
1995
Still
working
there
Black Swan
Pub
I work behind
the bar serving
customers
£5.00 per
hour
The Rehabilitation of Offenders Act 1974
The job you are applying for is exempt from the Rehabilitation of
Offenders Act. It is a condition of the job that you tell us
about all convictions (spent and unspent, including driving
convictions).
If you don’t tell us, you could be sacked.
All staff will be checked through the Criminal Records Bureau.
If you have no past convictions, cautions or bind-overs and no
pending cases please tick here 
Please give details of any criminal convictions, cautions, bind-
overs or pending cases below -
Asylum and Immigration Act 1996 – Section 8
From 27 January 1997, employers are required to make sure that
all new employees have the right to work in the UK. Please
indicate below your right to work in the UK; applicants short-
listed for interview will be required to provide evidence to
support this statement.
I have the right to work in the UK as defined within Section 8 of
the Asylum and Immigration Act 1996. Please tick one box
YES  NO 
References: One of your referees should be your current or most
recent employer.
Can we contact your referees before interview? YES/NO
NAME: Robert Crotty
POSITION: Landlord
ADDRESS: the Black Swan
PHONE: 01924 244 4444
NAME: Sheila Collins
POSITION: my sister
ADDRESS: 33 Bluebell Street
LEEDS LS11 2PT
PHONE: 0113 270 777

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Sample application form good

  • 1. Why do you want the job? Please use this space to tell us how you match with the things we are looking for (person specification). Now that my children are all at school I would like to work during the day. I work in the pub for a few hours each evening and really enjoy it, but I would like to do something more interesting and rewarding. I have lived in this area all my life so I know my way around. I know all lot about what’s going on from talking to other mums when I take my kids to school. Also chatting to people in the bar is a good way to learn about local events and things I like people and can talk to anyone from any part of society with confidence. My sister has a son with learning difficulties and I have spent a lot of time with him as he has grown up. I have enjoyed watching him mature and admire how he has coped with some of the things that have sometimes stopped him doing the things he wants to do. I think disabled people should have the same chances as non-disabled people. I am good at explaining things to my children and husband. I help train up new bar staff at work and show them how to clean the pipes, work the till and change barrels. You have to be confident to work behind a bar, especially at closing time. I have also learnt how to sort out arguments in the bar and stop fights breaking out.
  • 2. Tell us a bit about when you worked in a team? I am part of a good team at the bar. We get on well and enjoy working together. Everyone mucks in with all the different jobs. What are your ambitions? I want to see my children grow up happy and healthy. If they live good lives and do no harm to other people that’s what matters most. I am not ambitious for myself I just want to do a job I enjoy, working with people and helping them to live as good a life as me. What support might you need to do the job? I have never worked with people with learning difficulties so I expect I have a lot to learn. Can you cook? YES/NO Can you drive? YES/NO
  • 3. Please give details of any relevant education, training or qualifications School, college, or other From To Any qualification Fieldhouse School 1975 80 GCSE English Work – list all the jobs you have had. Start with the most recent. You can include unpaid work Date you Started Date you left Employer Please tell us a bit about what you did Wages February 1995 Still working there Black Swan Pub I work behind the bar serving customers £5.00 per hour
  • 4. The Rehabilitation of Offenders Act 1974 The job you are applying for is exempt from the Rehabilitation of Offenders Act. It is a condition of the job that you tell us about all convictions (spent and unspent, including driving convictions). If you don’t tell us, you could be sacked. All staff will be checked through the Criminal Records Bureau. If you have no past convictions, cautions or bind-overs and no pending cases please tick here  Please give details of any criminal convictions, cautions, bind- overs or pending cases below - Asylum and Immigration Act 1996 – Section 8 From 27 January 1997, employers are required to make sure that all new employees have the right to work in the UK. Please indicate below your right to work in the UK; applicants short- listed for interview will be required to provide evidence to support this statement. I have the right to work in the UK as defined within Section 8 of the Asylum and Immigration Act 1996. Please tick one box YES  NO  References: One of your referees should be your current or most recent employer. Can we contact your referees before interview? YES/NO NAME: Robert Crotty POSITION: Landlord ADDRESS: the Black Swan PHONE: 01924 244 4444 NAME: Sheila Collins POSITION: my sister ADDRESS: 33 Bluebell Street LEEDS LS11 2PT PHONE: 0113 270 777