Work with us - Artemis

Role applying for
Role applying for*
Personal Details
Name*
Title First Name Middle Last Name
NI Number*
Marital Status*
Date of Birth*
Place of Birth*
Have you ever had a changed your name?*

Changes of name

Please provide details on previous names and dates relevant.

Previous Name	Date	Actions

There are no Previous Names.

Email*
Phone Number*
Next of Kin*
Next of Kin Contact Number*

Address History

Please list your address history covering the past 5 years including dates.

Address	Date From	Date To	Actions

There are no Addresses.

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Qualifications
Please list all formal qualifications since leaving secondary education. If this is not applicable, please list the highest qualification you hold.

Qualifications

Qualification	School/College/University	Date started	Qualification date	Actions

There are no Entries.

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Work History

Work Experience

Please list all employment since leaving secondary education starting with the most recent employer. This also includes any voluntary work or work placements.

Name of Employer	Start Date	End Date	Reason for Leaving	Actions

There are no Entries.

Gaps in employment

Please list any gaps between employment slots in date order starting with the most recent. It is essential we are able to account for all periods of an applicant’s history due to safeguarding requirements.

Start Date	End Date	Reason for Gap	Actions

There are no Gaps.

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References
Please supply names, addresses & telephone numbers of professional referees covering your most recent previous employers. References must be from a management/supervisory level to you and cover a period of employment no less than three years. (List at least two referees).

References

Name of Referee	Date of Reference	Position	Actions

There are no References.

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Further Information
Personal Statement*
Please give details with regards to the skills and experience that you think would be relevant for the post you are applying for. (Max 500 words)
Other Information
Please provide any other information you feel is relevant (including advanced holiday bookings).

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Declaration
All information that I have given is current and accurate to my knowledge.
Name*
Signature*
All information supplied by you is stored securely and is strictly confidential and where applicable destroyed in line with the General Data Protection Regulations 2018. Your data will not be shared with any third party outside of the organisation.
Name
This field is for validation purposes and should be left unchanged.

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Artemis

Step 1 of 8

Role applying for

Personal Details

Qualifications

Work History

Health

Eligibility & Conduct

Conduct

References

Further Information

Declaration