• Please complete this form.

  • Personal Details

    Personal information is not made available for short-listing purposes, except when required as a genuine occupational qualification.
  • References

    Please give the names, addresses and telephone numbers of two referees (who should not be related to you) who can provide information on your experience. At least one should be your present or most recent employer if previously employed.

    All employment is subject to the receipt of satisfactory references. References will be taken up following interview.
  • About Changes UK

  • Education, Qualification and Training

  • EducationCourse/GradesDate Obtained 
  • Please include professional registration if applicableDate Obtained 
  • Please give details of any training courses you have attendedCourse/Dates 
  • About You

  • If you consider yourself to have a disability, are there any facilities that you would require to enable you to attend or perform well at interview?
  • Please note that you are not entitled to withhold information about a previous conviction on the grounds that it is, for other purposes, as spent conviction under the Act. The Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 Section 4 (2) of the 1974 Act does not apply to this question.
  • Employment Details

    Please give details of your employment history, including any part-time, casual or voluntary work of a regular nature that you consider relevant to the job applied for.

    Present or most recent employer
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Full Time/Part Time/Voluntary
  • Please use the space below to include your previous employers details if applicable.
  • Cover Letter

  • (Maximum 500 words)

    The information on this form may be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies by Changes UK in accordance with the Data Protection Act.

  • Please upload your signature to declare that to the best of your knowledge all of the information provided as part of the selection process is correct.

    The provision of false information could lead to the termination of employment. Canvassing in support of your application will disqualify you.
    Max. file size: 512 MB.
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