Additional Employment History

Please use this form to advise us of any additional employment history in support of your application.

Position applied for *

PERSONAL INFORMATION

Title *

Forename *

Middle Name(s)

Surname *

EMPLOYMENT HISTORY

Please list all full-time and part-time work, paid or unpaid, including any periods of self-employment, starting with the most recent first.

Please provide dates that you were employed from and to for each period of employment. You may be asked to account for any gaps in employment.

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

Employment Continued

Company Name

Address

Phone Number

Start Date +

End Date +

Position

Salary / Wage

Reason for Leaving

DECLARATION

I certify that to the best of my knowledge and belief the information given in this application is factually correct. I understand if I have given any false information or withheld relevant details that my application may be rejected or, in the event of becoming an employee, it may result in my employment being terminated.

Signature

clear

Date of Declaration * +

If you do not have a touch screen to sign this application, please type in your full name here.

Sedbergh School is a company limited by guarantee registerd in England No: 3946280

Registered Office: Malim Lodge, Sedbergh LA10 5RY 01539 620303

Registered Charity No: 1080672