1. Personal Details
Title
Please Select Mr Mrs Miss Ms Dr Prof. Sir
Surname*
Surname is a required field
Forenames*
Forenames is a required field
Address*
Address is a required field
Telephone (Home)*
Telephone (Home) is a required field
Mobile*
Mobile is a required field
Telephone (Work)*
Telephone (Work) is a required field
Postcode*
Postcode is a required field
If necessary, may we telephone at work?*
Yes
No
If necessary, may we telephone at work? is a required field
Date of Birth*
Date of Birth is a required field
E-mail address*
E-mail address is a required field
2. Positions applied for
Position*
Position is a required field
3. Education, qualifications and training
Please list any qualifications, training or volunteering experience which you feel may be relevant in support of your application.
Subject
Type of qualification (e.g. GCSE/AS/A2/ degree)
Grade obtained
School/College or University or place of work where qualification obtained.
Add Another
Volunteering / Work Experience
4. Drivers Licence
Do you possess a full driving licence?*
Yes
No
Do you possess a full driving licence? is a required field
Do you have any current endorsements or convictions?*
Yes
No
Do you have any current endorsements or convictions? is a required field
Please specify*
Please specify is a required field
Other information
5. Medical
Do you have a disablity?*
Yes
No
Do you have a disablity? is a required field
Please enter further details*
Please enter further details is a required field
Are you on any medication?*
Yes
No
Are you on any medication? is a required field
Please provide further details*
Please provide further details is a required field
Do you have any allergies?*
Yes
No
Do you have any allergies? is a required field
Please provide further details
Note: The successful candidate will be required to complete a pre-employment drugs test, a medical report form and may be required to undertake a medical examination.
6. National insurance number
Please indicate here*
Please indicate here is a required field
7. Relationship to employees/Elected members
Are you related to any Elected Members (i.e. Board members) or employees of Adrenaline Alley?*
Yes
No
Are you related to any Elected Members (i.e. Board members) or employees of Adrenaline Alley? is a required field
Please give name and relationship*
Please give name and relationship is a required field
8. Enhanced DBS Check (EX-CRB)
I understand that as an absolute requirement of any post offered, a CRB or DBS check will be carried out to determine any criminal convictions. I confirm that I will provide any and all information relating to any criminal convictions current or spent which may be checked against Police records.
9. Declaration
I decare that all information above is true. I understand that any canvassing or failure to disclose a relationship with a Board Member or an Employee of the Charity, or false declaration of any information, may disqualify me. If such failure is discovered following appointment, I may be liable to dismissal.
Signed*
Click to apply signature
Please enter your name
Signed is a required field
Other comments you feel may help with your application:
Other comments*
Other comments is a required field
Type Of Work Applied For:
Please indicate what type of work you are looking for:*
CASUAL WORK
VOLUNTARY WORK
BOTH
Please indicate what type of work you are looking for: is a required field
Please indicate the days and times you would be willing to volunteer/work:
Days*
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Days is a required field
Times*
08:45-12:00
12:00-16:30
16:30-21:00
12:00-21:00
Times is a required field
Events*
Local Nights (First Friday of each month, 21:45-01:15am)
All Nighters (Last Friday of the month, 21:45-08:30am)
Events is a required field
Are you available at short notice:*
Yes
No
Are you available at short notice: is a required field
Are you willing to volunteer/work special events:*
Yes
No
Are you willing to volunteer/work special events: is a required field
Hobbies*
Hobbies is a required field
Reason for Applying for this position:*
Reason for Applying for this position: is a required field