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Job reference
Title Address
Forename/s
Do you require a work permit for the country in which this vacancy is based?
(Note: If this vacancy is an international position Christian Aid will support you in obtaining a necessary work permit for the country in which this vacancy is based. If this vacancy is a national position you will be required to produce evidence of your eligibility to work in the country in order to comply with local legislation.)
References
Name Position Organisation Address
Please give the name and address of two referees. One should be your most recent employer. Name Position Organisation Address
Postcode/Zip code Country Telephone email May we contact this referee: prior to your interview? prior to your offer? Yes Yes No No
Postcode/Zip code Country Telephone email May we contact this referee: prior to your interview? prior to your offer? Yes Yes No No
Please complete this application form electronically. Then save the form and return it via e-mail by clicking on the 'Submit by email' button at the top of this page or by attaching to an email and sending to the email address highlighted in the vacancy advert or print off the document and complete in black ink and return it to the postal address indicated in the vacancy advert. Please do not include your CV. Christian Aid is an equal opportunities employer.
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Employment and/or relevant voluntary work in the last ten years (starting with the most recent) Please indicate any information from your previous roles which you feel are particularly relevant to the role you are applying for Organisation Job title Date from Date to
(max 250 characters incl spaces)
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I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal. The information you provide on this form will only be used in accordance with the principles of the UK Data Protection Act 1998. If you are appointed it will form the basis of your personal record. Your application form may be transferred outside the EEA during the application process. By submitting your application you are consenting to this. Signed: Date:
(No signature is required if the form is submitted in electronic format. However you will be asked to sign this form should you be invited for an interview.)
Christian Aid London:PO Box 100, SE1 7RT Belfast:PO Box 150, BT9 6AE Cardiff:PO Box 6055, CF15 5AA Edinburgh:PO Box 11, EH1 0BR Dublin: 17 Clanwilliam Terrace, Dublin 2 Websites: www.christianaid.org.uk www.christianaid.ie Registered office: 35 Lower Marsh, London, SE1 7RL UK registered charity number 1105851 Company number 5171525 Republic of Ireland charity number CHY 6998 Northern Ireland charity number XR94639 Christian Aid is a company limited by guarantee and registered in England, Northern Ireland, Republic of Ireland and Wales Version 1.2 Page 6 of 6