REALISING YOUR POTENTIAL

Application for appointment with

Greater Manchester Fire and Rescue Service
Please complete in black ink and refer to the guidance notes prior to completing the application form The Recruitment Unit
Fire Service Training Centre
Cassidy Close
New Cross
For office use only
Manchester M4 5FP
Post applied for : Applicant no : Tel : 0161 608 4219
Location : Post ref no :
Closing date :

Personal Details
Name

Address

Postcode

Home Telephone Work Telephone

Mobile Telephone E-Mail Address

Declaration
■ I state that the information I have provided on this application form is true and correct to the best of my knowledge. I understand that providing
information that is later found to be incorrect may render an offer of employment invalid and may lead to the termination of my employment.
■ I understand that the data contained within the application documents will be held and processed in line with the requirements of the Data
Protection Act 1998.
■ I understand my responsibilities under the Asylum & Immigration Act 1996.

Signed Date

Please note...
Canvassing elected members or Senior Officers of the Greater Manchester Fire and Rescue Authority may result in disqualification of the candidate.

If acknowledgement of your application is requested, please enclose a stamped addressed envelope. If no acknowledgement is required and you
do not receive a response within six weeks of the closing date, please assume that your application has been unsuccessful.

Completed applications
Completed applications should be returned to: The Recruitment Unit
Fire Service Training Centre
Cassidy Close
New Cross
Manchester
M4 5FP
Tel : 0161 608 4219

PREVENTING PROTECTING RESPONDING

 Applicant No :
Education / Qualifications / Training
Please list your qualifications, in date order with the most recent first.

Qualification Type Subject Date of study

(e.g. NVQ, GCSE, Junior Officer’s Course) (e.g. Maths) From To Date obtained Result / Grade

Current studies :
Qualification Type Subject Date of study
(e.g. NVQ, GCSE, Junior Officer’s Course) (e.g. Maths) From To Date to be obtained

Membership of professional bodies (Where appropriate. Please refer to the person specification) :

Professional body Level of membership Date obtained

Details and dates of any other relevant training (e.g. short courses, work-related / on the job training etc) :
 Applicant No :
Work Experience
Current / most recent employer
Employer’s name Post held

Nature of business Basic salary Any other allowances

Address of employer

Postcode

Date appointed Period of notice required Date of leaving (if applicable) Reason for leaving (if applicable)

Brief description of duties undertaken

Previous employment
(Please list in date order with the most recent first. Continue on a separate sheet if necessary.)

Dates Name of employer, nature of business

and post(s) held
From To (including all posts held with a single employer) Description of main duties undertaken Reason for leaving
 Applicant No :
Additional Information
Please refer to the essential and desirable criteria on the person specification and provide evidence as to how you meet the requirements for the
post you are applying for. Evidence could be from current or previous work or study, or you may wish to provide relevant examples from outside
activities or interests that you may have. (Continue on additional sheets if necessary)

Number of additional sheets used :

Criminal Convictions
Please give details of any criminal convictions you have, including the date of conviction and the sentence imposed (including any motoring
offences, points on driving licence etc). Please note that convictions that are spent under the Rehabilitation of Offenders Act 1974 need not be
disclosed.

Are there any criminal proceedings pending against you?

YES | NO

If YES, please give details

Please report during the process of your application any circumstances whereby you are subject to a police enquiry

References
Please give the name and address of two persons to whom reference may be made (one of whom must be your present or most recent employer).
If you do not wish any reference to be sought until you give your permission, please enter an 'X' in the box next to the referee's details.

Employer
x x
Name Name

Position held / Position held /

Relationship to applicant Relationship to applicant
Business address Business address

Postcode Postcode

Telephone no Telephone no

Email Email