Position applying for  ---------------------------------------------------SELECT--------------------------------------------- Overseas Representative (independent walking/cycling holidays) Canoe Instructor (independent canoeing & walking/cycling) Walking/City Guide (Guided walking/sightseeing tours)

Countries applying for 

Dates available for work (from/to)   

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PERSONAL DETAILS

Forename	Surname	Known as

NI number	Passport no.	Nationality	Sex

If non UK resident, is a work permit required?	Do you have a work permit?
Please select YesNo	Please select YesNo

Marital status	Children (ages)

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CONTACT DETAILS

Home address

From/to
Address
Post/Zip Code
Telephone

Other address (if applicable)

From/to
Address
Post/Zip Code
Telephone

Mobile
E-mail

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PRESENT OCCUPATION

Details

Start date

Anticipated finish

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DRIVING EXPERIENCE

Do you hold a current driving licence?	Years held	Licence no
Please select Yes No

Any endorsements? If yes, please give details:

Please give details of:-
Driving experience abroad:

Experience of driving minibuses and/or trailers:

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EDUCATION

School Attended	Exams	Grades

FURTHER EDUCATION

Institution	Qualification	Class

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RECORD OF PREVIOUS EMPLOYMENT

Include part time/temporary work if relevant to the position you are applying for:

Company	Position	Full time/	Summary of duties	Duration of
		part time		employment
		N/A Part Full
		N/A Part Full
		N/A Part Full
		N/A Part Full
		N/A Part Full
		N/A Part Full

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POSITIONS OF RESPONSIBILITY

Please describe any instances where you have had to undertake responsibility that you feel may better
equip you in the post you are applying for:

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PRACTICAL EXPERIENCE

Please state what experience you have of:

Working outdoors:

Working abroad:

Working with the general public:

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Please list your experience/levels of achievement and qualifications you have of the following:

Cycling (inc. bike maintenance)

Walking

Canoeing

Working with children

First Aid

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LANGUAGES

What is your first language:

If you are called to an interview you will be tested on the fluency of your language(s).
Please indicate your level of fluency in each, including any time spent in the relevant country:

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INTERESTS AND HOBBIES

Please tell us what you enjoy doing in your spare time:

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ADDITIONAL INFORMATION

Why do you feel that you would be suited to this position? Please give a brief description of your character.
What would your strengths be in the position you are applying for?

Is there any information that you would like us to consider along with your application?

Please indicate any medical condition you have that may affect your ability to work as one of our staff:

How did you find out about Headwater

Have you ever been convicted of a criminal offence not covered by the rehabilitation of offenders act?
Yes No

If yes, please give full details:

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REFERENCES

Referees - Please give the names and addresses of two referees e.g. previous employer, Department Head etc.

Name:
Address:
Tel:
Position:
Name:
Address:
Tel:
Position:

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I     declare that to the best of my knowledge the information given on this form is true.

Date: