Download JobCenter Plus Employment Application Form to apply for a Job in JobCenterPlus.
Text Version of this Form
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ES5JP 11/11 www.direct.gov.uk
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General guidance notes
• Practice writing your answers on a blank piece of paper before you fill in the
application form so you don’t make mistakes. Mistakes on the form will not
impress an employer.
• Fill in the application form in black ink and use CAPITAL letters.
• Answer all the questions with information that is relevant to the job you’re
applying for. Avoid using ‘Not applicable’ (n/a).
• Keep a photocopy of your form as a useful reminder of what you wrote if you
get an interview.
• If you have difficulty filling in the form, ask someone at Jobcentre Plus to help
• For overseas vacancies only you must have a valid passport or EEA ID card. You
can send a CV with the form instead of filling in section 6 and 7. If the employer
asks for copies of documents, do not send the originals. The employer may as
to see the original documents if you get an interview. Remember to take the
documents with you if they have asked to see them.
Guidance for filling in this form
Sections 1 to 4 Fill in all the details in CAPITAL letters.
Section 5 Give details of all driving licences you hold. For example
motorcycle, car, HGV and PCV.
Section 6 Give details of all your previous jobs, putting the most recent job
first then working back. Give as much detail as possible about
your duties in each job, highlighting anything that is particularly
relevant to the job you’re applying for. Use a separate sheet of
paper if necessary.
Section 7 Give details of universities, colleges, schools or other training
places you have attended, putting the most recent first then
working back. List any examinations you took and the grades and
results you achieved.
Section 8 You must fill in this section if you are applying for an
Section 9 This section is very important because it gives you the chance to
sell your skills to the employer. Include any information that you
feel makes you particularly suitable for the job. For example,
previous experience, voluntary work, hobbies, language skills and
relevant study and qualifications. If you don’t have any formal
qualifications, mention what you were good at or particularly
enjoyed at school.
Section 10 If there is an age limit on the vacancy you must tick this box to
confirm that you meet the age requirement.
Section 11 Give the names, addresses and telephone numbers of two people
who will act as character references for you. This is usually a
previous employer and someone you have known for at least five
years such as a family friend or neighbour, but not a relative.
Please check with the people that they are willing to provide a
reference for you before you put their details on the form.
Section 12 Tell us in this section about any special arrangements you need if
you are invited for an interview.
Section 13 Sign and date the form to confirm that the information you have
given is correct.
Please tear off
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Data Protection Act 1988
Jobcentre Plus may put the information you give on this
form onto a computer system to help your application.
Application for employment
About the vacancy
applied for number
Employer’s Closing date / /
1 Title Mr Mrs Miss Ms Other Please specify
Surname Other names
3 Full daytime Full evening
phone number phone number
Include any points on your licence and the reasons for them.
6 Work history Employer Position held and description of duties Reason for leaving
Start with your
job and wor
on a separate
Please turn over
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7 Education and University, college, school or other place Course studied and qualifications achieved
Start with the
and work back.
Continue on a
8 Do you hold No
valid passport Yes
or ID card?
For overseas vacancies only.
9 Any other
relevant to the
job you are
10 If there is an
age limit on
the vacancy, tick
this box to confirm
that you meet
the age requirement
11 References 1 2
Phone number Phone number
12 If you require
13 I confirm that, to the best of my knowledge, the
information I have given on this form is correct.
Signature Date / /