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HM GOVERNMENT OF GIBRALTAR

                                            
EXTERNAL APPLICATION FORM
HUMAN RESOURCES DEPARTMENT
    82-86 HARBOUR’S WALK
 NEW HARBOURS
 ROSIA ROAD
GIBRALTAR
1. POST APPLIED FOR:	
 	 		 	 	 	 	
 Post Title:		 	 	 	 	

 Name of applicant:		
 		
·	Please ensure that you answer all the questions as fully as possible. ‘See CV’ will not be accepted. 
·	Type or write neatly in black ink, as this form will be photocopied.
·	A recent passport sized photograph must be affixed in the space provided above.
·	Once completed, this application form along with copies of qualifications and completed vetting form must be submitted to The Human Resources Manager, via email at, humanresources.recruitment@gibraltar.gov.gi  by the closing date for receipt of applications. (Original qualifications will need to be brought in to the interview stage)
•	Please do not send completed vetting forms to the RGP. Human Resources will do this and pay the £10 fee on your behalf.
•	Two references are required to be submitted to the Human Resources Manager via email at, humanresources.recruitment@gibraltar.gov.gi , not later than five working days after the closing date. 

NOTE:  Should you have any queries relating to your application either prior to or after interview, you may write to the Human Resources Manager, to the abovementioned email. Do not write below this line. 
-------------------------------------------------------------------------------------------------------------------------------
FOR OFFICIAL USE ONLY
DOCUMENT	SEEN	RETURNED	
Evidence of Nationality			
			
Qualifications			
I/D CARD OR PASSPORT NO.	

	

2. PERSONAL INFORMATION	
 	 	 	 	 	
 Title:		 Surname	 	

 Forenames:	 		 	

 Previous Name if Applicable:	 	

 Date of Birth:                  	 	

Nationality:

                                                                                                                                      	

 Address:

 Postcode:
 (if applicable)

 Driving Licence: 
(if applicable,
please state
category)	                                                                                                                                                                                                                              

Please indicate which of the following we may use to contact you:            (Please tick)	
 	 	 		
 Home Telephone Number:	 			
 	 	 		
 Work Telephone Number:	 			
 	 	 		
 Mobile Telephone Number:	 			
 	 	 		
  Email address:	 			

  3. EMPLOYMENT HISTORY	
 	
 Please list in order (the most recent first), the organisation(s) you have worked for,	
 whether full or part time, including voluntary, unpaid, or self-employed work. 	
 (PLEASE USE ADDITIONAL SHEETS IF NECESSARY)	

 (a) Current (or most recent) Employer's Name and Address:	

 	
 Dates of Employment:	 From:	                                 	 To:	                                              	
 Job Title:	                                                                                                   	
 Reason for leaving:	                                                                                                   	
 Brief outline of Duties:	

 	
 	
 (b) Previous Employer's Name and Address:	

 	
 Dates of Employment:	 From:	                                      	 To:	 	
 Job Title:	                                                                                                 	
 Reason for leaving:	                                                                                                  	
 Brief outline of Duties:	

 	

 Previous Employer's Name and Address:	

 	
 Dates of Employment:	 From:	                                  	 To:	                                       	
 Job Title:	                                                                                                       	
 Reason for leaving:	                                                                                                 	
 Brief outline of Duties:	

 	
 	
(d) Previous Employer's Name and Address:	

 	
 Dates of Employment:	 From:	                                  	 To:	                                       	
 Job Title:	                                                                                                       	
 Reason for leaving:	                                                                                                 	
 Brief outline of Duties:	

 	

  4. QUALIFICATIONS	
 	
 Please give details of any qualification(s) held and where obtained.	
	
School(s)
	Date(s)	Subject(s)	Grade(s)	

 	 	 	 	

 	 	 	 	

 	 	 	 	

 	 	 	 	

 	 	 		

  5. FURTHER & HIGHER EDUCATION 	
 	
 Please give details of any further or higher education - colleges/universities attended   and any qualifications obtained. 	
 	
College / University/        Training provider	Date(s)	Subject(s)	Qualification(s)/Grade(s)	

 	 	 	 	

 	 	 	 	

  6. TRAINING AND DEVELOPMENT 	
 Please give details of further training taken – i.e. Management courses, IT courses,
First Aid certificates etc.
	
College / University/  Training provider
	Date(s)	Subject(s)	Qualification(s) /       Grade(s)	

 	 	 	 	

 	 	 	 	

  7. PERSONAL STATEMENT	
 	
 Add any further information about yourself that you consider relevant to this application. You should describe your knowledge, experience, skills and abilities gained from your paid and/or voluntary work, studies, hobbies etc.	
(PLEASE USE ADDITIONAL SHEETS IF NECESSARY)	

	

  8. REFERENCES	
	
 Please provide the following information on your referees, whom you should ask to
 submit a reference letter to the Human Resources Manager, to reach him not later	
 than five working days after the closing date for receipt of applications.
 
 Referees should not be relatives.
 
 Please note that references must:
•	be dated within 3 months of the closing date
•	not contain letterhead from the department if written by a Government official
•	be appropriate to the post that you are applying for	

(a) FIRST REFERENCE	
Full Name of Referee
		
Full Address of Referee

	
email address

(b) SECOND REFERENCE	
Full Name of Referee
		
Full Address of Referee

	
email address

9. DATA PROTECTION ACT 2004

Under the Data Protection Act 2004, the Human Resources Department on behalf of the Government of Gibraltar, and the Public Service Commission, reserves the right to collect, store and process personal data about applicants in so far as it is relevant to their application for employment.   This Application Form will remain on file for as long as administratively necessary and then be destroyed.   All personal information held will be processed in accordance with the Data Protection Act 2004.

We will only disclose personal information contained in this form in the following circumstances:-

•	If we are required to do so by any court order, or by law.
•	If selected for the post , (except for information contained in Section
13),   to  other  Government  Departments  (for  administrative purposes)
and to the Gibraltar Health Authority (for the purpose of Section 11). 

10. (a) EQUALITY OF OPPORTUNITY

The Gibraltar Public Service on behalf of the Government of Gibraltar, is committed to a policy which ensures that all job applicants and employees receive equality of opportunity, therefore ensuring that all recruitment is solely on merit.

No applicant or employee will receive less favourable treatment on the grounds of age, disability, race, religious belief, sex or sexual orientation, or will be disadvantaged by conditions or requirements which cannot be shown to be justifiable.

10. (b) DISABLED APPLICANTS

In order to help us implement our equal opportunities policy effectively, please indicate below if you would like us to provide any particular assistance for your interview, as a result of disability.
	
Please specify type of assistance required, e.g. wheelchair access.	

	

11.  MEDICAL

I understand that if I am selected for employment to the post for which I am applying, I will be required to undergo a medical examination and be declared fit for employment.

12. STATEMENT TO BE SIGNED BY APPLICANT

I hereby give consent to the collection, storage and processing of my personal details in connection with my application and as outlined in this application form.

I confirm that to the best of my knowledge, the information given in this application form is true and correct. I understand that giving false or misleading statements or withholding information, may result in withdrawal of an offer of employment, or my appointment being terminated if I have already been appointed.
	
NAME IN BLOCK LETTERS	SIGNED
	DATE	

CHECKLIST – Please ensure that you have provided the following:-
                                         (Please tick)	
I.D. or Passport			
Qualifications			
2 Reference Letters			

POST APPLIED FOR:	

13.  DECLARATION OF CRIMINAL OFFENCES

Have you been court martialled, or been convicted of a criminal offence within the last  10 years, either in Gibraltar or elsewhere? (Please tick below)
						
YES 								NO                                  

If you have ticked yes then you must complete the table below.   Please use additional sheet if necessary.	
Date	Offence	Sentence	Pending Charges (Give dates)	

				

Having a criminal record will not necessarily bar you from taking up employment with the Government of Gibraltar. This will depend on the nature of the position applied for and the circumstances and background of your offences. (Please use the space below to add any comments you may wish to make in this regard). Any information given will be treated confidentially and only considered in relation to the post for which you are applying.

	

	

	

	

	

	

	

	

	

Failure to disclose any information requested in this Section, may lead to the withdrawal of an offer of appointment, or termination of employment if you have already been appointed.

Signed………………………………………………………        	

Name……………………………………………………….
(in block letters)

Date……………………………