Written references will be needed for any candidate who is successful at interview. Please make sure your referees are aware of this and are happy to provide this information. We expect one of these referees to be your current or last employer. Name of your referee: Their Job Title: Organisation and address: Name of your referee: Their Job Title: Organisation and address: Can we contact your present employer for a reference before an offer of employment is made? Yes No Section 10 DECLARATION Please read this carefully before signing the application. An electronic signature is acceptable at this stage. I agree that any offer of employment is subject to satisfactory references, medical information and checks (if required) and a probationary period. I confirm that the information supplied by me on this form and all documents required, with this application are complete and correct. Any untrue or misleading information will give my employer the right to terminate any employment contract offered. If my Application for Employment is successful, I agree to undergo a medical examination if this is required to ensure my suitability to carry out my duties. I have given my explicit consent freely. Signed: Dated: Active Partners Trust is committed to respecting your privacy. To review our privacy notice, visit
Written references will be needed for any candidate who is successful at interview. Please make sure your referees are aware of this and are happy to provide this information. We expect one of these referees to be your current or last employer. Name of your referee: Their Job Title: Organisation and address: Name of your referee: Their Job Title: Organisation and address: Can we contact your present employer for a reference before an offer of employment is made? Yes No Section 10 DECLARATION Please read this carefully before signing the application. An electronic signature is acceptable at this stage. I agree that any offer of employment is subject to satisfactory references, medical information and checks (if required) and a probationary period. I confirm that the information supplied by me on this form and all documents required, with this application are complete and correct. Any untrue or misleading information will give my employer the right to terminate any employment contract offered. If my Application for Employment is successful, I agree to undergo a medical examination if this is required to ensure my suitability to carry out my duties. I have given my explicit consent freely. Signed: Dated: Active Partners Trust is committed to respecting your privacy. To review our privacy notice, visit