Please complete this form in type or black ink, sign the application form and either email it to or send it to: Human Resources, Butterfly Conservation, Manor Yard, East Lulworth, Wareham, Dorset, BH20 5QP POSITION APPLIED FOR: PERSONAL DETAILS (State): Work Telephone No: Surname: May we ring you at work? Yes/No First Names: Home Telephone No: Address: Mobile Telephone No: E-mail Address: REFERENCES - Employment Related Please give names and addresses of two people to whom we may apply for a reference: Reference 1 Reference 2 Name: Name: Address: Address: Telephone No: Telephone No: Relationship: Relationship: May we approach the above without further reference to you prior to an interview? Yes/No Are you likely to be available on the interview date? Yes/No Have you previously applied for a position with Butterfly Conservation? Yes/No If yes, please give details: Do you have any criminal convictions? Yes/No If yes, please give details: PRESENT EMPLOYMENT (or if now unemployed, details of last employment): Name and Address of Employer: Job Title: Present Salary: From (Month/Year): To (Month/Year): Please give a brief description of the job and your responsibilities: (Continue on a separate if necessary)
Please complete this form in type or black ink, sign the application form and either email it to or send it to: Human Resources, Butterfly Conservation, Manor Yard, East Lulworth, Wareham, Dorset, BH20 5QP POSITION APPLIED FOR: PERSONAL DETAILS (State): Surname: First Names: Address: Work Telephone No: May we ring you at work? Yes/No Home Telephone No: Mobile Telephone No: E-mail Address: REFERENCES - Employment Related Please give names and addresses of two people to whom we may apply for a reference: Reference 1 Reference 2 Name: Address: Telephone No: Relationship: Name: Address: Telephone No: Relationship: May we approach the above without further reference to you prior to an interview? Yes/No Are you likely to be available on the interview date? Yes/No Have you previously applied for a position with Butterfly Conservation? Yes/No If yes, please give details: Do you have any criminal convictions? Yes/No If yes, please give details: PRESENT EMPLOYMENT (or if now unemployed, details of last employment): Name and Address of Employer: Job Title: Present Salary: From (Month/Year): To (Month/Year): Please give a brief description of the job and your responsibilities: (Continue on a separate if necessary)
2.bc-application-form-2017.docx