SECTION 13: DECLARATION A. Other Interests If appointed, do you have any interests or hold any appointments that may conflict with employment by City Hearts in the role for which you have applied? Yes No If yes, please detail on a separate B. Statement to be Signed by the Applicant Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered. I hereby certify that: all the information given by me on this form is correct to the best of my knowledge all questions relating to me have been accurately and fully answered I possess all the qualifications I claim to hold I have read and, if appointed, am prepared to accept the conditions set out in the job description. Signed: Date:
SECTION 13: DECLARATION A. Other Interests If appointed, do you have any interests or hold any appointments that may conflict with employment by City Hearts in the role for which you have applied? If yes, please detail on a separate Yes No B. Statement to be Signed by the Applicant Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered. I hereby certify that: all the information given by me on this form is correct to the best of my knowledge all questions relating to me have been accurately and fully answered I possess all the qualifications I claim to hold I have read and, if appointed, am prepared to accept the conditions set out in the job description. Signed: Date:
staff_application_form_1__2018_10_31_10_36_07_am.docx