Application for Employment

Risk Management Analyst Program

Please complete this form yourself as fully and as accurately as possible, as the contents may form part of any future contract of employment.

Please be advised that information provided on this form may be stored on a computerised system for use by the Group and in accordance with the Data Protection Act.

Personal Details

Title

Last Name

First Name

College Address

Home Address

Dates at this address

from

Dates at this address

from

Address

Zipcode

Daytime Phone No

E-Mail Address

Are you legally eligible for employment in this country

Yes No

Will you now or in the future require VISA/ work permit sponsorship from Willis?

Yes No

Preferred location

Have you previously filed an application with Willis or any of its affiliates

Yes No

Have you ever been employed by Willis or any of its affiliates

Yes No

If yes, give location of office and dates of service from to

Application Details

Do you know someone within Willis? (Please State)

Please state area of interest (if any)

How did you hear about Willis?	University Website & Experience	Website
	Personal	Other (Please Specify)

References

Give the names and addresses of two independent references, one of whom should be academic.

Reference 1

Reference 2

Name

Address

Postcode

Daytime Phone No

Education

Academic

Further Education
University Attended	Degree Subject	Type of Degree	GPA Awarded/Expected	Dates Attended

Subjects Covered in Degree Course
First Year	Second Year	Third Year	Fourth Year








Additional Course Information


Please give details of thesis/dissertation or special project undertaken

Secondary Education/High School

Name and Address of School

Address

Postcode

Dates Attended



Subjects taken
Year	Subject	Grade	Year	Subject	Grade

Work Experience

Give details of employment including vacational work and industrial training
Dates	Organisation	Description of work

Languages
Please indicate your degree of fluency in any language you may use at work Working Knowledge (WK) - The ability to converse on a social and practical basis. Fluent (F) – The ability to converse confidently and fluently with fellow professionals on a range of specialist work related topics.
Language	Rating	Language	Rating

Computer Applications/Keyboard Skills
Please state knowledge/level of computer applications/keyboard skills.
Computer applications/Keyboard skills	Level (Advanced, Intermediate, Basic)

Criminal Convictions

Have you ever been convicted of a crime? Please specify.

Interests and Leisure Activities

Please give a brief outline of these activities including any positions of responsibility outside of work

Personal Profile

Describe a situation which required you to influence people with different perspectives. What approaches did you take?

Describe the achievement you are proudest of and why

Describe a time when you had to convey a complex idea to a group of people

Voluntary Information

Sex
Racial / Ethnic Group
Have you served in the US Armed Services
If yes, what branch of the service
Date Entered Service
Date Discharged from Service

Declaration

This application may constitute the basis of a contract of employment with Willis. I declare, therefore, that I have not knowingly falsified facts or provided inaccurate information on this document.

I AGREE

Should your form not submit, please go back and ensure you have filled in all fields marked with a *