Application for Employment

Graduate Training Programme

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

Surname

Forenames

National Insurance number (If known)

College Address

Home Address

Dates at this address

from

Dates at this address

from

Address

Postcode

Daytime Phone No

E-Mail Address

Do you require a work permit to work in the UK?

Yes No

Preferred location

Application Details

Do you have any personal contacts within the group? (Please State)

Please state area of interest (if any)

How did you hear about Willis?	Hobsons	GTI	Website
	Personal	Other (Please Specify)

Referees

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

Referee 1

Referee 2

Name

Address

Postcode

Daytime Phone No

Education

Professional Qualifications (Including Membership Number)


Vocational (NVQ/GNVQ)
Year	Subject	Grade	Year	Subject	Grade

Academic

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

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








Additional Course Information


Please give details of dissertation or special project undertaken

Secondary Education

Name and Address of School

Address

Postcode

Dates Attended

GCE, 'A', 'AS', 'S' Level (or international equivalent) or higher subjects taken (including failures) or to be taken
Year	Subject	Grade	Year	Subject	Grade




GCSE or equivalent subjects taken (including failures) or to be 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)

Medical and Disability

How many days per year (averaged over the last three years) have you been absent from work (or full time education) through illness?

Have you any disabilities that we should take into account in considering your application? If yes, please give details.

If so, please identify any adjustments to our recruitment arrangements which might help you in your application.

Criminal Convictions

Do you have any criminal convictions that are not spent under the Rehabilitation of Offenders Act? 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

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 *