UNITED SYNAGOGUE RABBBINIC/MINISTERIAL JOB APPLICATION FORM PART PLEASE ENSURE THAT YOU COMPLETE THIS APPLICATION FORM BUT WE DO ALSO WELCOME AN ATTACHED CV IF YOU ARE HAND WRITING YOUR APPLICATION RATHER THAN AS A COMPUTER GENERATED DOCUMENT PLEASE COMPLETE THE FORM IN BLOCK CAPITALS Application for the Post Of: Location of Post: PERSONAL DETAILS: Surname: Title: Forenames: (* Please state birth name and name known as) Address including post code: Home Tel No: Mobile No: May we contact you at work? National Insurance No: Work telephone No: Email Address: Yes: No: EDUCATION & TRAINING SECONDARY / FURTHER EDUCATION: School / College / University Qualifications – Results with Grades* June 2016 JEWISH LEARNING: Details of Institutions attended (e.g Yeshiva, Kollel, Seminary): Dates and details of learning Name of Principal Teachers /Role Models * Copies of semicha certificates must be submitted with this form OTHER TRAINING QUALIFICATION & MEMBERSHIPS: Membership of Professional Bodies/Professional Qualifications: (with dates)* and Details of any other Training Attended * Copies of relevant certificates should be submitted with this form EMPLOYMENT HISTORY: CURRENT OR MOST RECENT POSITION Employer: Type of Business: Address including post code: Salary: Job Title: Start Date: Notice Required (weeks): Leave Date (if applicable): Brief Description of Duties& Responsibilities (please attach a Job Description if available): July 2016 Why you wish to /did you leave this position? PREVIOUS APPOINTMENTS (most recent first): Please continue on a separate sheet if necessary Employe r: Address: Start / / Job Title: Date: Leave / / Reason for Date Leaving: Brief description of Duties: Salary: £ Salary: £ Salary: £ Employe r: Address: Start / / Job Title: Date: Leave / / Reason for Date Leaving: Brief description of Duties: Employe r: Address: Start Date: Leave Date / / Job Title: / / Reason for Leaving: July 2016 Brief description of Duties: VOLUNTARY EXPERIENCE AND OTHER INTERESTS: ADDITIONAL INFORMATION IN SUPPORT OF YOUR APPLICATION: Please either type in this box or attach sheet of A4 giving details of no more than 500 words long of your relevant skills, experience, knowledge and achievements, demonstrating how you meet the requirements of this post Please continue on a separate sheet if necessary July 2016 RABBINIC REFEREE: Please give the name and address of your Rabbinic Referee: Name July 2016 Title Name of Institution/organisation Address Post Code Email address Telephone no It what capacity is this person known to you: Do you wish to be consulted before this referee is approached: YES NO July 2016 INTERVIEW DATES In the event you are shortlisted, please advise of any dates you would be unable to attend an interview: DECLARATION OF APPLICANT: I certify that the answers given on this Application Form are true and complete, to the best of my knowledge Signature: _ Date: When completed, please return this form either by EMAIL together with Part of the application form to: hrrabbiapplications@theus.org.uk In the event this is not possible, post to: HR Department, United Synagogue, 305 Ballards Lane, London N12 8GB Please note that if you are returning this form electronically and unsigned you will still be bound by the declaration July 2016