Name

Email Address

Contact number

Postcode (we can only support Leicester & Leicestershire residents)

Job Reference Number as stated on the advert (eg MP034)

Age group

Ethnicity - How would you describe your cultural or ethnic origin?

Sex Female Male Prefer not to say

Do you consider yourself to have a disability? Yes No prefer not to say

If you answered Yes, please tick the box/boxes that apply to you Learning disability Autism Mental health Learning difficulty Prefer not to say

English level Level 1 (GCSE D-F/1-3) Level 2 (GCSE A-C/4-9) Below level 1

Maths level Level 1 (GCSE D-F/1-3) Level 2 (GCSE A-C/4-9) Below level 1

Highest level of qualification

Please specify which of the following disadvantaged groups you belong to Ex-offender Homeless Caring Responsibilities for dependent children or others? Looked after children Prefer not to say None of the above

Employment status

Do you have a current UK Driving Licence? Yes No

Desired hours Full time (30 or more hours per week) Part time (below 30 hours per week)

Sector preference (1st choice)

Sector preference (2nd choice)

Sector preference (3rd choice)

Would you like to receive our news emails? Yes No

Please attach your CV

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Job Application