HIGHFIELDS COMMUNITY ASSOCIATION
APPLICATION FORM
POSITION APPLIED FOR:_______________________________________
The following information will be treated in the strictest confidence.
Personal
(Please complete this section in BLOCK CAPITALS)
Surname: _____________Ashmore_______________
First name: ________________Henry________________
Address: __3 wlton close oadby leicester___________
Postcode: ____le24st_________
Email: ____henry.thedragon@outlook.com________
Home telephone number: __________
Mobile telephone number: ______074974004974_____
Full Driving Licence: No Endorsements: No
If YES, please give further details including dates:
_______________________________________________________________________________________________
Are you involved in any activity which might limit your availability to work or your working hours e.g.,
local government? No
If YES, please give full details:
_______________________________________________________________________________________________
Are you subject to any restrictions or covenants which might restrict your working activities?
No
If YES, please give full details:
_______________________________________________________________________________________________
Are you willing to work overtime and weekends if required? Yes
Please give details of any hours which you would not wish to work:
_______________________________________________________________________________________________
It is a criminal offence for barred individuals to apply to work with children or vulnerable adults in a
regulated activity. Are you on a barred list? No
Have you any convictions, including both spent and unspent convictions under the Rehabilitation of
Offenders Act 1974? (A copy of the Organisation’s Equal Opportunities Policy and Disclosure and
Disclosure Information Policy is available on request. These reflect the DBS Codes of Practice)
No
If YES, please give full details:_______________________________________________________________________
If offered employment, you will be required to complete a Medical Questionnaire. Are you prepared to
undergo a medical examination before starting employment? Yes
Have you ever worked for this Organisation before? No
If YES, please give full details:
_______________________________________________________________________________________________
Have you applied for employment with this business before? No
Do you need a work permit to take up employment in the U.K.? No
How much notice are you required to give to your current employer?___4 weeks___
Education
Highfields Community Association
Schools attended since age 11 From To Examinations and Results
manor high school 08/2019 06/2021 english-3
maths-2
College or University From To Courses and Results
BTEC L1 Manufacturing-
Engineering
Being organized - MERIT
leicester college 08/2021 06/2022 Developing a personal
progression plan - PASS
Working with others - PASS
Researching a topic - PASS
Manufacturing an
engineered product using
hand tools - PASS
Manufacturing a component
using machining processes
- PASS
Assembling electronic
circuits - MERIT
Carrying out routine
mechanical servicing of
equipment - PASS
Carrying out an electrical
installation - PASS
Producing engineering
drawings using CAD -
MERIT
Further Formal Training From To Diploma/Qualification
leicester college GCSE 08/2021 06/2022 english-C
maths- FS Level 1-D
Job related Training Courses Date Subject
Name of Organisation
Highfields Community Association
Please give details of membership of any technical or professional associations:
______________________________________________________________
______________________________________________________________
Please list languages spoken and the level of competence:
____________English______________
Highfields Community Association
Employment Details
Please give details of your past employment, excluding your present or last employer, stating the
most recent first.
Name and address Dates Position held/Main duties Reason for
of employer leaving
Sainsbury's 11/2022- colleagues, stacking shelves, change of
01/2024 communication with customers environment
KFC 12/2021- using fryer equipment and career
11/2022 recommending to customers to change
boost sales
Present or Last Employer
Are you currently employed? No
Name of present or last employer: ___sainsburys________
Address: ____22 bell street, wigston, LE18 1AD____
_____________________________________
Telephone number: 0116 288 9801_
Nature of business: _____________________________________
Job title & brief description of duties: ___Reliable and punctual with a wealth of
experience in grocery. Proficient in fast-paced environments, adept at meeting high customer
demands. Diligent fast worker with a proven track record of efficiently helping others, managing
customer interactions, and preparing food. Well-versed in POS systems and praised for providing
prompt service with a friendly demeanor. Motivated service worker with excellent social and
communication skills, backed by a strong customer service background. Committed to upholding
health and safety standards while handling items responsibly. Proactive in supporting team members
and resolving issues. Dedicated professional with a rich history of preparing. Capable of fulfilling
additional tasks and providing exceptional service with a pleasant demeanor, while seamlessly
multitasking.
______
Highfields Community Association
Reason for leaving: ____different work enviroment______
Length of service: From:_11/2022_ To: _01/2024___
NB. PLEASE DO NOT SEND ANY CV OR
ADDITIONAL MATERIAL, AS IT WILL NOT BE
CONSIDERED.
Highfields Community Association
Interests, Achievements, and Leisure Activities
(e.g. hobbies, sports, club memberships)
My interests encompass playing chess and solving puzzles, along with indulging in
video games and inviting others to join in. I have a fondness for computers and find
pleasure in mastering their usage. Among my primary hobbies are: Football: I relish
playing football as it allows me to bond with my family and have a great time
together. Reading: Exploring the backstories of others and gaining insights into their
lives through literature is something I thoroughly enjoy.
_
Supplementary Information
Please set out below any further information to support your application
(including person specification requirements)
I am a dependable individual committed to seeing tasks through to
completion, a quality that resonates with my work ethic. I possess an
eagerness to acquire new knowledge and am willing to put forth my utmost
effort in any endeavor. Helping others by efficiently and promptly
accomplishing tasks brings me satisfaction and fulfilment.
Declaration
I declare that the information given in this form is complete and accurate. I understand that any false
information or deliberate omissions will disqualify me from employment or may render me liable to
summary dismissal. I understand these details will be held in confidence by the Organisation, for the
purposes of ongoing personnel administration and payroll administration in compliance with the Data
Protection Act 1998. I undertake to notify the Organisation immediately of any changes to the above
details.
Given the nature of the job for which I have applied, I understand that any offer of employment will be
subject to information on my criminal record being disclosed to the Organisation by the Disclosure and
Barring Service (DBS) and I consent for my data to be used for this application and to be retained on
our recruitment database.
Signed: ______________henry ashmore________________
Name: _________henry___________________
Date: __________15/02/2024________________
References
Please give the names of two people (one of which should be your present or most recent employer)
whom we may approach for a reference.
Can we approach your current employer before an offer of employment is made? no
Name: Name:
Position: Position:
Address: Address:
Email: Email:
Tel. No: Tel. No:
Highfields Community Association
Source of Application
How did you hear of this vacancy? ________indeed__________
Highfields Community Association
