Details:
* Title:
* First Name:
* Surname:
* Address etc:
* Daytime phone no.:
* Evening phone no.:
* Mobile phone no.:
Fax no.:
* Email address:
* Date of Birth:
* Do you hold a current UK driving licence? Yes/No
Yes
No
* Do you own a car? Yes/No
Yes
No
Qualifications:
* Are you a qualified EHO? Yes/No
Yes
No
* Are you a qualified Technical Officer? Yes/No
Yes
No
* When did you last work in local authority?
* Have you worked in the Private Sector?
Yes
No
Availability:
When are you next available for work?
* How regularly are you available for work?
* What hours are you prepared to work?
* Indicate by ticking the relevant boxes in which areas of the country you are prepared to work:
Interests:
* Are you interested in carrying out placement work?
Yes
No
If 'Yes', how many days per week would you be available for placement work?
* Are you interested in undertaking inspection-based work?
Yes
No
* What is your employment status?
PAYE
Self-Employed
Ltd Company
Areas:
* Indicate by ticking in the boxes areas in which you are proficient and are fully qualified.
If you are interested in being considered as a trainer , please state what subject areas you are able to train and to what level.
Referees:
* Please supply two referees, one of which must be at the most recent local authority you have worked for, if you wish to be considered for L.A. work.
NOTE that these referees WILL be approached by RSA Environmental Health Ltd straightaway. If you do not wish us to approach referees, then please leave these boxes blank, however, this may inhibit our ability to find you work quickly.
References will only be made available to any prospective employers if you have specifically expressed an interest in a position. All information will be handled in accordance with the Data Protection Act 1998.
Referee 1:
Referee 2:
CV:
Please attach a copy of your CV. Click on the 'Browse' button to locate the file on your PC before you send the form.
* denotes required field
If you do not have relevant documents available electronically , then you can send them to us at:
RSA Environmental Health Ltd, Blotts Barn, Brooks Road, Raunds, Northamptonshire NN9 6NS.
You can ring us on 01933 626 444 if you have any queries.