Membership Application Form

Contact Details:
Personal Contact:
Emergency Contact:
How would you categorise your situation? eg. long term unemployed, recently redundant, looking for new direction etc.
Preferred industry
Do you know what type of work you’re looking for eg. Sales/Marketing, Office & Administration, self employed etc.
Education
What level of formal education do you have? eg. Degree, GCEs
Work experience
What previous employment/work experience, including voluntary work do you have?
List other relevant skills, knowledge and experience that you have
Medical information
Do you have any medical condition which may affect you whilst attending the Job Club programme? If so, can we make any reasonable adjustments to enable you to enjoy equality of opportunity whilst with us? Please specify
DATA PROTECTION STATEMENT
The information you provide on this form and any other information obtained or provided during the course of your application with us will be kept secure, confidential and used only for the purpose of assessing your suitability for roles, in emergency situations e.g. in a medical situation and in relation to the legitimate interests of The Hope Job Club. The information you have provided will form part of your membership file and we will be entitled to process it for all purposes in connection with your application. If you choose not to continue the application with us, the information will be destroyed. You have the right to request access to, rectify or erase your data as part of this process.
I CONSENT TO MY PERSONAL INFORMATION BEING USED FOR THE PURPOSES AND ON THE TERMS SET OUT ABOVE
Date:
Signed:

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Jubilee Community Centre

Charlwoods Road

East Grinstead

RH19 2HL

Tel: 01342 488282

Tel: 07706 234606

Email: contact@thehopejobclub.co.uk

Reg. Charity Number: 1181667

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