Membership Application Form

Contact Details:

First Name

Last Name

Home Tel No

Mobile No

Emergency Contact Details:

Full Name

Telephone (Landline)

Relationship

Mobile

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.