Suryakala Charitable Trust

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Position Applied For

Personal Details

Qualifications

Past Employment

Present Employment

Reference 1

Reference 2

Emerqency Contact Info

Consent & Declaration

An integrity assessment involves compiling a comprehensive background check relevant to the job.

1. Reference check with referees as supplied

Yes
No

2. Qualification check

Yes
No

3. Have you OR an immediate family member ever been charged and/or convicted of a felony?

Yes
No

If yes, please explain

4. Do you consent to a routine check of your criminal record

Yes
No

I hereby voluntarily provide consent for an integrity assessment to be carried out on me. I accept that the integrity assessment is part of the pre-employment selection process and that SuryaKala Charitable Trust is under no obligation to make use of my services. Please note that the information gathered will be dealt with on a strictly confidential and discreet basis.

Is there any other information, which may have a bearing on your suitability for the position?

Yes
No

If yes, please explain

Declaration
I hereby declare that all particulars and answers in this application form are true and no material fact has been withheld. I agree that this application and declaration shall be the basis of any contract between the Employer and me, that the withholding of any material information or failure to answer the questions correctly will constitute a breach of a condition of my employment (if I am successful in my application) for which I may be dismissed.

I HAVE TRUTHFULLY RESPONDED TO ALL OF THE QUESTIONS ON THIS APPLICATION.