Job Application Form by Acas
This job application form collects candidate information including employment history, qualifications, and UK right-to-work status. It features sections for reasonable adjustments under disability legislation and a formal declaration regarding the accuracy of provided information.
Job Application Form (Example)
[Organization Name]
Application form
Application for [Job Title]
Your details
Name:
Address:
Postcode:
Phone:
Email:
Education and training
Please give details:
Qualifications
Please give details:
Employment history
Your current or most recent employer
Name of employer:
Address:
Postcode:
Job title:
Pay:
Length of time with employer:
Reason for leaving:
Duties:
Previous employers
Please tell us about other jobs you have done and about the skills you used or learned in those jobs.
Supporting statement
Please tell us why you applied for this job and why you think you are the best person for the job.
Interview arrangements and availability
If you have a disability, please tell us if there are any reasonable adjustments we can make to help you in your application or with our recruitment process.
Are there any dates when you will not be available for interview?
When can you start working for us?
Right to work in the UK
Do you need a work permit to work in the UK? Yes / No
References
Please give the names and contact details of 2 people who we can ask to give you a reference. We may ask them before an employment offer is made. We will not ask your current employer until we get your permission.
Referee 1
Referee 2
Declaration
I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal.
Name:
Signature:
Date:
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About this template
What is this template?
This is a standard recruitment intake form used to screen applicants before an interview. It contains specific slots for reasonable adjustment requests and a formal dismissal warning for false declarations, which are not typically found in simple CVs. It is not an employment contract or an offer letter.
When should you use it?
Use this form when you need a consistent set of data from all job applicants to ensure a fair shortlisting process. If you have already selected a candidate and need to formalize the hire, use an Employment Agreement instead.
What's inside
| Clause | Name | What it does |
|---|---|---|
| Your details | Your details | Collects the candidate's name, address, phone number, and email address for communication purposes. |
| Employment history | Employment history | Requires details of the current or most recent employer including pay, duties, and reason for leaving. |
| Interview arrangements and availability | Interview arrangements and availability | Requests information on reasonable adjustments for disabilities and the candidate's earliest possible start date. |
| Right to work in the UK | Right to work in the UK | Asks the applicant to confirm whether they require a work permit to maintain legal employment in the UK. |
| References | References | Requests contact details for 2 referees and stipulates that the current employer will not be contacted without permission. |
| Declaration | Declaration | Requires the applicant to confirm information accuracy and acknowledge that false details may result in dismissal. |
Who it's for
- a UK employer seeking a standard template to collect candidate information during a recruitment process
- an organization needing to document a candidate's right to work in the UK and disability adjustment requirements
How long it runs and how it's signed
England & Wales note
This version is drafted for England & Wales. Scotland and Northern Ireland differ on some points — for example notice periods and tribunal procedure. Tell GitLaw where you hire and it adjusts the draft.
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