ADDITIONAL INFORMATION REQUIRED
Please give details of any “unspent” criminal convictions as defined in the Rehabilitation of Offenders Act 1974. A criminal
record will not necessarily be a bar to obtaining a position at the Council.
Are you related to a Councillor, or Employee, of the Burnham-on-Sea & Highbridge Town Council?
If yes, please provide their name and position:
Have you worked for Burnham-on-Sea & Highbridge Town Council or any other local authority via
a Temporary Employment Agency within the last six months? If so, give details:
Asylum and Immigration Act 1996. It is a criminal offence to employ anyone whose migration
status prevents them from working in the UK. The Town Council has obliga
Asylum and Immigration Act. Please confirm below whether, if selected for appointment, you will
be able to provide a relevant document e.g. birth certificate, passport, P45 or pay slip, to meet this
obligation prior to commencing any employment offered. If No, give details
Have you received a redundancy payment or a pension from previous local authority
If yes, please state employer’s name and month / year the payment or pension was received:
PLEASE NOTE THE FOLLOWING:
Canvassing of Members of the council directly or indirectly for any appointment under the Council will disqualify the
candidate concerned for that appointment. A candidate who fails to disclose any relationship with a Member or employee
of the Council, or deliberately supplies information which they know to be false, will be disqualified for the appointment
and if appointed, will be liable to dismissal without notice.
In accordance with the Data Protection Act 1998 all information given on this application form will only be used to
determine an applicant’s suitability for the job and will be kept only for those purposes and equal opportunities monitoring.
Application forms for unsuccessful candidates will be retained for a period of six months before being destroyed.
Please indicate how you heard about this vacancy
□ Burnham-on-Sea.com □
Word and mouth
□ Town Council website □
If you have a disability, are there any arrangements we can make for you if you are called for an interview? (e.g. ground
floor venue, hearing loop, etc.)
Do you hold a current full driving licence? Yes / No