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Score (Europe) Limited Job Application Form Please complete all sections of the form in black ink only and capital letters. 1 POST DETAILS Position applied for: 2 Reference No: PERSONAL DETAILS Surname:
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We encourage you contact us for further information or to apply if you are currently in receipt of disability benefit. We will never put you off applying. Please note that our Disability Policy states we only hire people who do not have health problems or disabilities, and we may also choose to employ people with other conditions at our discretion. 4 How many (if any) children do you currently have? Any more than one? Please make a note of this in the boxes provided below. Please check boxes for any other children or anyone in your immediate family who can provide a reference. 5 If you are eligible to work for us in the future, which is currently not the case, please fill in the additional section entitled: Disability Assessment. We will call you to discuss your application and to inform you of the terms and conditions relating to your employment with the BBC. 6 Have you done any work experience in recent years? Please indicate your interest if you have. 7 Have you been an Employee of the BBC? Answer YES or NO. If you have answered NO, then please give the date in the box below. 8 Have you been a member of the BBC for more than a year? Question — Select... Yes No 9 Are you registered with us or have you signed up since you became a full-time employee? If you have answered NO to any of the above questions, please enter NO. Please keep notes of your answers to this question. 10 Have you signed on to a membership of any company of which the BBC is a member? If you have answered NO to this question, then please select the relevant company and enter its name in the box below. 11 (optional) 12 (optional) 13 (optional) 14 (optional) 15 (optional) 16 (optional) 17 (optional) 18 (optional) 19 (optional) 20 (optional) 21 (optional) 22 (optional) 23 (optional) 24 (optional) 25 (optional) DISABILITIES ADJUSTMENTS This section will help to determine your eligibility for specialized job related adjustments. The BBC only places disability applicants on employment programs and adjustments which are relevant to their job and the type of job they have selected. It is therefore important that we ensure that the information provided on this page is complete and accurate. Question — 1 Have you recently had a disability or injury? Yes or No if you have no disability, please only select No.

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