Returnee Form 2009.doc

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RETURNEE FORM



 

 

 

 

 

RETURNEE FORM

 

 

NAME:.......................................................................................................

         (PRINT)

 

 

ADDRESS:..................................................................................................

 

 

.....................................................................................................................

 

 

......................................................................................................................

 

 

TEL NO:..…….........................                  MOBILE NO:...…........................

 

EMAIL:………………………………………………………………………………

 

 

EMPLOYED IN 2008 AS:................…….......................................................

 

 

DEPT/UNIT:.............................…........      JOB TITLE.................................

 

 

       DATES AVAILABLE TO START:-

 

 

FROM:..........................................               TO:...........................................

 

       NOTICE PERIOD REQUIRED:....................................….............................

 

 

SIGNATURE:.....................................            DATE:....................................

 

       OR: I DO NOT WISH TO RETURN FOR THE 2009 SEASON:-

 

 

SIGNATURE:...................................               DATE:.....................…............

 

Please return in the envelope provided, Thank you.

 


 

 



      References for the period since leaving Alpha

 

Please outline exactly where you were working or signing on since your leaving date.  If you have been in education please give dates, full address and the name of a teacher/lecturer who will be willing to give you a reference.

 

Date   (from and to)

 

Name of Contact and Position

 

What was your Job Title

 

Contact Address

 

 

 

 

 

Contact Numbers

Tel:                                    Fax:

Why did you leave

 

 

 

 

 

Date   (from and to)

 

Name of Contact and Position

 

What was your Job Title

 

Contact Address

 

 

 

 

 

Contact Numbers

Tel:                                    Fax:

Why did you leave

 

 

 

 

 

Date   (from and to)

 

Name of Contact and Position

 

What was your Job Title

 

Contact Address

 

 

 

 

 

Contact Numbers

Tel:                                    Fax:

Why did you leave

 

 

 

If there is a period of time that is any longer than 2 weeks which is not covered by your references please provide the contact details of somebody who will be able to provide a verification reference for this gap. This person should be a professional person, for example a Doctor, Lawyer, Teacher or Manager.

 

 

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