Welcome

Introduction
At Castelan, we seek to maintain high standards and it is important that the interests of our clients and
employees are both protected. There are parts of Castelan that are regulated by the Financial Conduct
Authority, and strict regulatory requirements must be followed. We therefore place great emphasis on the
integrity of the people who work here. In order to comply with our regulatory obligations, in certain positions
we operate a formal screening process (including credit, reference and criminal records, or police checks).
The information you provide will be used as part of this screening process and any offer of
employment is conditional upon Castelan’s entire satisfaction. The information that you give us will
remain confidential.

Please complete in your own handwriting in BLACK INK

Position applied for Ref. No. (if any)

Department/Section Location

Availability to start work?

Where did you hear about this
vacancy? (If referred by an
employee, please state name)

About You

MR/MRS/Miss/Ms/Dr/Other please
Surname specify

Forenames Known As

Current Address

Postcode

Length of time at address M Y Email Address

Mobile Tel No Home Tel No

UK Driving Licence
holder YES / NO Points on Licence YES / NO No. of Points
 Present (or Most Recent) Employment

Employer’s Name

Employer’s Address

Position Held

Reason for Leaving

Salary/Other Benefits Period of Notice

Main Duties and Responsibilities

Your Skills and Attributes

Please give examples in your work of how you have displayed the competencies i . e . skills, knowledge and
behaviour to be able to successfully carry out the role. (Please continue on a separate sheet if you wish)

Have you ever been dismissed from a position of employment? If yes, please give details below:
 Previous Employment (Most recent first)

Have you ever worked for Castelan in the past? If yes, please give details below:

If you have not had any full-time employment, please give details of any work experience, voluntary work, weekend
and / or vacation work.

Previous Employer’s Name Job Title and Brief Description of Reason for Salary
and Address Duties Leaving

Your Training And Professional Qualifications

Education History
Qualification Attained or Expected Type Grade
 Training Courses
Please give details of courses attended:

Date Course

Membership of Professional Institutions

Institute or Grade of Membership No. Date of Acceptance

Association Membership

References
Please provide the details of references covering a continuous 2 year period. One should be your current employer
who will not be contacted until an offer has been accepted by yourself. The second should be a previous
employer. Any gaps in employment we will require a personal reference eg: a professional person who has known
you for 2 years or more.

Reference 1 Reference 2
Type of Reference: Current employer Type of Reference: Previous employer

Date of To From Date of To From

employment employment
Referee Name Referee Name

Position Held Position Held

Company Name Company Name

Address Address

Telephone numbers Telephone Numbers

(If known) (If known)

Email Address Email Address

Can we contact YES NO Can we contact YES NO

prior to interview prior to interview
 Reference 3 Reference 4
Type of Reference: Previous employer Type of Reference: Previous employer

Date of To From Date of To From

employment employment
Referee Name Referee Name

Position Held Position Held

Company Name Company Name

Address Address

Telephone numbers Telephone Numbers

(If known) (If known)

Email Address Email Address

Can we contact YES NO Can we contact YES NO

prior to interview prior to interview

Reference 5 Reference 6
Type of Reference: Previous employer Type of Reference: Previous employer

Date of To From Date of To From

employment employment
Referee Name Referee Name

Position Held Position Held

Company Name Company Name

Address Address

Telephone numbers Telephone Numbers

(If known) (If known)

Email Address Email Address

Can we contact YES NO Can we contact YES NO

prior to interview prior to interview
 Legislative
Requirements

Do you have any Unspent Criminal Convictions and /or Cautions, Reprimands or Final
Warnings or Yes No
Current Charges against you for any offence?
If yes, please give details.
Have you ever been a defendant in any civil proceedings, or party to any arbitration, in relation to
Legislative
investment business or other financial business, or the subject of any criminal proceedings? Yes No
Requirements
If yes, please give details.

Do you have any County Court Judgements, debits or awards registered against you? Yes No
If yes, please give details.

Have you ever been declared bankrupt or undergone bankruptcy proceedings? Yes No
If yes, please give details.

Are you currently or have you ever been authorised or approved for a regulated activity in Yes No
the financial services sector?

If yes, please give details.

Have you ever worked in an Financial Conduct Authority regulated organisation? Yes No

If yes, please give details.

Have you ever been refused authorisation or had authorisation terminated in the financial services Yes No
sector?

If yes, please give details.

Have you ever been disqualified in the capacity of a company director or from acting in a Yes No
management capacity?
If yes, please give details.

Have you ever been involved as a director, secretary or partner with a financial services business Yes No
that has ceased to trade, gone into insolvency, liquidation or administration in the last 3 years?

If yes, please give details.

Are you or have you ever been subject to any investigations by a regulator, government body or Yes No
agency?
If yes, please give details.

Continue on a separate sheet if necessary.

Answering YES to any of the above questions does not mean that Castelan will not employ you, but further
Discussion / investigation may be required.
7
Data Protection
Data Protection
The Data Protection Act 1998 sets out certain requirements for the
protection of your personal information against unauthorised use or
disclosure. The Act also gives you certain rights.
Except to the extent we are required by law, the information that
you provide in this application form and any other information
obtained or provided during the course of your application will be
used solely for the purpose of assessing your application.
If your application is unsuccessful or you choose not to accept an
offer of employment, the information will not be held for longer than
necessary, after which time it will be destroyed. If your application is
successful, the information will form part of your employment file
and we are entitled to process it for all purposes in connection with
your employment.
Our
Our Commitment
Commitment To
To You
You
Castelan is committed to a policy of Equality and Diversity
and recruits and employs people on the basis of skills,
qualifications and experience of the work to be performed,
regardless of gender, marital status, physical or mental
disability, ethnic origin or age.
To help us ensure that our Equality and Diversity Policy is
being carried out, please complete the information below
by ticking the appropriate box. This information plays no
part in the selection process and is required for
monitoring purposes only.

All candidates regardless of nationality or citizenship must provide

proof of eligibility for employment in the UK and should submit D.O.B.
appropriate documentation to Castelan e.g. British birth certificate,
a certificate of registration or naturalisation as a British citizen, a Gender Male Female
passport issued by a country in the European Economic area, any other
passport with necessary immigration authorisation, or a letter issued
by the Home Office or the Department of Education and Employment Nationality
indicating that you have permission to take the job.

Do you have a legal right to reside and work in the Yes No

UK?

Please send an original proof of ID with this application form (unless

already supplied). Failure to provide such information may result in a
withdrawal of offer if one has been made. Ethnic Group
Please choose one section from A to E then tick the
appropriate box to indicate your cultural background.
Authorisation
Authorisation (Categories are based on those recommended by the
Commission for Racial Equality, used in the census)
The information that I have provided to Castelan is true and complete
to the best of my knowledge and belief. I understand that completion A White
of this form does not constitute an offer of employment, and that British Irish
should any offer of employment be made it is conditional upon the
screening, to Castelan’s entire satisfaction, of any or all of the B Mixed
information I have supplied. For the purposes of the Data Protection
Act, Castelan is the Data Controller of this information. White and Black Caribbean
White and Black African
I understand and accept that providing false or misleading information,
or failing to mention a material fact may be a legitimate cause to White and Asian
immediately withdraw an offer of employment or, if I am already C Asian or Asian British
employed, for disciplinary action to be taken up to and including
dismissal. Indian Pakistani Bangladeshi
I authorise Castelan, or it’s appointed a g e n t s , to carry out all D Black or Black British
relevant checks that are necessary for compliance with Financial Conduct
Authority regulations, to process and store information from any Caribbean African
individual, company, institution or other body which Castelan considers
appropriate for the assessment of my suitability.
Any other White, Mixed, Asian, Black or
other background, please specify

Applicant signature:

Religion
Applicants name:

Date:
8
Thank you for completing this application form. Please email this form, along with your CV and covering letter, to
recruitment@castelangroup.com.