Explore Staff Application Form

"(required field)" indicates required fields

Please choose from the drop down list.

Personal Details

Name(required field)
Address(required field)
Email(required field)
Do you require a work permit?(required field)
If you already hold a work permit when does it expire?
Do you hold a full UK driving licence?(required field)

Present or most recent employer

(This may be paid or unpaid)
If you have not had a job or volunteer role before please write "not applicable".
Please be concise. If not applicable please write "not applicable".
If not applicable please write 0
Address of current employer(required field)
Give the address of your current or most recent employer. If not applicable please write "not applicable".
Employer's telephone number
Employer's email.
Start date in this job:(required field)
If not applicable please write 01/01/2021
End date (if appropriate):
If not applicable write "not applicable".
If not applicable write "not applicable".

Employment History

Employment History This may be paid or unpaid. Please put your most recent job first. Reason for leaving must be clearly stated. All periods of unemployment or gaps must be explained.
Employment history(required field)
Job Title
Name of Employer
Reason for leaving
Salary on leaving
Please add as many rows as you need. If not applicable please write n/a


If offered a post you will be asked for original evidence of your qualifications and Explore reserves the right to approach any number of education providers to verify qualifications stated.
Further and Higher Education
Where you studied
Qualification Gained
Date of exam/award
(Degree, Diploma, BTEC, City & Guilds, NVQ etc, or equivalent). Please add as many rows as you need.
Secondary Education(required field)
Where you studied
Date of exam/award
(CSE, GCSE, RSA, A Levels or equivalent) Please add as many rows as you need.


Professional Qualifications
Qualification Gained
Date of examination/award
Please add as many rows as you need.
Membership/Registration with Professional Bodies
Professional Body
Membership status
Registration number
Renewal date
Please add as many rows as you need

Supporting Information

Please provide us with additional information in support of your application. You need to read the job description and personal specification carefully, and explain how your skills, knowledge and experience fit you for this post. These may have been gained through paid employment, voluntary/community work, domestic responsibilities, spare time activities and training.


Explore York Libraries and Archives Mutual take up references when applicants are invited for interview. Please provide the name, address and email of two referees for us to contact for information about your suitability for employment. If you are currently employed, one of the referees must be your current employer. Otherwise, it must be your most recent employer. Family members, an ex or current partner and close friends are not acceptable referees. Please note if the position involves working with vulnerable adults or children any number of previous employers may be contacted without seeking further permission from you in relation to your employment history as part of the DBS process (this includes vetting of internal candidates).
Referee 1 Name(required field)
Referee 1(required field)
Relationship to you
May we approach if you are called for interview?(required field)
Referee 2 Name(required field)
Referee 2(required field)
Relationship to you
May we approach if you are called for interview?(required field)

Applicants with a disability

Explore York Libraries and Archives Mutual is committed to treating job applicants with a disability equally and fairly and making reasonable adjustments where necessary. The Disability Discrimination Act 1995 states that someone is disabled if they have a ‘physical or mental impairment, which has a sustainable and long term adverse effect on their ability to carry out normal day to day activities’. We guarantee, under the ’Positive about Disabled People’ scheme, an interview for all applicants with a disability who meet the minimum criteria on the person specification.
Are you a disabled person and applying on that basis?(required field)
If you are short-listed we will ask if you require adjustments to make the interview process accessible

Job Share

Explore York Libraries and Archives Mutual welcomes individuals to apply on a job-share basis
Are you applying for this post on a job share basis?(required field)


Are you related to or do you have a personal relationship with any Board Member or employee of Explore York Libraries and Archives Mutual?(required field)
Please provide name(s) and details of any relationship. If none please write "none" in both boxes.

Employing people with a criminal record

Criminal records are only taken into account when the conviction is relevant. Do not disclose convictions which are spent under the Rehabilitation of Offenders Act 1974. An 'unspent' conviction will not necessarily bar you from employment as this will depend on the circumstances and background to your offences(s).
Have you ever been convicted of a criminal offence?(required field)
If you have been convicted of a criminal offence please complete the boxes below
Nature of offence
Date of conviction

Signed Declaration

I understand that canvassing any members of Explore York Libraries and Archives Mutual or City of York Council in connection with this appointment will disqualify me. I declare that all the information contained in every section of this application is true to the best of my knowledge and does not omit facts that could have a bearing on selection decisions. I understand that any appointment is conditional on this declaration and the above checks. I understand that incorrect, false or misleading information may make this application void. In addition, I am aware, should this occur after I join the employment of Explore York Libraries and Archives Mutual, I would be liable to disciplinary action that may result in my dismissal.
Name(required field)
Date(required field)

Data Protection

Information on this form may be held on manual or computer systems. We will observe strict confidentiality and disclosures will only be made for payroll, administration, and statistical purposes. We will destroy all data relating to unsuccessful candidates eight weeks after the closing date.

Important Information

Appointment is subject to the following: Occupational Health clearance, Disclosure and Barring Service check (if appropriate), satisfactory references, evidence of eligibility to work in the UK, appropriate qualification(s) and membership of relevant professional body (if appropriate).

Save and Continue

We recommend that you complete this form in one sitting. If you choose to use the 'save and continue' function, your partially completed form will be saved on our web server for you to access for a total of 30 days. You will be given a unique web link to access your partially completed form. You will need to save this link securely and must not share it.