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Online Job Application Form

Before completing any of the information on this form and uploading your CV, please carefully read our Privacy Notice for Candidates (PNC) which can be found by clicking HERE

As part of the KM Media Group’s online application process, as well as completing the online form, you will also need to upload your current CV. In order for your application to be considered your CV should include details of your most recent education, any professional qualifications and your employment history.


Personal Details

Contact Numbers

Eligibility to work in the UK

Present Employment

Supporting Statement

Please use this space to provide salary expectations and further details on why this job interests you and how your knowledge, skills, experience and qualities will meet the requirements of the role as well as any training undertaken relevant to the position you have applied for.


We are positive about considering applicants with disabilities or long term health problems and we are committed to making reasonable adjustments to facilitate employment in such situations. The following information will assist us in this process.

Question 1

Do you consider yourself to have any long-term or chronic medical conditions which might affect your ability to carry out the job for which you are applying?

If yes, please give details and indicate whether you would need any help/special equipment to enable you to carry out this role.

Question 2

As part of the recruitment process, and where relevant to the role, you may be asked to complete an online test of your PC, numeracy and literacy skills. Are you able to undertake this test without any special arrangements being made to accommodate any learning or other impairment you may have?

If no, please provide details of any impairment and any special arrangements you believe may be required.


Have you ever been convicted of a criminal offence including driving convictions, other than a spent conviction under the Rehabilitation of Offender’s Act?

Please give details

Are there any criminal proceedings pending against you, including driving proceedings?

Please give details

Have you ever been disqualified from driving, other than a spent disqualification under the Rehabilitation of Offender’s Act?

Please give details

Driver Information

Have you a current full driving licence?

Does your licence contain your current residential address?

I authorise KM Media Group to act as my agent to carry out a driving licence status check on my behalf on the DVLA online system as part of the application process for the position I have applied for. I acknowledge that KM Media Group will use my driving licence number, my national insurance number and my address for this purpose.


Please give the name and address of two references, one of which, must be your present or last employer, who would comment on your suitability for the post. Personal referee details, should not include family members.

Please advise when you consent to references being taken up?

Before the interview stage?


After the offer stage?


After interview and prior to offer stage?

First Referee

(please tick applicable box)

Second Referee

(please tick applicable box)

Declaration & Data Protection

I understand that any employment, if offered, will be subject to the information on this form and my CV being correct. I confirm that I have not misrepresented or omitted any relevant details. I understand that if I am appointed I am liable to instant dismissal without notice if the information provided on this form is later found to be inaccurate.

Please tick below confirming that you have read and understood KM Media Group's Privacy Notice for Candidates (PNC) and understand that by submitting this form and your CV, the Company will process your personal data in accordance with that Privacy Notice (PN).

KM Media Group will keep your application details and CV on record for up to one year, in case other opportunities exist which we feel you may be suitable for. If you do not consent to this please tick here

(Please only upload Word(.doc/.docx), Acrobat/PDF(.pdf), Rich-Text format (.rtf), HTML or text files under 5MB.)

Please tick the box...

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