Application

Please fill in the form below to apply for this job.

Personal

Surname

First name:

Address:

Postcode:

Home telephone number:

Mobile telephone number:

Full Driving Licence:

Endorsements:

If YES, please give further details including dates:

Are you involved in any activity which might limit your availability to work or your working hours e.g., local government?

If YES, please give further details including dates:

Are you subject to any restrictions or covenants which might restrict your working activities?

If YES, please give full details:

Are you willing to work overtime and weekends if required?

Please give details of any hours which you would not wish to work:

Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974?)

If YES, please give full details:

If offered employment, you will be required to complete a Medical Questionnaire. Are you prepared to undergo a medical examination before starting employment?

Have you ever worked for this Company before?

If YES, please give full details:

Have you applied for employment with this business before?

Do you need a work permit to take up employment in the U.K.?

How much notice are you required to give to your current employer?

Education

Schools attended since age 11

From

To

Examinations and Results

College or University

From

To

Examinations and Results

Further Formal Training

From

To

Examinations and Results

Job related Training Courses Name of Organisation

From

To

Examinations and Results

Please give details of membership of any technical or professional associations:

Please list languages spoken and the level of competence:

Employment Details

Please give details of your past employment, excluding your present or last employer, stating the most recent first.

Employer 1

Name and address of employer

Dates

Position held/Main duties

Reason for leaving

Employer 2

Name and address of employer

Dates

Position held/Main duties

Reason for leaving

Employer 3

Name and address of employer

Dates

Position held/Main duties

Reason for leaving

Present or Last Employer

Are you currently employed?

Name of present or last employer:

Address:

Telephone number:

Nature of business:

Job title & brief description of duties:

Reason for leaving:

Length of service:

Interests, Achievements, and Leisure Activities

(e.g. hobbies, sports, club memberships)

Supplementary Information

Please set out below any further information to support your application (e.g. past achievements, future aspirations, personal strengths)

Declaration

I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand these details will be held in confidence by the Company, for the purposes of ongoing personnel administration and payroll administration in compliance with the Data Protection Act 1998. I undertake to notify the Company immediately of any changes to the above details.

References

Please give the names of two people (one of which should be your present or most recent employer) whom we may approach for a reference.

Can we approach your current employer before an offer of employment is made? Yes / No

Refrence 1

Name

Position:

Tel. No:

Address:

Refrence 2

Name

Position:

Tel. No:

Address:

Source of Application

How did you hear of this vacancy?

About

Services

Info

Personal

Education

Employment Details

Present or Last Employer

Interests, Achievements, and Leisure Activities

Supplementary Information

Declaration

References

Source of Application

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