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Application FORM

    Position applying for:


    The following information will be treated in the strictest confidence.

    Your Details







    QUESTIONS

    Full driving licence? *

    Endorsements? *
    If YES to endorsements, please give full 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 full details: *
    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?) *
    Please give details of any hours which you would not wish to work *
    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 business 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.? *

    EDUCATION

    Schools attended since age 11
    Schools attended from
    Schools attended to
    Examinations and Results
    College/University
    College/University attended from
    College/University attended to
    Courses and Results
    Further Formal Training
    Attended from
    Attended to
    Diploma/Qualification
    Job related Training Courses
    Date
    Subject
    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.

    Name and address of employer
    Dates
    Positions held/Main duties
    Reason for leaving
    Name and address of employer
    Dates
    Positions held/Main duties
    Reason for leaving
    Name and address of employer
    Dates
    Positions held/Main duties
    Reason for leaving
    Name and address of employer
    Dates
    Positions held/Main duties
    Reason for leaving
    Name and address of employer
    Dates
    Positions held/Main duties
    Reason for leaving

    PRESENT OR LAST EMPLOYER

    Are you currently employed? *
    Name of last employer? *

    Address




    Length of service *

    From
    To
    Reason for leaving *

    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)

    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? *
    Please give full details including there name, address and telephone number: *

    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, in compliance with data protection legislation and as set out in the Company’s Employee Privacy Notice. I undertake to notify the Company immediately of any changes to the above details.