The following information will be treated in the strictest confidence.
Personal
Surname:
First Name(s):
Address:
Contact Tel. No:
Date of Birth:
Full Driving Licence:
Endorsements:
Are you involved in any activity which might limit your availability to work or your working hours e.g., local government?
Are you subject to any restrictions or covenants which might restrict your working activities?
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 offered employment, you will be required to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination before employment?
Have you ever worked for this business before?
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?
Please give details of membership of any technical or professional associations:
Please list any foreign 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.
Present or last employer
Address:
Telephone No:
Nature of business:
Job title and a brief description of your duties:
Reason for leaving:
Length of service:
From:
To:
Interests, achievements, leisure activities (e.g. hobbies, sport, club membership)
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 assessing this application, ongoing personnel administration and payroll administration (where applicable) in compliance with the Data Protection Act 1998.
Date
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.
Source of application
How did you hear of this vacancy?