Position Applied For
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Name
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First Name
Last Name
Email
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Contact Tel. No
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(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
National Insurance Number
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Full Driving Licence
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If yes please give further details including dates and list any endorsements
Yes
No
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
Yes
No
Are you subject to any restrictions or covenants which might restrict your working activities?
If yes please give full details
Yes
No
Are you willing to work overtime and weekends if required?
Please give details of any hours which you would not wish to work
Yes
No
Have you any convictions, including both spent and unspent convictions, under the Rehabilitation of Offenders Act 1974? (A copy of the Company's DBS/Disclosure Scotland Code of Practice is available on request)
If yes please give full details
Yes
No
Under the Care Act 2001, you are required to be physically and mentally fit for the purposes of the work undertaken, if offered employment, you will be required to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination before employment if required?
Yes
No
Have you ever worked for this business before?
If yes please give full details
Yes
No
Have you applied for employment within this business before?
Yes
No
Do you need a work permit to take up employment in the UK?
Yes
No
This position requires you to be over the age of 18, please confirm you meet this criterion.
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Yes
No
How much notice are you required to your current employer?
Please list all qualifications and training you have completed.
Please upload any scans/screenshots of relevant certificates awarded, or bring along photocopies to your interview if successful
Please list languages spoken and the level of competence.
Please upload any scans/screenshots of relevant certificates awarded, or bring along photocopies to your interview if successful
Please give details of all your past employment, excluding your present or last employer, stating the most recent first. Please explain any gaps in employment.
Please Include:
Name and address of employer
Dates employed
Position held/Main duties
Reason for leaving
Are you currently employed?
Yes
No
Name of Present or Last Employer
Address
Email and Contact No.
Nature of Business
Job title and a brief description of your duties
Reason for leaving
Please detail any relevant experience in support of this application, including leisure interests and what you feel you can bring to the post
Please list any dates for annual leave you already have booked
Digital Signature
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Date
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MM
DD
YYYY
Reference 1
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Reference 2
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Can we approach your current employer before an offer of employment is made?
Yes
No
N/A
How did you hear of this vacancy?