Please complete this form fully | Answer all questions honestly and truthfully | Read the declaration and Data Protection Act consent Post Applied For Select an option Customer Services - Full Time Customer Services - Part Time Operations - Full Time Operations - Part Time Finance and Admin - Full Time Finance and Admin - Part Time When would be able to start? Have you previously worked for us? Select an option Yes No
Personal Details
Title Forename(s) Surname/Family Name Home Address
Email Home Telephone Work Telephone National Insurance no Are you legally eligible for employment in the UK (see notes) Do you have proof of eligibility to work in the UK? Do you require a Work Permit to work in the UK? Do you need to register under the Workers Registrations Scheme? Are there any restrictions (restrictive covenants) from your current/previous employer which will effect your ability to work for the company? If you have answered NO to any to the questions above please provide additional details below
Note: If you are invited to attend an interview, you must bring with you the following items of evidence of your eligibility to work in the UK, namely your passport, ID card or other relevant UK residence permit or, if none of these are available,
two separate documents such as your full UK birth certificate and a document giving your National Insurance Number, such as P45, P46, P60 or a pay slip. No offer of employment will be made unless such evidence is produced.
Do you have a current clean driving licence? Is the current driving licence If applicable, please give details of any driving offences currently under endorsement
Give details of any unspent criminal convictions that you may have and are required to disclose in accordance with the exemptions from the Rehabilitation of Offenders Act 1974.
If applicable, do you consent to the Company requesting an appropriate disclosure from the Disclosure and Barring Service (DBS) to obtain a certificate of any criminal records you may have? Please select an option Yes No
Employment History
Please list below present and past (5 years) employment, beginning with your most recent.
Job One
Name of Employer City Country Job Title Type of Employment Please select an option Full Time Part Time Contract Number of Years Employed Describe your key duties and responsibilities
Reason for leaving/wishing to leave
Job Two
Name of Employer City Country Job Title Type of Employment Please select an option Full Time Part Time Contract Number of Years Employed Describe your key duties and responsibilities
Reason for leaving/wishing to leave
Job Three
Name of Employer City Country Job Title Type of Employment Please select an option Full Time Part Time Contract Number of Years Employed Describe your key duties and responsibilities
Reason for leaving/wishing to leave
Education, Qualifications and Training
Please give details of your education, qualification and training to date. Organisation/Examination Body Date Obtained Qualifications and Grades Obtained
Organisation/Examination Body Date Obtained Qualifications and Grades Obtained
Organisation/Examination Body Date Obtained Qualifications and Grades Obtained
Organisation/Examination Body Date Obtained Qualifications and Grades Obtained
Skills and Experience
Outline your particular skills and experience gained in a previous positions, or in activities outside work that you feel relevant to the post for which you are applying
Reason for Application
Please set out below the main reasons for your application for this post and what you believe you would bring to it
Interests
Give details of any leisure interest or hobbies you have and the depth to which these pursued which you feel support your application
Any Other relevant Information
Please give any further information which you think may assist us in considering your application
References
Please provide details of two referees (not relatives), preferably previous employers whom we may contact with regard to your application.
Referee One
Name Occupation Phone Email Capacity known to you
Referee Two
Name Occupation Phone Email Capacity known to you Have you any objection to these references being obtained prior to interview? Please select an option Yes No
Declaration
I declare to the best of my knowledge and belief, the details I have give on this form are correct and that any misrepresentation by me could give sufficient grounds for my dismissal if I am employed. I understand that the Company has the right to check on any experience, achievements, qualifications and skills claimed by me on this form or at any interview and agree that such checks may be made by the Company. I give permission for my referees as quoted above to be contacted and understand that any offer will be subject to the receipt of satisfactory references, a probationary period and (if required) a satisfactory medical report.
Data Protection Act 1998
I understand the Company needs to collect and use certain types of information about employees, in order to operate its business and to fulfil its legal obligations under the Data Protection Act 1998. The information I have provided on this application form will be used during the recruitment process and if appointed will be used as part of my personal records. I consent to the Company holding such information on file only for as long as it considers necessary to fulfil the purpose for which it was obtained and to process (including disposing and destroying) it in accordance with the 8 Data Protection Principles Also other requirements of the Act and any other procedures laid down by the Company for this purpose from time to time. I understand that the Company will take all reasonable precautions at all times to guard information against any unauthorised access and use. Signed (PRINT NAME)
Date 