Employment Application Form

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

Yes No

Please give full details.

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

Yes No

Please give full details.

Are you willing to work weekends and throughout the months of July and August as required?

Yes No

Please give details of any hours, days, weeks or months which you would not wish to work:

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

Yes No

Please give full details.

You may be required, if offered employment, as part of your application to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination prior to employment?

Yes No

Have you applied for employment with this company before?

Yes No

Do you need a work permit to take up employment in the UK?

Yes No

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

EDUCATION AND TRAINING

	Schools attended since Age 11	From	To	Examinations & Results

	College or University	From	To	Courses & Results

	Further Formal Training	From	To	Qualification

	Job-related Training Course Name of Organisation	Date	Subject

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:

	Name and address of employer	Dates	Position held/main duties	Reason for leaving

PRESENT OR LAST EMPLOYER

Are you currently employed?

Yes No

Name of present or last employer:

Address of employer:

Job title and a brief description of your duties:

INTERESTS, ACHIEVEMENTS, 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?

Yes No

1st Referee Position:

1st Referee Address:

1st Referee Telephone:

2nd Referee Position:

2nd Referee Address:

2nd Referee Telephone:

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.

Yes No

EMPLOYMENT APPLICATION FORM

YOUR DETAILS

FURTHER DETAILS

EDUCATION AND TRAINING

EMPLOYMENT DETAILS

PRESENT OR LAST EMPLOYER

INTERESTS, ACHIEVEMENTS, LEISURE ACTIVITIES

SUPPLEMENTARY INFORMATION

REFERENCES

DECLARATION

EMPLOYMENT APPLICATION FORM

YOUR DETAILS

FURTHER DETAILS

EDUCATION AND TRAINING

EMPLOYMENT DETAILS

PRESENT OR LAST EMPLOYER

INTERESTS, ACHIEVEMENTS, LEISURE ACTIVITIES

SUPPLEMENTARY INFORMATION

REFERENCES

DECLARATION

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