NOTE : * Fields are required.
Title:*
Surname:*
Forenames
Maiden/Former Name (List all previous first names and surnames)
Date of Birth:
National Insurance No:
Nationality:*
Mobile No:*
Email address:*
Do You Hold A Current Sia Licence*
Yes No
Type:
Expiry Date:
SIA NO:
Date of entry to UK (if applicable):
Are you subject to immigration control?*
Yes No
If yes, do you have an unrestricted entitlement to take up employment in the UK?*
Yes No
(Please note if you have been in this country for less than 5 years or have been out of the country for a period of 6 months or longer during the last 5 years it is your responsibility to provide a criminal check certificate from your previous country of residence. Your application will not be considered without this certificate)
Do you hold a full driving license*
Yes No
Provisional*
Yes No
Is your license free of any endorsements*
Yes No
If no, how many points are currently in force
Do you have any motoring offences or cautions, include any that are pending* :
Yes No
If yes please give details
Do you own or have use of transport if so, what
Please sign
Have you ever been declared bankrupt?*
Yes No
If yes please give details
Please sign
Do you have any outstanding County Court Judgments(CCJ)?*
Yes No
If yes please give details
Please sign
Has any order been made against you by a Civil or Military Court or Public Authority ?*
Yes No
If yes please give details
Please sign
Criminal Disclosure & Rehabilitation of Offenders Act Exceptions Order 2001
Give details including dates, of any sentence or order alleged or otherwise made by any court, criminal, civic or military, or answer none:
Please sign
Please note all personal data will be used for the purpose of personal screening and any documents presented will be checked using methods to deter identity theft and fraud. Any original documents that appear to be a forgery will be reported to the relevant authorities
Education References
Secondary Schools attended from age of 16
Dates
Name and address of school (s)
Qualifications obtained
* * *
Other Training or Courses
Dates
Name of Organizing Body
Subjects studied
Qualifications obtained
Employment and unemployment history
Are you working at present*
Yes No
Starting with your last or present employer, give details of your employment history for the last 5 years, including details of full time education if it falls within that period. Include periods of self employment and military service. For any periods of unemployment give the address of the DWP office to which you reported or the name of a person (not a relative) who can confirm your whereabouts.
Please state if we may contact your present employer*
Yes No
If no please give details of a personal referee and/or documents which confirm your employment
Please list hours you are available for work
Please give your reasons for applying and any other information you consider relevant including what you believe you can contribute to the job, interests or other information which you wish to be taken into consideration
Do you have any holidays booked within the next 6 months if yes, please state dates.
Why should we employ you?
What skills can you bring to this position?
Please note applications will not be considered if they are incomplete.
Please read this carefully before signing this application form Declarations
I understand that employment with this company is subject to references and screening in accordance with BS 7858.
Address check
Financial probity check which the company will retain on file
ID verification checks
Academic/professional qualification check
Employment history, including any period of unemployment/Self-employment and any gaps
Criminal background check
I authorise the company or its agents to approach government agencies, former employers, educational establishments, for information relating to and verification of my employment or unemployment history, a consumer information search and ID check with a credit reference agency, which will keep a record of those searches in line with current legislation.
I further declare that any documents that I provide as proof of my identity, proof of address, and any other documents that I provide are genuine and that any falsified documents may be reported to the appropriate authority. I understand that it may be a criminal offence to attempt to obtain employment by deception and that any misrepresentation, omission of a material fact or deception will be cause for immediate withdrawal of any offer of employment.
I accept that I may be required to undergo a medical examination where requested by the company. I understand and agree that if so required I will make a statutory declaration in accordance with the provisions of the Statutory Declaration Act 1835, in confirmation of previous employment or unemployment.
By signing this declaration, I agree that I have provided complete and true information in support of the application and that I understand that knowingly making a false statement for this purpose is a criminal offence.
Please sign to confirm you agree to the above processing terms:
Print Name
Applicant Signature
Date
CRIMINAL BACKGROUND CHECK You are applying for a position of trust and in the event of being offered employment by the company we may apply for a criminal background check. However, having a criminal record does not necessarily bar you from employment. For more information ask a member of staff for a copy of the appropriate criminal record body code of practice and / or our company policy statement regarding ex-offenders. Criminal record information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. By signing this document, upon request you agree to provide a copy of the criminal record certificates. The criminal background information is not retained. By signing below you agree to this process.
Screening
The applicant consents to being screening in accordance with BS7858 and will provide information as required. Any offer of employment is subject to satisfactory screening and the applicant acknowledges that any false statements or omissions could lead to termination of employment.
Applicant Name
Applicant Signature
NI Number
Date
