NOTE : * Fields are required.
Title:*
Surname:*
Forenames
Email:*
Maiden/Former Name (List all first names and surnames)
Upload Picture (250*250)*
Current Address
Current Address
How long you have been at this address?
Home Tel No:
Mobile No:*
Work No:
National Insurance No:
Place Of Birth:*
Nationality:*
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
Colleges / Universities attended
Other Training or Courses
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 give details of two people who have known you well for at least two years, and are still in contact with you and who will provide a written reference. This person should have known you for at least two years immediately prior to start of security screening and must not be a previous employer, relative or resident at the same address as yourself.
Personal reference
The screening process is not complete until the company receives written confirmation of all work/education/unemployment and personal references
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 certify that to the best of my knowledge, the information that I have given in my application for employment is true and complete and understand that any false statement or omission to the Company or its representatives may render lead to termination of employment without notice. I understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835 in confirmation of previous employment or unemployment. I authorize the company or its agents to approach government agencies, former employees, educational establishments, criminal justice agencies and personal referees for information relating to and verification of my employment/unemployment record. I consent to the company's reasonable processing of any personal information obtained for the purposes of establishing my medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Reports 1988, I consent to the results of such examinations to be given to the company and authorize the company to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies. I further declare that any documents that I provide as proof of my identity, proof of address, proof of right to work and any other documents that I provide are genuine and give my consent for these documents to be examined under a UV scanner or similar device. I acknowledge that any falsified documents may be reported to the appropriate authority.
Data Protection Act 1998
The company will use the information you have given on your application form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment. It may be necessary to disclose your information to our agents and other service providers.
By returning this form to the Company you consent to our processing personal data about you where this is necessary, for example information about your credit status, ethnic origin or criminal offences. You also consent to the transfer of your information to your current and future potential employers where this is necessary (this may be to companies operating abroad if you apply for work outside of the United Kingdom).
Your information will be held on our computer database and/or in our paper filing system. By signing below you agree to this process and confirm that you do not have a criminal record subject to the current Rehabilitation of Offenders Act and any amendments. You have the right to apply for a copy of your information (for which may charge a small fee) and to have any inaccuracies corrected.
Disclosure
You are applying for a position of trust and in the event of being offered employment by the Company we may apply for a Disclosure. 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 CRD Code of Practice/Disclosure Scotland and/or Company our policy statement regarding ex-offenders. Disclosure 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 you allow the Company to see a copy of the Disclosure. The Disclosure information is not retained i.e. it is disposed of within the timescales recommended in the CRB Code of Practice. By signing below you agree to this process.
Screening
Any offer of employment is subject to satisfactory screening against BS7858 Code of Practice, the applicant consents to being screened and will provide information as required. That the information provided is correct, and the applicant acknowledges that any false statements or omissions could lead to termination of employment.
Print Name
Applicant Signature
Date
