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APPLICATION FORM
APPLICATION FORM
Please complete the form below.
Fields marked (
*
) are mandatory and must be completed.
POSITION:
Position applied for
*
Full/part time
*
Branch
Wage/salary sought
*
If you have applied for a part-time position, please indicate the hours you are available (eg. 9:00 - 17:30):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
PERSONAL DETAIL 1:
Please note that we have a minimum age requirement of 18
Date of birth
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Title
Choose
Mr
Mrs
Miss
Ms
Dr
Forename(s)
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Surname
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Address
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Postcode
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Email
Home Tel
Mobile Tel
PERSONAL DETAIL 2:
Some positions in our Company (e.g. driver, sales assistant, labourer) involve manual handling tasks. Are you willing and able to undertake manual handling tasks if required?
*
Undertake manual tasks?
Yes
No
If no give details
PERSONAL DETAIL 3:
Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974?
*
Any convictions?
Yes
No
If yes, give details
PERSONAL DETAIL 4:
Do you have a current driving licence?
*
Yes
No
Any endorsements?
Yes
No
If you have endorsements, give details
Licence class
British Provisional
British Full
EU Provisional
EU Provisional
Non EU Provisional
Non EU Provisional
Class C1 - up to 7.5T
Class C+E HGV1
Class D+E - PSV I/II
EDUCATION:
Enter the school you attended including dates and qualifications attained.
School
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From
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Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Enter the college/university you attended including dates and qualifications attained.
College/Uni
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Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
Exam result/grade
EMPLOYMENT:
Please list present and past employment beginning with the most recent.
Most recent employer
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Address
Postcode
Job title
Salary
Employers Business
Telephone
Main duties
Reason for leaving
Previous employer
Start date
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Address
Postcode
Job title
Salary
Employers Business
Telephone
Main duties
Reason for leaving
Previous employer
Start date
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Address
Postcode
Job title
Salary
Employers Business
Telephone
Main duties
Reason for leaving
POSITION:
You are invited to state below details of the experience you have gained through your business or private life that is relevant to your application for this job.
If we made you an offer of employment, how soon could you start?
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2008
2009
2010
2011
2012
2013
Do you have any holiday commitments?
*
Yes
No
If yes, please give details
Do you have any other employment that you intend to continue should your application be successful?
*
Yes
No
If yes, please give details
I declare the aforementioned information is, to the best of my knowledge, true and complete and hereby give my permission to contact the employers listed above concerning my prior work experience. Your current employer will not be approached until an offer of employment has been made and accepted.
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