Application For Employment

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Position Applied for

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Date available to work from

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Prepared to work

Full Time

Part Time

Shift Work

Personal Details

Surname

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Forename(s)

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Address

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Postcode

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Private Telephone Number

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Business Telephone Number

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Date of Birth

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Ethnic Origin

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Do you need a work permit to work in the UK?

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Do you own a car?

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Do you have a current driving license?

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Do you have any current endorsements? (give details)

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Are you in good health?

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Do you have any disabilities which may affect your application?

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If "Yes", please describe

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Are you registered disabled?

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If "Yes", provide your RDP number

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Educational Qualification

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Professional Qualifications

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Previous Employment

Please include details of your most recent employment here and use space over page to give details of other employment, working backwards from the most recent

Name of employer

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Address

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Postcode

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Type of business

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Starting date

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Ending date

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Job Title

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Duties / responsibilities

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Name of employer

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Address

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Postcode

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Type of business

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Starting date

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Leaving date

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Job title

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Duties / responsibilities

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Other relevant employment

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Interests / hobbies

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Have you ever been convicted of a criminal offense?

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If "yes", please give details

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If you are offered this position, will you continue working in any other capacity?

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If "yes", please give details

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Personal References

Not a member of family, one should be your present/previous employer

Reference 1

Name

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Address

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Occupation

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Telephone

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Reference 2

Name

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Address

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Occupation

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Telephone

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I confirm that the above statements are true and correct and understand that any misrepresentation will invalidate my application and if employed could lead to my dismissal. I am prepared to undergo a medical examination if required and confirm that to the best of my knowledge there are no medical reasons which would prevent me from undertaking duties of post.

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Application For Employment

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Personal Details

Previous Employment

Personal References