Staff Vacancy Application Form

APPLICATION FOR THE POST OF:
A. PERSONAL DETAILS
1. MR MRS MISS
2. Surname:
3. Any previous surname:
4. Forenames:
5. Address inc postcode:
6. Telephone:
7. Email address:
8. Date of birth:
9. National Insurance No.
10. Nationality:
11. Ethnic origin (please tick as appropriate)African Asian Caribbean UK European Irish Other European Other
12. Religion:
13. Are you registered disabled?Yes No
14. Are you in good health?Yes No
15. If you answered YES to questions 13 or 14 above then please give details here;
16. Available to take up employment with effect from (date):
17. Prepared to work (please select):Full-time Part-time
18. Are you prepared to work night shift?Yes No Not applicable
Please note: This company is an equal opportunities employer. The aim of this policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex; handicap; marital status; creed; colour; race or ethnic origin or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.
B. DRIVING
19. Do you own a car?Yes No
20. Do you hold a current driving licence?Yes No
21. Please give details of any current endorsements:
C. EDUCATION
22. Secondary school(s) attended - please include dates:
23. Further education - please include dates:
24. Qualifications gained - please include dates of awards:
25. QUALIFICATIONS OBTAINED (e.g. NVQ‚ Food & Hygiene Certificate‚ First Aid Certificate‚ etc.)
D. EMPLOYMENT RECORD
26. PRESENT OR MOST RECENT EMPLOYER:
Nature of business:
Address:
Starting date:
Leaving date:
Current or last salary or wage
Your main duties in this employment:
27. PREVIOUS EMPLOYER:
Nature of business:
PLEASE BEAR WITH US - WE ARE IN THE PROCESS OF BUILDING THIS SITE AND THIS FORM IS NOT YET COMPLETE‚ BUT YOU CAN STILL SUBMIT IT
THANK YOU FOR YOUR INTEREST
Verification code43153
Please enter Verification code

Contact Details

Address :
Alfreton Road
Coxbench
Derby
DE21 5BB

Tel : 01332 880200
Fax : 01332 881199
Email : Click here
Site powered by www.visav.net - Find us in the www.smedirectory.net