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| ABOUT YOU |
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| First name(s): |
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| Last Name: |
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| Contact Tel: |
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| Full drivers licence: |
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Are you involved in any activity which might limit your availability to work or your working hours e.g., local government? |
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| Are you subject to any restrictions or covenants which might restrict your working activities? |
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| Are you willing to work overtime and weekends if required? |
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Please give details of any hours which you would not wish to work: |
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| If offered employment, you will be required to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination before employment? |
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| Have you ever worked for this business before? |
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| Have you applied for employment with this business before? |
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| Do you need a work permit to take up employment in the U.K.? |
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| How much notice are you required to give to your current employer? |
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| EDUCATION |
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| Schools Attended 11+ |
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| School 2: |
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| School 3: |
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| Exams / Results |
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| College or University |
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| College / Uni 2: |
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| Qualifications: |
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| Additional Training: |
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| Job related training courses: |
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| Please give details of membership of any technical or professional associations: |
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| Please list languages spoken and the level of competence: |
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| EMPLOYMENT |
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| Employer 1: |
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| Position and main responsibilites: |
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| Employer 2: |
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| Position and main responsibilites: |
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| Employer 3: |
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| Position and main responsibilites: |
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| Are you currenlty employed? |
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| Address: |
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| Position & duties: |
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| Reason for leaving: |
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| ADDITIONAL INFORMATION: |
| INTERESTS, ACHIEVEMENTS, LEISURE ACTIVITIES: |
| (e.g. hobbies, sports, club memberships) |
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| SUPPLEMENTARY INFORMATION: |
Please set out any further information to support your application, e.g. past achievements, future aspirations, personal strengths. |
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| DECLARATION |
I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand these details will be held in confidence by the Company, for the purposes of assessing this application, ongoing personnel administration and payroll administration (where applicable) in compliance with the Data Protection Act 1998. I AGREE |
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| REFERENCES |
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| Please give the names of two people (one of which should be your present or most recent employer) whom we may approach for a reference. |
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| Can we approach your current employer before an offer of employment is made? |
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| Name 1: |
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| Name 2: |
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| How did you hear of this vacancy? |
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