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APPLICATION FOR EMPLOYMENT

The information provided on this application form will remain private and confidential and will be used for the purpose of selection/recruitment. Where the application is successful the company may, from time to time thereafter, wish to process this information (as updated periodically) for personnel administration and business management purposes. Where this is the case, processing will take place in accordance with the provisions of the Data Protection Acts 1984 and 1998. By checking the 'agreed' box at the bottom of this form you will be providing the company with your consent to these uses.

Fields with * next to them are compulsory.

  *Position Applied For:
     

 
  PERSONAL DETAILS
  *Title:
   
  *Surname:
   
  *Forenames:
   
  *Address1:
   
  Address2:
   
  *Town/City:
   
  *Postcode:
   
  Telephone Number. Please indicate below if it is a work number
(NB: Calls to work numbers will be made discreetly)
  Tel - Daytime:
   
  Tel - Evening:
   
  Tel - Mobile:
   
  Fax:
   
  Email:
  *  
  *National Insurance Number:
   
  Salary Expectations:
   
 
  If the job requires it:
 
  1. Will you occasionally work away? (please check yes or no)
    yes  no
 
 
  2. Travel? (please check yes or no)
    yes  no
 
  3. Work overtime? (please check yes or no)
    yes  no
 
  4. Work shifts or other flexible working arrangements? (please check yes or no)
    yes  no
  HEALTH
  Please give details of any health/disability problem(s) which may be relevant to the position specified above:
   
 
  Are you registered disabled? (please check yes or no)
  yes  no
 
  Would you need any special requirements (please check yes or no)
    yes  no
     
  If yes, please give brief details of your disability:
   

 

  CRIMINAL CONVICTIONS
     
  Have you previously been convicted of a criminal offence which is not spent? (please check yes or no)
    yes  no
     
  If yes, please provide details of the offence(s) below:
   
       
  Date of Conviction:
    (day/month/year)
   
  Penalty Imposed:
   
   
  Failure to disclose a previous criminal conviction, which is not spent will result in disqualification of an application, or after appointment dismissal.
 

 

  EDUCATION
  List details of School Achievements, Further Education etc.:
   
Secondary School/
College/University/etc.		 From To Qualifications
Obtained		 Subjects Grades

 

  WORK-RELATED SKILLS
       
  Please detail all certificates, diplomas, etc. you have obtained that have been job related.  Please specify when awarded, organising body and grades, if relevant, and the time it took to obtain the qualification:  
     
 

 

  OTHER SKILLS:
  Your unique selling point or Special/Unusual Talent:
     
 
 
  Computer Literacy (specify software and level):
     
 
  Any other skills which may be relevant to the job for which you have applied:  
     


 

  PRESENT (LAST) EMPLOYMENT DETAILS
       
  Name of employer (and location):  
     
       
  Nature of business:  
     
       
  Your job title:  
     
       
  Brief details as to the nature of your work. Include details of responsibilities (and achievements, if relevant).:  
     
 
  Full Time  Part Time
 
  Date joined company:
   
 
  Date appointed to present (last) job:
   
 
  Salary/wage (current or on leaving):
   
 
  Notice period required:
     
 
  Date left, and reason (if applicable):
     


 

  PREVIOUS EMPLOYMENT
 
  (Please include service with Armed Forces)
   
Employer's
Name		 Your Job
Title		 Type of
Business		 From To Reason for
Leaving
 


 

  REFERENCES  
  All appointments are subject to the receipt of satisfactory references. Please provide details of two appropriate referees to whom confidential enquiries may be made. These should preferably be:

1. Your supervisor or his/her superior in your current (last) job
2. A similar individual from a previous employment.

If without two previous jobs (or unable to do this) please provide - as appropriate - the names of two school or personal referees (though not ones who are related to you).

  
 
  REFEREE ONE
  Name:  
     
  Position:  
     
  Address1:  
     
  Address2:  
     
  Town/City:  
     
  Postcode:  
     
  Contact Tel Number:  
     
 
  Please indicate how this individual knows you and how she/he knows about your work abilities, etc. (e.g. state whether he/she is your current supervisor, manager, etc.).:  
     
 
  REFEREE TWO  
  Name:  
     
  Position:  
     
  Address1:  
     
  Address2:  
     
  Town/City:  
     
  Postcode:  
     
  Contact Tel Number:  
     
 
  Please indicate how this individual knows you and how she/he knows about your work abilities, etc. (e.g. state whether he/she is your current supervisor, manager, etc.).:  
     
 
  Please state whether we may approach these referees at any time or only after an offer of employment has been made:  
 
  At any time:  
    yes  no  
 
  Only after offer:  
    yes  no  


 

  OTHER INFORMATION  
 
  *Are you currently eligible for employment in the UK?  
    yes  no  
 
  Please state what documentation you can provide in order to demonstrate this (e.g. British passport/birth certificate/European Economic Area identity card/travel document showing an authorisation to reside and work in the UK, etc.).:  
     
 
  IF not currently eligible for employment in the UK, state grounds (special skills, etc.) on which this company might apply for a permit on your behalf:  
     
 
  Do you have a current driving licence?  
    yes  no  
 
  If yes, specify type (Motor Vehicle/HGV, etc.):  
     
 
  Do you have an armed service/public duties commitment (e.g. are you a JP/Councillor etc. or member of TA)?  
    yes  no  
 
  Have you any driving endorsements?  
    yes  no  
 
  If yes, please give details:  
     
 
  How/where did you learn of this vacancy?  
     
 
  Have you made an application to the company before?  
    yes  no  
 
  If yes, please give details:  
     
 
  What are your hobbies/interests?  
     


 

  MEMBERSHIP OF PROFESSIONAL BODIES  
   
Awarding Body Grade of Membership Date Attained
 


 

  Please provide here any other information that may assist your application, including why you believe yourself to be suitable for this job:  
     

 

Equal Opportunities Policy Form

Euro Business Solutions aims to provide equality of opportunity in employment. In order to help us ensure our policy is being carried out it would help if you could complete the following details. Any information you provide will be used for no other purpose than as stated on the Recruitment Form and will be treated as confidential. You are not obliged to provide this information.


 

  I would describe my ethnic origin as:
please check the relevant box(es)
Asian (Indian subContinent)
African
Afro-Caribbean		 Polynesian
Asian(China/S.E. Asia/etc.)
European
Other (please specify)

Black Other (please specify)
  Country of Birth:
 
  Date of Birth:
  Sex: female  male
  My marital status is:
(please check next to the appropriate description)
  Single  Married  Separated  Widowed  
Divorced
  Are you disabled? (please check yes or no)
  yes  no
  If yes, please give brief details of your disability:
 
    *I agree that, to my knowledge, the information on this form is true. I consent to the company using the knowledge provided for the purposes mentioned in the paragraph underneath the header 'APPLICATION FOR EMPLOYMENT'.

 


 

 

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Last modified: July 21, 2008