CONFIDENTIAL APPLICATION FORM
Position Applied For:
Branch Location:
Where did you hear about this vacancy?
Personal Details
Title:
First Name(s):
Surname:
Address:
Post Code:
Home Tel:
Mobile Tel:
Email Address:
Can we contact you by email?
Yes
No
In the event of an emergency please provide next of kin details:
Name:
Relationship to you:
Contact Tel No:
Address:
Have you worked for the Company before?
Yes
No
If 'Yes' please give details of which branch and date(s):
Are you related to any person(s) currently employed by us?
Yes
No
If 'Yes', please state their full name and their relationship to you:
Do you hold a full UK driving licence?
Yes
No
Are you a car owner?
Yes
No
Please provide details of any endorsements:
Are you authorised to work in the UK?
Yes
No
Do you require a work permit?
Yes
No
Will you be working on a student visa?
Yes
No
Nationality:
NI Number:
Do you have any forthcoming holiday commitments?
Yes
No
If 'Yes', please give dates from and to:
What dates/times are you NOT available for interview?
What is your notice period with your current employer?
When are you available to work? Please complete the details below:
Example
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Time From:
7:00am
Time To:
3:00pm
Would you be able to work Public & Bank Holidays if required?
Yes
No
You may be required to work Sunday's, please confirm this is acceptable:
Yes
No
Would you be able to work additional hours if requested?
Yes
No
Employment History
Please start with your most recent employment and ensure you provide full details covering your last 5 years of employment. If required please continue your employment details in the
Additional Information
Section below.
Employment History
Dates
From:
To:
Employer Name & Full Address:
Job Title including duties:
Salary:
Reason for leaving:
Employment History
Dates
From:
To:
Employer Name & Full Address:
Job Title including duties:
Salary:
Reason for leaving:
Employment History
Dates
From:
To:
Employer Name & Full Address:
Job Title including duties:
Salary:
Reason for leaving:
If you are invited to an interview you will be required to discuss your work history. Non EU citizens will also be required to provide evidence of the right to work in the UK; this can be either your work permit/visa or a Home Office Document along with your passport.
Employment Gaps
Your work history must include periods of unemployment, career breaks, family commitments, education, sabbaticals or any other activity outside these categories. If, for any reason you have not been employed within the last 5 years or have any gaps in your employment, please give details below:
Education & Training Courses
Education
Dates
From:
To:
Name & Address of: School / College / University:
Qualification Achieved:
Education
Dates
From:
To:
Name & Address of: School / College / University:
Qualification Achieved:
Education
Dates
From:
To:
Name & Address of: School / College / University:
Qualification Achieved:
Other Information
Do you hold a Personal Licence to sell alcohol?
Yes
No
If 'Yes', date Licence obtained:
Licence Number
Additional Information
Please include any additional comments with which you wish to support your application eg: hobbies, interests, membership of clubs and positions of responsibility you hold, also any other relevant skills:
Health
How many days absence due to illness have you had in the last 12 months?
Please give details of these absences:
Please give details of any operations / major illnesses / accidents suffered within the last 5 years:
Is there anything else in your history or circumstances which may affect our decision to offer you employment?
Yes
No
If 'Yes' please give details:
Please detail any disability you have as defined under the Disability Discrimination Act 1995.
(The DDA defines a disability as a physical or mental impairment, which has substantial and long term adverse affect on an individual's ability to carry out normal day to day activities)
If the nature of your disability will require the Company to make reasonable adjustments to your working environment please provide full details:
Criminal Convictions
Under the Rehabilitation Offenders Act 1974, spent convictions do not need to be declared.
Have you been convicted of a criminal offence?
Yes
No
If 'Yes' please give details:
Do you have any Civil or Criminal proceedings pending?
Yes
No
If 'Yes' please give details:
Tobacco Legislation 2009
Have you had a Penalty Notice or Tobacco Banning Order?
Yes
No
If 'Yes' please give details:
Equal Opportunities
Any information you disclose here will not be utilised in the recruitment and selection process and is information required for Equal Opportunities monitoring purposes only.
Ethnic Origin:
Do you wish to disclose this information?
Yes
No
Date of Birth:
Declaration
I confirm that the details given on this application form are correct to the best of my knowledge; I understand that if during the course of my employment any omissions or deliberate misleading details are found; this may lead to the subsequent termination of my employment.
I hereby consent to references being obtained and any of the details being used in compliance with the 1998 Data Protection Act.
Please tick to confirm
Please be advised, due to the volume of applications received we are unable to reply to each applicant. Therefore if you have not received a reply within 4 weeks please assume you have been unsuccessful on this occasion.
