| Position
Applied For. |
|
| Date. |
|
| Surname. |
|
| Forename. |
|
| Address. |
|
| Home
Telephone Number. |
|
| Work
Telephone Number. |
|
| E-Mail
Address. |
|
| Nationality. |
|
Date Of
Birth.
(If under school leaving age). |
|
| Number
& Ages Of Children. |
|
| Marital
Status. |
|
| Maiden
Name. |
|
| National
Insurance Number. |
|
| Schools
Attended With Dates. |
|
| Examinations
Passed (Subjects, Grades And Dates). |
|
| Further
Education With Dates. |
|
| Have You
Attended Any Relevant Training Courses? If So Please Give Details. |
|
| Do You
Own A Car? |
|
| Driving
Licence (Full/Provisional) Number. |
|
| Endorsements
(If Any Please Give Details). |
|
| Current
Salary Per Week Or Month (Basic Not Including Overtime Or Bonuses). |
|
| Minimum
salary Required? |
|
| Interests
& Hobbies. |
|
| Who Do
You Know Employed By Our Company? |
|
| How
Did You Hear About This Job? |
|
| Do
You Smoke? |
|
| Period
Of Notice Required By Present Employer? |
|
| Weight? |
|
| Height? |
|
| Have You Had Or Do You Suffer From Any Of The Following? Please
Answer Yes Or No. |
| Dermatitis
Or Skin Problems Of Any Kind? |
|
| Persistent
Indigestion, Stomach Ulcers? |
|
| Deafness,
Earache Or Sinusitis? |
|
| Chest
Trouble, Bronchitis, Asthma etc? |
|
| Heart
Trouble, Rheumatic Fever? |
|
| Diabetes? |
|
| Back
Trouble, Slipped Disc? |
|
| Rheumatism
Or Fibrositis? |
|
| Any
Disabilities? |
|
| Fits,
Fainting Attacks, Giddiness, Epilepsy? |
|
| Swollen
Ankles, Varicose Veins? |
|
| Headache,
Migraine? |
|
| Nervous
Breakdown, Mental Illness? |
|
| Rupture
Or Hernia? |
|
| Abnormal
Blood Pressure? |
|
| Any
Surgical Operations? |
|
| Any
Disorders Not Mentioned? |
|
| Do
You Wear Glasses Or Contact Lenses? |
|
| Are
You Currently Receiving Any Medical Treatment? |
|
| HIV
Positive Or Aids? |
|
| Previous Employment. You must list all previous employment with no
omissions including full postal address & telephone number, where possible. If you are
a student with no previous employment history you must list 2 professional referees that
have known you for at least 2 years. (e.g. Teacher, Doctor, etc). |
| Name
& Address Of Employer. Dates & Length Of Service. Job Title And Reason For
Leaving. Gross Weekly Wage. |
|
| Have You
Ever Been Made Redundant Or Dismissed? Yes/No If Yes Please Give Details. |
|
| Do You
Have Any Part Time Jobs? Yes/No. If Yes Please Give Details. |
|
| Please
State Days (Mon-Sun) And Hours You Would Be Available For Work. |
|
| Can You
Work Extra Hours During School/College Holidays? Yes/No. |
|
| Do You
Have Any Holiday Commitments? Yes/No If Yes Please Give Details. |
|
| Have You
Ever Been Convicted Of A Criminal Offence? Yes/No If Yes Please Give Details. |
|
| Have You
Ever Previously Applied For A Position Or Been Employed By Tates, Paradise Park Or South
Downs Garden Centre? Yes/No If Yes Please Give Details. |
|
| Are You
Registered Disabled? Yes/No If Yes Please Give Details. |
|
|
|
