APPLICATION FOR EMPLOYMENT

Confidential (when complete)

Please answer all questions

Position applied for
How did you hear about this Vacancy?
Date available for work

Personal Details

Surname
Forenames
E-mail address

Address   

National Insurance No.

How long have you lived at your present address? Years   Months

Are you:
Owner
Renting
Living with family/friends

Own Telephone Number
(including dialling code)

Previous Address   

Dates
From
   
To

Your addresses need to cover the past five years, please list additional addresses in the box below if necessary

Additional addresses

Age Date of Birth Nationality

Place of Birth Country of Birth
Marital Status Ethnic Origin

Other Information

Do you have any relatives working in this company? Yes No

Have you previously applied for a job within this company? Yes No

If you have answered "YES" to the above, please state when and for what position
Date Position

Do you own a motor vehicle? Yes No
Do you possess a full clean UK driving license? Yes No

Driving license number Date of expiry

Give details of any endorsements or other driving convictions within the last 5 years


Have you any alleged offences outstanding against you?
(In accordance with BS 7858 and BS 7499 you are required to declare
any current or pending county court judgement against you)		 Yes No

If Yes, give details:

Emergency Contact

Name of person to be contacted in an Emergency

Relationship
Work Tel No.
Home Tel No.
Address

Your Doctor's Details
Doctor's Name
Address
Tel No.

Health

Please give details of any health/disability problems which may be relevant to the position applied for:

References

Please give details of two people, other than family, and not connected with your school/college or your employment, who have known you for at least three years whom we may approach for character references:

First character reference
Name
Address
Tel No.
Occupation
Period known

Second character reference
Name
Address
Tel No.
Occupation
Period known

Education

Secondary school attended Dates
College/University attended Dates
If applicable, give details of any certificates held in: First Aid / Fire Fighting / Security:

Skills

Please detail skills and qualifications to support your application:

Employment Record

Record your total employment history - including details of self-employment, military service and part-time work. Be sure to give full addresses and dates, service/payroll numbers, branch, trade or regiment. If there are any periods of unemployment, give the address of the Unemployment Benefit Office to which you reported.
 
Give details of your present or most recent employment first, then your preceding employment, finishing with your earliest job (going back 20 years).

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

Employer's Full name, Address and Tel No
Name of Persons to whom you reported
Position Held
Wage
Employment Dates
Reason for leaving

May we approach your present employer for a reference now? Yes No

In the case of periods of self-employment, please give references or name and address of someone who can confirm the details:
Accountant
Trade
Name
Name
Address
Address
Tel No.
Tel No.


Please ensure you fully read and understand the following prior to submitting this application.
 

If offered employment you will be appointed on probation for a period of 16 weeks.

I authorise Securi-Guard to obtain all details of employment and unemployment periods from previous employers. I understand that any appointment made will be subject to satisfactory references and a credit check (in compliance with the Data Protection Act) being received by the Company.

I certify that, to the best of my knowledge, the information that I have given is true and complete. I certify that I have never been convicted of any criminal offence (other than a conviction that is 'spent' under the terms of the Rehabilitation of Offenders Act 1974), declared bankrupt or been dismissed from any previous employment for dishonesty or misconduct. I am not the subject of any Police enquiry that could result in my being charged with a criminal offence.

I understand that any false statement or omission may render me liable to dismissal without notice. I accept that I may be required to undergo a medical examination where requested by the Company and I consent to the results of such examinations being given to a Company Director.

The information provided on the application form will remain private and confidential and will only be used for the purposes of selection/recruitment or for subsequent employment administration if the application is successful.