ABOUT YOU
FORNAME(S)			LAST NAME
DATE OF BIRTH dd/mm/yyyy			AGE
		ADDRESS	Flat Position
			HouseNo/Name
			Street
			Area
			Town / City
			Postcode
			Home Phone
			Mobile Phone
			Email
NI NUMBER
POSITION
You are applying for the position of
How did you hear about this vacancy?
Have you ever worked for us before?				Yes No
If you have worked for us before please supply details.
Are there any specific days / times that you cannot work?				Yes No
If yes, please give details.
ADDITIONAL INFORMATION
Do you have facilities for returning home late at night?				Yes No
Do you have a valid drivers license?				Yes No
Do you have any previous convictions relating to rehabilitation of offenders act 1974?				Yes No
Do you have any health problems / conditions?				Yes No
If yes, please give details.
YOUR EMPLOYMENT HISTORY Please start with your current / most recent position
Company			Position
Address			Postcode
Date Started			Date Left
Salary/Wage upon leaving
Reason for leaving
Main duties & responsibilities

Company			Position
Address			Postcode
Date Started			Date Left
Salary/Wage upon leaving
Reason for leaving
Main duties & responsibilities

Company			Position
Address			Postcode
Date Started			Date Left
Salary/Wage upon leaving
Reason for leaving
Main duties & responsibilities
YOUR EDUCATION
Secondary School			Address
Date From			Date of leaving
Qualifications gained.
Further Education			Address
Date From			Date of leaving
Qualifications gained.
FURTHER TRAINING
Date	Training Received






Are you a member of a professional association?					Yes No
If yes please give details.
AVAILABILITY
How much notice are you required to give to leave your present employment?
Salary/Hourly Rate Expected/Discussed?
Are you available to work additional hours and weekends?					Yes No
Do you have any other commitments, which may limit your working hours? (eg military reserve, other job etc) If yes please specify:					Yes No
Do you hold a current full driving licence?					Yes No
Have you been convicted of a criminal offence? (which is not a spent conviction under the Rehabilitation of Offenders Act 1974)					Yes No
Have you suffered from any serious illness or major operation? If yes please specify:					Yes No
Are you a registered disabled person? If YES give certificate number:					Yes No
YOUR HOBBIES & INTERESTS

PLEASE ADD ANY ADDITIONAL RELEVANT INFORMATION

REFERENCES One of which must be a previous employer (No references will be taken up with current employers without your consent). All references will be checked.
Name			Position
Company			Address

Name			Position
Company			Address

Name			Position
Company			Address

(Your signature will be requested to confirm the above information at any interview
you attend.)

I hereby declare that all information given is true to the best of my knowledge.
I understand that if any information given is later found to be of a false nature,
then this will be considered grounds for summary dismissal.

ABOUT YOU

FORNAME(S)

LAST NAME

DATE OF BIRTH dd/mm/yyyy

AGE

ADDRESS

Flat Position

HouseNo/Name

Street

Area

Town / City

Postcode

Home Phone

Mobile Phone

Email

NI NUMBER

POSITION

You are applying for the position of

General Manager PR Staff Assistant Manager Trainee Manager Kitchen Porter Chef Bar Staff Waiting Staff Busser Door Security Cleaner

How did you hear about this vacancy?

Friend Daily Record Evening Times The Caterer Bill Board G1 Employee Radio Television By Chance Flier

Have you ever worked for us before?

Yes No

If you have worked for us before please supply details.

Are there any specific days / times that you cannot work?

Yes No

If yes, please give details.

ADDITIONAL INFORMATION

Do you have facilities for returning home late at night?

Yes No

Do you have a valid drivers license?

Yes No

Do you have any previous convictions relating to rehabilitation of offenders act 1974?

Yes No

Do you have any health problems / conditions?

Yes No

If yes, please give details.

YOUR EMPLOYMENT HISTORY Please start with your current / most recent position

Company

Position

Address

Postcode

Date Started

Date Left

Salary/Wage upon leaving

Reason for leaving

Main duties & responsibilities

Company

Position

Address

Postcode

Date Started

Date Left

Salary/Wage upon leaving

Reason for leaving

Main duties & responsibilities

Company

Position

Address

Postcode

Date Started

Date Left

Salary/Wage upon leaving

Reason for leaving

Main duties & responsibilities

YOUR EDUCATION

Secondary School

Address

Date From

Date of leaving

Qualifications gained.

Further Education

Address

Date From

Date of leaving

Qualifications gained.

FURTHER TRAINING

Date

Training Received

DATE OF BIRTH
dd/mm/yyyy

YOUR EMPLOYMENT HISTORY
Please start with your current / most recent position