| 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 Number Full Or Provisional |
|
| Endorsements
If Yes Please Give Details. |
|
| Current
Basic Salary Per Week Or Month |
|
| Minimum
Salary Required |
|
| Interests
& Hobbies |
|
| Who Do
You Know a 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 Nurseries Yes/No If Yes Please Give Details. |
|
| Are
You Registered Disabled Yes/No If Yes Please Give Details. |
|
By
submitting this application form you confirm that the above information is correct and
understand that misleading statements or deliberate omissions may be sufficient grounds
for cancelling any agreements made. |
|
|
