POSITION APPLIED FOR
The following information will be treated in the strictest confidence.
(Please complete this section in BLOCK CAPITALS)
Surname: First Name: Address: Postcode: Home Telephone Number: Mobile Telephone Number:
Do you have a full and clean Driving License:YesNo
IF YES Please give full details:
Do you have the right to work in the UK? YesNo
Are you willing to take a drugs test on day one of employment if successful? YesNo
Have you any convictions (other than spent convictions under the Rehabilitation of Offenders ACT 1974?) YesNo
If YES please give full details:
Do you consider yourself to have a disability? YesNo
Please tell us if there are any reasonable adjustments we can make to assist you in your application or with our recruitment process
Please attach your CV:
I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal.