APPLICATION FOR EMPLOYMENT

Title

Forenames

Surname

Address

Telephone

Email

Date of birth

Nationality

How will you travel to work?

Do you have a full current driving licence?

Is it free of endorsements? If NO, give details.

Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974?

Do you smoke?

National Insurance No:

Have you had any operations or hospital treatment in the last 3 years? If YES, please give details.

Do you anticipate requiring any hospital treatment in the foreseeable future?

How many days were you off sick from work in the last year?

Under the Disability Discrimination Act employers have an obligation to make reasonable adjustments to accommodate the disabled. We are an equal opportunities employer and in order to enable us to comply with our obligations under the Act we need to know:-

Do you have any physical or metal impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities? If so what is it?

Should you be invited to an interview we will discuss with you the extent of any disability, the effect it might have, and what adjustments (if any) might be required to accommodate it

Have you previously worked for us? If yes, when and in what capacity?

If No, have you a contact or are you related to any person in our employ? If so please give details?

Position applied for:

If offered this position, will you continue to work in any other capacity? If yes, please give details

Would you work full time? If your application is for part time employment, please state days/hours preferred.

On what date would you be available to commence this employment?

Do you know anyone employed at Model Direct?

Please list examinations undertaken, grade and year taken.

Please give name & address of school/college/university where you attained your qualifications:

Professional Memberships:

Qualifications:

Technical skills appropriate to the position:

Present/Last Employer:

Date of Employment From and To:

Starting Salary:

Final Salary:

Type of Business:

Position Held:

Describe the work undertaken:

Reason for Leaving:

Please give details of your two previous employers, most recent first.

Employer:

Date of Employment From and To:

Starting Salary:

Final Salary:

Type of Business:

Position Held:

Describe the work undertaken:

Reason for Leaving:

Employer:

Date of Employment From and To:

Starting Salary:

Final Salary:

Type of Business:

Position Held:

Describe the work undertaken:

Reason for Leaving:

Please give details of two referees (one of whom should be your present/last employer and not relatives). Contact will only be made with your authority.

Name

Occupation

Address

Name

Occupation

Address

Please outline the skills and experience you have gained through paid employment and other work activities and interests which are relevant to your application for this job.

Please let us know time and dates where you are not available for interview.

Please use this space to give any other information you feel is necessary to support your application.

Pleas sign and date the declarations below:

I declare that the information given by me, to the best of my knowledge, is true and complete.

I acknowledge that any offer of employment will be made on condition that the above information is true and that dishonesty or the giving of incorrect information on purpose may render this application and any subsequent employment invalid and subject to summary termination.

Name

Date

APPLICATION FOR EMPLOYMENT

EMPLOYMENT

EDUCATION

PROFESSIONAL MEMBERSHIP & QUALIFICATIONS/SKILLS

EMPLOYMENT HISTORY

REFERENCES