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Application for Employment as: |
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1. Personal Information |
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Surname * |
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Forenames * |
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Previous Surname(s) |
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Date of Birth |
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Current Address * |
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National Insurance No. |
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Nationality |
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Home Telephone No. |
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Mobile Telephone No. |
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Email |
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Marital Status |
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Number of Dependants |
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Age(s) of Dependants |
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Partners Occupation |
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Do you hold a current Driving Licence? * |
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If yes, how long held? |
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Licence Number |
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Details of any endorsements |
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Do you have access to a vehicle? * |
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2. Work Permits |
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Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK? * |
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If you are successful in your application would you require a work permit to work in the UK? * |
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If yes, give details |
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3. Licencing |
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Do you hold a current SIA Licence? * |
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SIA Licence Number |
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Licence Type |
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Renewal Date |
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Have you spent 6 consecutive months or more outside of the UK within the past 5 years? * |
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If yes, give details |
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Give details of any previous addresses held over the past 5 years: |
From:
To:
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From:
To:
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From:
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4. Physical Record (Please answer Yes or No to each question) |
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Height |
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Weight |
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Do you have normal vision without glasses/contact lenses? |
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Do you have normal vision with glasses/contact lenses? |
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Do you have normal hearing? |
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Are you colour blind? |
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Do you have a normal sense of smell? |
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Are you in good health? |
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Do you now, or have you at any time during the last 8 years suffered from any of the following conditions? |
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High/low blood pressure |
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Diabetes |
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Respiratory conditions |
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Slipped disc or back trouble |
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Angina/heart problems |
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Nervous or mental disorders/stress |
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Epilepsy |
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Fainting/migraine/headaches |
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Are you at present, or have you during the past six months taken any medication or treatment prescribed by a doctor? |
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Have you been absent from, or unable to work during the last two years? |
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Do you have any reason to think that you may not be sufficiently fit to work at night? * |
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If yes to any of the above medical conditions please give details |
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5. Background information (please answer 'Yes' or 'No' to each question) |
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Have you ever been: |
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Cautioned? * |
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Discharged on payment
of costs? * |
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Fined? |
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Placed on probation? * |
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Sentenced to imprisonment? * |
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Or had any order made against you by a civil, military court or public authority? * |
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Do you have any prosecution pending? * |
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Are there any alleged offences outstanding against you? * |
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Have you ever been declared bankrupt? * |
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Are there any outstanding judgements for debt against you? * |
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If yes to any of the above please give details |
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6. Service Record |
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Have you ever served in HM Forces? |
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Date joined |
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Date discharged |
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Conduct record |
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Regiment |
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Branch or Division |
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Rank |
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Service Number |
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7. Employment Record |
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Please take great care in entering the full postal addresses and employment dates, inaccuracies may lead to a delay in your employment. You must give, in date order, details of every job you have had for the last ten years, or since you left full time education. For any period of unemployment give the address of the office to which you reported and dates. |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Employer's name and address |
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Person to whom you reported |
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Employment Dates |
From:
To:
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Position held |
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Reason for leaving |
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Please give details of all schools or colleges attended during the past ten years. |
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Name of school or college |
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Attendance Dates |
From:
To:
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Name of tutor |
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Reason for leaving |
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Name of school or college |
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Attendance Dates |
From:
To:
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Name of tutor |
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Reason for leaving |
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Name of school or college |
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Attendance Dates |
From:
To:
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Name of tutor |
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Reason for leaving |
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If you have been self employed give the names and addresses of two persons who can confirm this. They may be firms with whom you have traded, your solictor or accountant. |
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Trade references
Name & Address |
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How long known |
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Occupation or business |
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Trade references
Name & Address |
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How long known |
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Occupation or business |
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8. Character References |
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Give names and addresses of three persons, not relatives or employees of Constant Security Services, who have known you for at least two years within the past five years, whom we may approach for a Character Reference. Failure to complete in full will cause delay. |
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Name * |
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Occupation * |
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Telephone No. * |
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Address * |
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Name * |
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Occupation * |
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Telephone No. * |
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Address * |
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Name * |
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Occupation * |
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Telephone No. * |
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Address * |
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9. Educational, professional, technical or linguistic qualifications |
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Please give details |
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10. Details of any First Aid qualifications |
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Please give details of any First Aid qualifications |
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11. Details of next of kin |
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Name |
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Relationship |
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Telephone No. |
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Address |
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12. Equal Opportunities |
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You are not required to provide the information requested below. If you choose to do so it will not be used to influence our consideration of your application in any way. Any information you provide in this section will be used solely to monitor the effectiveness of our equal opportunities policy.
I would describe my ethnic origin as:
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If 'Other' please specify |
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13. Applicants Statement - please read the following statement and type your full name into the 'I Agree' box before submitting the form. |
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I certify that to the best of my knowledge, the information I have given is complete and correct, and I understand that misrepresentation of facts is ground for immediate dismissal and renders me liable for prosecution.
I authorise the Company to approach any Government Agencies, former employers and personal referees to verify the information given, and will supply a Statutory Declaration if required.
I understand that employment, if offered, is subject to satisfactory screening or medical examination as determined by the company.
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I AGREE *
Please enter your full name before submitting the form |
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