Application for Employment

Job Title

Location

Please tick your preferred work option: *

Full Time Part Time Shift Work Casual

Surname *

First Name *

Address *

Post Code *

Email *

Home Telephone

Mobile Telephone *

Are you currently eligible for employment in the UK? *

Yes No

Please state what documentation you can provide in order to demonstrate this
(e.g. British Passport/birth certificate/European Economic Area identity card/travel document showing an authorisation to reside and work in the UK, etc.)

Available dates and times for an interview *

Have you previously worked for any company within the Johnson Service Group plc? *

Yes No

If yes, please give details of company and date of employment

Education *
List details of Secondary School, College, University and GCSEs, GNVQs, A Levels, Degrees, etc.

Work Related Skills
Please detail all N/SVQ certificates, diplomas, etc you have obtained that are job related. Include details of licences you hold (e.g. fork lift trucks, etc). Please specify when awarded, organising body and grades.

Name of Employer *

Address *

Position Held *

From (Date) To (Date)

Previous Employment Details
List details of your last three employers

Please give details of any health/disability problem(s) that may be relevant to the position you have applied for. Such information is requested so that any reasonable adjustments to the work involved may be considered.

Please detail any other information, experience or skills which you feel are relevant to the position for which you are applying and how this position fits in with your career plan:

I confirm that the information given in this form is, to the best of my knowledge, true and complete. I understand that any false statement or inaccurate information may be sufficient cause for rejection, or if employed, dismissal. Similarly, any unsatisfactory references received by the Company may give cause for termination of employment.

I understand that the information contained within this application form may be stored and processed, and I give my consent in accordance with the Data Protection Act for this use of the data.

Age

Marital Status

Single Married Civil Partner Other

Sexual Orientation

Heterosexual Gay Man Lesbian Bisexual Other Prefer not to say

I would describe my ethnic origin as (please tick appropriate box)

White

British English Welsh Scottish Northern Irish Irish Other

Mixed

White & Black Carribean White & Black African White & Asian Other

Asian

Indian Pakistani Bangladeshi Other

Black

Carribean African Other

Chinese and Other

Chinese Other

Any Disabilities?

Yes No

If yes, please give brief details of your disability and any special access/mobility needs: