Application for Employment

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Education and History

Employment History

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CITB

CSCS Cards

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References

Please note here the names and addresses of two persons from whom we may obtain both character and work experience references:

Criminal Record

Please note any criminal convictions except those spent under the Rehabilitation of Offenders Act 1974. In certain circumstances employment is dependant upon obtaining a satisfactory basic disclosure from the Criminal Records Bureau. If none please state.

Health Details

Do you have a physical or mental impairment which has a substantial and long term effect on your ability to carry out day to day activities?

Please specify any special arrangements for work associated with any impairment:

Please specify any special arrangements you will need to attend an interview:

Please list any diseases, disorders, allergies, muscular or musculoskeletal from which you have suffered or do suffer:

Please detail any form of medicine, drugs or treatment you are currently and / or regularly receiving:

Please list any absences from work in the last 12 months and the reasons for such absences:

Please let us know whether you are happy for us to contact you from time to time with information about our products or services by selecting one of the following options:

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