Application Form Job Position * If you are not applying for a specific position, please put N/A Name * First Name Last Name Email * Phone * (###) ### #### Address * Do you have a current UK Driving Licence? * Yes No Do you have any current endorsements on your driving licence? * Please detail your current employer and position within the company * Please detail your reason for leaving / wishing to leave * Supporting Statement * Please explain why you wish to apply for this position, what makes you the ideal candidate, and what you can bring to the role. Remember to include evidence of relevant skills, experience and education. Personal Achievements * Please list your leisure activities, hobbies and interests and any special achievements in them. Criminal Record * Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state. In certain circumstances employment is dependent upon obtaining a satisfactory basic disclosure from the Criminal Records Bureau/Scottish Criminal Records Office. References * Please confirm two previous employer references below including name of employer, name of manager, contact email, contact telephone and addresses. Declaration * Please read this carefully - by submitting this application form, you agree and accept the following I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. I agree that the organisation reserves the right to require me to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor). I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act. I agree that should I be successful in this application, I will, if required, apply to the Criminal Records Bureau/ Scottish Criminal Records Office for a basic disclosure. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated. I Agree Thank you for sending us your application. We will be in contact with you shortly to discuss next steps with you.Should you have any questions prior to our contact, please call 01250 878242.