Application for Employment

 

 

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Date ______________ D.O.B____________ Your Age Now___________

Last name ________________________ First name ________________

Street Address _________________________________________________________________

City _____________________ Post Code___________

Main Contact Number ___________________________

Position applied for __________________________________________

SIA License Number_________________________________________

What is the license for________________________________________

How did you hear of this opening? __________________________________________

When can you start? _____________________

Are you a U.K. citizen or otherwise authorized to work in the U.K. on an unrestricted basis? (You may be required to provide documentation.)  Yes  No

Are you looking for full-time employment?  Yes  No

If no, what hours are you available? ______________

Are you willing to work swing shift?  Yes  No

Are you willing to work graveyard?  Yes  No

Have you ever been convicted of a felony? (This will not necessarily affect your application.)  Yes  No

If yes, please describe conditions. __________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Employment History (Start with most recent employer)

Company Name ________________________________________________________________

Address ______________________________________________________________________

Telephone _________________________

Date Started _____________Position ________________

Date Ended ______________

Contact Name ____________________________________

May we contact?  Yes  No

Responsibilities _______________________________________________________________

_____________________________________________________________________________

Reason for leaving ______________________________________________________________

Company Name ________________________________________________________________

Address ______________________________________________________________________

Telephone _____________________

Date Started ____________ Position _______________

Date Ended _____________

Contact Name_____________________________________

May we contact?  Yes  No

Responsibilities ________________________________________________________________

______________________________________________________________________________

Reason for leaving ______________________________________________________________

Company Name _______________________________________________________________

Address ______________________________________________________________________

Telephone ______________________

Date Started ____________ Position _______________

Date Ended _____________

Contact Name ____________________________________

May we contact?  Yes  No

Responsibilities ________________________________________________________________

______________________________________________________________________________

Reason for leaving ______________________________________________________________

In addition to your work history, are there other skills, qualifications, or experience that we should consider?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior employment history.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I will abide by the terms and conditions set down in the company’s staff handbook.

Signature_______________________________________________ Date _________________

Thank you for your Application, we will contact you shortly.