Application Form

To apply for a job please complete the following form & Submit it to our HR Department

Position Applied For

Position

Personal

Your full name

House Number

Road

Town/City

County

Post Code

Valid email address

Contact number

Mobile number

Full Driving License

Yes No

Endorsements

Yes No

Are you involved in any activity which might limit your availability to work or your working hours e.g. local government?

Yes No

If YES, please give full details.

Are you subject to any restrictions or covenants which might restrict your working activities?

Yes No

If YES, please give full details.

Are you willing to work overtime and weekends if required?

Yes No

Please give details of any hours which you would not wish to work:

Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974)?

Yes No

If YES, please give full details

You may be required, if offered employment, as part of your Application to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination prior to employment?

Yes No

Have you ever worked for this Company before?

Yes No

If YES, please give full details

Have you applied for employment with this Company before?

Yes No

Do you need a work permit to take up employment in the UK?

Yes No

If YES, please give full details

How much notice are you required to give to your current employer?

Education

Schools attended since age of 11

College or University

Further Formal Training

Job related Training Courses / Name of Organisation

Please give details of membership of any technical or professional associations:

Please list any languages spoken and the level of competence:

Employment Details

Please give details of your past employment, excluding your present or last employer, stating the most recent first. Please list Name and address of employer, Dates, Position held/Main duties, Reason for leaving.

Present or last employer

Are you currently employed?

Yes No

Name of present or last employer

Address

Telephone

Nature of Business

Job title and a brief description of your duties:

Length of Service (From, To):

Interests, achievements, leisure activities (e.g. hobbies, sports, club memberships)

Supplementary Information. Please set out below any further information to support your application, e.g. past achievements, future aspirations, personal strengths.

DECLARATION

By submitting this form you declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal

I understand these details will be held in confidence by the Company, for the purposes of assessing this application, ongoing personnel administration and payroll administration (where applicable) in compliance with the Data Protection Act 1998.

REFERENCES

Please give the names of two people (one of which should be your present or most recent employer) whom we may approach for a reference.

Can we approach your current employer before an offer of employment is made?

Yes No

Employer #1

Name

Position

Address

Telephone Number

Employer #2

Name

Position

Address

Telephone Number

Source of Application

How did you hear of this vacancy?

This information will be treated in the strictest of confidence. Any questions? Contact us on employment@revivejuicebars.com