Memory Makers Application Form (Feb 2021)

FURTHER DETAILS
WORKING TIME DIRECTIVE
Please indicate which age bracket you fall into, to help us comply with rest breaks under the Working Time Directive. *

Under 16 16-17 18+
RIGHT TO WORK IN THE UK
Are there any restrictions on your right to work in the UK? *

Yes No
REASONABLE ADJUSTMENTS
Do you consider yourself to have a disability? *

Yes No
Do you require any special arrangements to be made for interview on account of disability? *

Yes No
If answered Yes to requirement of special arrangements to interview, please provide further details.

WORKING AT PLEASUREWOOD HILLS
Have you ever worked for Pleasurewood Hills before? *

Yes No
If answered Yes to the above please state when and what position.
Do you know, or are you related to, any employees of Pleasurewood Hills? *

Yes No
If the answer to above is "Yes", please provide the name or names of the employee(s) and either the capacity in which you know them, or your relationship to them.

CERTIFICATIONS

Work based qualifications
Do you hold a Food Hygiene Certificate? *

Yes No
If answered Yes, when it the Food Hygiene certificate's expiry date?

Day Month Year
Do you hold a First Aid certificate? *

Yes No
If answered Yes, when is the First Aid certificate's expiry date?

Day Month Year
Do you hold a valid SIA badge? *

Yes No
If answered Yes, when is the SIA badge's expiry date?

Day Month Year

ADDITIONAL INFORMATION

We want to know about you
Why do you wish to apply for this position? *
Skills: Tell us about any skills or qualities that you have which would make you ideal for the role you applied for. *
Hobbies and interests: What do you like to do in your spare time? Anything that may be relevant to the position you applied for? *

PREVIOUS OFFENCES
REHABILITATION OF OFFENDERS ACT 1974
Rehabilitation of Offenders Act 1974: Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the above Act (exceptions) order 1975 (as amended in 2013)? *

Yes No
If selected Yes to the above please specify details here
DRUG & ALCOHOL TESTING
Pleasurewood Hills operates a zero-tolerance policy in relation to drugs and alcohol and carry out random testing. Do you agree to this? *

Yes No

REFERENCES
Please give the names of two referees, one of whom should be your current or most recent employer. If this is an application for your first job you can give the name of your school teacher or further education lecturer. The other referee should not be a relative or friend.
Name (Referee 1) *

First Name Last Name
Address *

Street Address

Street Address Line 2

Town/City County

Post Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
In what capacity does your referee know you? *
Name (Referee 2) *

First Name Last Name
Address *

Street Address

Street Address Line 2

Town/City County

Post Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
In what capacity does your referee know you? *

DECLERATION
Data Protection

Pleasurewood Hills will use the personal data provided on this form in accordance with the terms of our privacy notices for candidates. A copy of this notice has been provided/can be viewed on our comapny website.

This application is part of our selection procedure. Please complete the form as fully as you can. All information will be treated in strictest confidence and in accordance with GDPR.

I hereby give my consent to Pleasurewood Hills to process the data supplied in this application form for the purpose of recruitment and selection. I accept that if my application is successful, this application will form part of my Personnel File and, in that case, I consent to the data on it being processed for all purposes in connection with my employment.
If my application is unsuccessful, I am happy for this form to be kept on file for a maximum of 12 months. *

Yes No
Decleration

I declare that the information I have given on this form is, to the best of my knowledge, true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed.
Signed *

Clear
Should be Empty:

MEMORY MAKERS 2021