Application Form

Job Application

Completing this Application Form accurately is extremely important. Missing information or inaccurate addresses/telephone numbers wastes a great deal of time. Unfortunately, due to the vast number of applications we receive, any Application Form that is not completed properly will be rejected prior to interview. Fields marked with *are mandatory information.
1. Personal Information
Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When did you move into the above address? Insert date *

DayMonthYear
Date
Phone Number*

Area CodePhone Number
Birth Date*

DayMonthYear
Email Address*
example@example.com
Do you hold a full UK driving licence?

YesNo
Are you a car owner?

YesNo
National Insurance Number*
SIA License Number*
Previous Addresses

List previous addresses for last 5 years

Previous Addresses (please list all from the last 5 years)

Rows	Address	Postcode	From (Date)	To (Date)
1
2
3
4
5

3. Next of Kin to be contacted in Any Emergency
Next of Kin Name
Next of Kin Phone Number
4. Criminal or Civil Offences
Have you ever appeared in court charged with a criminal, civil or military offence and been convicted?*

YesNo
Do you have any motoring offences?*

YesNo
5. Any concerns for night time work?
Do you have any concerns for night time work?*

YesNo
6. Where did you undertake your SIA training course?
Where did you undertake your SIA training course?*
7. Last 5 years of Employment or Un-Employment History (including University/College)

Please list your previous employers (if at any time in the last 5 years you have worked outside the UK, please list those), the dates you worked and the position you held.

Last 5 years of employment

Rows	Employer name, address, postcode and telephone number	Who did you report to?	Date started (include month)	Date finished (include month)	Reason for leaving
1
2
3
4
5

READ THIS SECTION CAREFULLY BEFORE YOU SIGN THIS STATEMENT. IF YOU DO NOT AGREE WITH THE STATEMENT(S) DO NOT SIGN THIS APPLICATION FORM
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE INFORMATION I HAVE GIVEN IS COMPLETE AND CORRECT, I UNDERSTAND THAT MISREPRESENTATION OF FACTS IS GROUNDS FOR IMMEDIATE DISMISSAL AND RENDERS ME LIABLE FOR PROSECUTION. I AUTHORISE THE COMPANY TO APPROACH ANY GOVERNMENT AGENCIES, FORMER EMPLOYERS AND PERSONAL REFEREES TO VERIFY THE INFORMATION GIVEN AND WILL SUPPLY A STATUTORY DECLARATION IF REQUIRED (I GIVE PERMISSION FOR MY PRESENT EMPLOYER TO BE APPROACHED). I ALSO GIVE PERMISSION FOR THE COMPANY TO CARRY OUT A FINANCIAL SANCTION CHECK. BY SIGNING THIS DOCUMENT THE APPLICANT AGREES THAT THE COMPANY CAN CARRY OUT RELEVANT CHECKS TO CONFIRM WHETHER THE APPLICANT HAS BEEN MADE BANKRUPT OR HAS ANY COUNTY COURT JUDGEMENTS (CREDIT CHECK).

I AGREE
CONFIDENTIALITY AGREEMENT: I AGREE NOT TO DISCLOSE ANY CONFIDENTIAL INFORMATION GAINED DURING OR AFTER EMPLOYMENT WITH BRIDGEWATER SECURITY COMPANY LIMITED ABOUT THE CLIENTS OR BRIDGEWATER SECURITY COMPANY LIMITED TO ANY 3rd PARTY. BRIDGEWATER SECURITY COMPANY LIMITED SHALL BE ENTITLED TO APPLY FOR AN INJUNCTION TO PREVENT SUCH DISCLOSURES OR USE TO SEEK ANY OTHER REMEDY INCLUDING, WITHOUT LIMITATIONS, THE RECOVERY OF DAMAGES IN CASE OF SUCH DISCLOSURES OR USE.

I AGREE
Type your name in the box below*
I agree with the statements I have made*

YesNo
I confirm I have submitted the last 5 years employment history or my application will not be accepted*

YesNo
Date of application *

DayMonthYear
Date
Full name *
Should be Empty:

Job Application

1. Personal Information

Previous Addresses

3. Next of Kin to be contacted in Any Emergency

4. Criminal or Civil Offences

5. Any concerns for night time work?

6. Where did you undertake your SIA training course?

7. Last 5 years of Employment or Un-Employment History (including University/College)

READ THIS SECTION CAREFULLY BEFORE YOU SIGN THIS STATEMENT. IF YOU DO NOT AGREE WITH THE STATEMENT(S) DO NOT SIGN THIS APPLICATION FORM