Job Application Form

Job Application Form

Please fill out your details to apply for the position.
Date

MonthDayYear
Date
Hour Minutes
Referrer's name (if any)
Name of the person who referred you to this job (if applicable)
Position applied for:
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000000000.
Date of Birth:

DayMonthYear
Date
National Insurance Number:
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Languages spoken:
Do you have access to a reliable method of transport to travel to work?
Availability for Work :

Our factory operates 7 days a week. Work shifts are assigned weekly and may vary from week to week.
Select the days you are available to work (general availability, not shift preference).If fully flexible, select all days.
Criminal Convictions :

We are committed to fair and equal opportunities. Any declared convictions will be considered impartially. Only offences that are clearly incompatible with the duties of the role will be taken into account.
Have you ever been convicted of a criminal offence (excluding those considered spent under the Rehabilitation of Offenders (Northern Ireland) Order 1978)?
Right to Work in the UK:

We are committed to equality of opportunity and to complying with our legal obligations.

In accordance with the Asylum and Immigration Act 1996, and under the Race Relations (NI) Order 1997, all offers of employment are conditional upon the successful applicant providing satisfactory evidence of their right to work in the United Kingdom.
Do you currently have the legal right to work in the UK?
Equal Opportunities Statement
Simplyfruit (Ire) Ltd. is committed to promoting fairness, respect, and equality. We oppose all forms of unlawful or unfair discrimination. All employees and applicants will be treated fairly and equally in matters such as recruitment, selection, promotion, lay-offs, and access to benefits — based solely on aptitude, skills, and ability. Our Equal Opportunities Policy is designed to support all individuals in achieving their full potential, regardless of gender, marital or family status, civil partnership, religious belief or political opinion, disability, race, nationality, sexual orientation, or age. All employees are expected to follow the Company's Equal Opportunities Policy. Any breach of this policy will be treated as a disciplinary matter.
Highest Level of Education
Work Experience :
Employer’s Name 1
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for leaving:
Describe main duties undertaken:
Employer’s Name 2
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for leaving:
Describe main duties undertaken:
References:

Please give details of two referees (one of whom should be your present or last employer and the other a previous employer, no relatives )
Reference 1 Full Name:
Occupation:
Company Name:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference 2 Full Name:
Occupation:
Company Name:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Medical
Do you have any disabilities ?
If Yes, please detail any adjustments you would require in order to attend interview or perform the job role.
Declaration

I hereby give authority to Simplyfruit (Ire) Ltd. to hold and retain my personal information for employment purposes and in line with the Data Protection Act 1998. I declare that the information given in this entire application is true and correct. I understand that any false information or deliberate omissions may disqualify me from employment or render me liable for dismissal.
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Job Application Form

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