Application Form
Position Applied For:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
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Education
Education
Education
Work Related Development/Courses
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Present or Most Recent Employer
All Previous Employment
All Previous Employment (continued)
All Previous Employment (continued)
All Previous Employment (continued)
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All Previous Employment
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References
Please provide the names of two referees, one of which should be your present or most recent employer. If you do not want your referees to be contacted before the interview, please let us know.
Reference 1
Contact before interview?
Reference 2
Contact before interview?
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Full Driving License
Endorsements
If yes, please provide full details:
Are you involved in any activity which might limit your availability to work, or your working hours?
If yes, please provide full details:
Are you willing to work overtime if required?
It is a criminal offence for barred individuals to apply to work with vulnerable groups in a regulated activity. Are you on a barred list?
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Have you any convictions, including both spent and unspent convictions under the Rehabilitation of Offenders Act 1974? (A copy of the Company’s Equal Opportunities Policy and Disclosure Information Policy is available on request. These reflect the CRB/Disclosure Scotland Codes of Practice).
If yes, please provide full details:
Have you ever worked for our company before?
If yes, please provide full details:
Have you applied for employment with Ben View before?
Do you need a work permit to take up employment in the U.K?
How much notice are you required to give your current employer?
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Interests, Achievements and Leisure Activities (e.g. hobbies, sports, club memberships).
Please provide us with any other information that will support your application.
Declaration
I 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 on-going personnel administration and payroll administration in compliance with any changes to the above details. Given the nature of the job for which I have applied, I understand that any offer of employment will be subject to information on my criminal record being disclosed to the company by the Criminal Records Bureau/Disclosure Scotland. I have been given a copy of the information relating to the recruitment of ex-offenders.
Signature
Print name:
Date:
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