Employment Application Form

Personal Information


Employment History

(please list in chronological order with the most recent first)

General Comments

Please list here your specific reasons for this application, your main achievements to date and the
strengths you would bring to this post. Continue on a separate sheet, if necessary.

Criminal Record

This information will be held in the strictest confidence and will only be used to identify potential conflicts of
interest. To ensure fairness, transparency and impartiality, it may be necessary to exclude applications where it is
felt a significant conflict of interest could potentially have an adverse affect on the company/department.

Entitlement to work in the UK

If yes, you will need to produce evidence of your entitlement to work in the UK before taking up your
post if your application is successful.


Please supply the names and addresses of two persons – one of whom should be your present/last
employer – from whom we may obtain both character and work experience references.

How did you hear about us?


I confirm that the above information is complete and correct, and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

I hereby give my authority for the company to contact my own doctor to obtain any further information on my state of health.

I agree that the company reserves the right to require me to undergo a medical examination in the event of my appointment.

All data contained within this application form is kept secure and is not shared or disclosed to any 3rd party. Your details are only used for their intended purpose of employment. Should you be unsuccessful your details will be kept for no longer than 6 months. To process your application, we need your authorisation to store the completed form on our secure servers.