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1 Application Form
2 Your Personal Details Surname: Mr/Mrs/Miss/Ms First Names: Full Address: Postcode: Contacts: Home: Work (optional): Mobile: Please tick as many of the following boxes that you would be able to accommodate with regards to flexibility: Full Time: Part Time: Weekends: Day Shift: Night Shift: Mixed Shifts: Position applied for: Location applied for: Are there any restrictions to your residence which may affect your right to take up employment in the UK? Yes: No: If YES, please detail: Please note that as required by the Asylum and Immigration Act 1996 all candidates invited to interview will be required to produce evidence of their eligibility to work in the UK. Your Driving Licence Details Do you hold any of the following UK/EU licences? None: Full Car: Provisional Car: If OTHER,please detail: PCV: LGV: Other: Does your licence carry any endorsements? Yes: No: If YES, please detail: Code(s): Points:
3 Your Training and Qualifications Please give details of your education (secondary school and college/university education and any qualifications) and relevant training or courses you have attended (if necessary please continue on a separate page, attaching it to this form securely): School/College Subject: Exam/Courses: Approx. Date: Result: Your experience Computer Programs: Microsoft Word: Often: Rarely: Never: Microsoft Access: Often: Rarely: Never: Microsoft Outlook: Often: Rarely: Never: Microsoft Excel: Often: Rarely: Never: Warehouse Equipment: Bendi/Flexi: Often: Rarely: Never: Reach Truck: Often: Rarely: Never: PPT Driving: Often: Rarely: Never: Double Handler: Often: Rarely: Never: Counterbalance: Often: Rarely: Never: VNA: Often: Rarely: Never: Barcode Equipment: Often: Rarely: Never: Please supply as much information as possible about any additional experience you feel is relevant to your application. This may include specialist software you have used or mechanical vehicles (if necessary please continue on a separate page, attaching it to this form securely):
4 Your current/most recent employer ALL applicants are required to provide employment references covering the last FIVE years and account for any gaps in employment during this time. Stobart Group reserves the right to follow up references with any of the organisations detailed on the employment history and the reference section of this application form. If there are any gaps in your employment due to unemployment, periods of self employment, extended holidays or further education, you will need to provide additional references - please see the Additional References section. Your Current or most recent Employer: Reason for wanting to leave: If this is your CURRENT employer, can references be sought before an offer of employment with Stobart Group is made and accepted? Yes: No: Your employment History Please read the notes contained in the preceding Your Current/Most Recent Employer section carefully. In addition to your current/most recent employer detailed above, please detail your other employers over the last five years, starting with the most recent first. Reason for Leaving:
5 Your employment History, continued Reason for Leaving: Reason for Leaving: Reason for Leaving:
6 Supplementary information Are you subject to any restraints which may affect your application or ability to perform the role you are applying for that the company should be made aware of, this may include restrictions based on medical history or physical fitness? Yes: No: Are you colour blind? Yes: No: Are you willing to work overtime and weekends when required? Yes: No: Do you have any pre-existing commitments which may limit your working hours? (For instance military reserve, local government etc.) Yes: No: Are you subject to any restraints that may affect your current or future employment? Yes: No: Have you ever worked for a company/companies owned by Stobart Group? Yes: No: Do you have any pre-existing holidays arranged? Yes: No: If YES, please detail: If offered a position at Stobart Group, how much notice must you give your current employer? days Have you ever been convicted of a Criminal Offence? (which is not now spent under the provisions of the Rehabilitation of Offenders Act, 1974) Yes: No: Please provide details of all Languages you speak, including English: Language Spoken: Level of Fluency ( Basic, Good or Fluent ):
7 Additional references - Airport Applicants Only The following Additional Reference section should only be completed by AIRPORT APPLICANTS ONLY if you have NOT provided a full FIVE year employment history. Acceptable references for any gaps will include: For a period of self employment; a reference from a solicitor, accountant or Inland Revenue. For a period at college or school; a reference from a school or college. For a period of non-employment; a reference from a professional i.e. Bank official, Doctor, Solicitor, Accountant, Benefits Agency (if necessary please continue on a separate page, attaching it to this form securely). referee One Name: Mr/Mrs/Miss/Ms Job Title/Position: Company: Full Address: Postcode: Contacts: Telephone: For which period does this reference cover? In what capacity are they supplying this reference? From: To: referee Two Name: Mr/Mrs/Miss/Ms Job Title/Position: Company: Full Address: Postcode: Contacts: Telephone: For which period does this reference cover? In what capacity are they supplying this reference? From: To: Other information about references (AIRPORT APPLICANTS ONLY): ALL applicants will be required to provide a Basic Disclosure Scotland reference (this is similar to a Criminal Records Bureau check). If you are successful, you will be required to generate this yourself and to pay for the reference (current cost 25.00).
8 Why do you want to join Stobart Group? Summarise briefly why you would like to become part of Stobart Group in support of your application. This may include skills and knowledge that may be relevant to the position, why you have applied for the position, interests, personal attributes and ambitions (if necessary please continue on a separate page, attaching it to this form securely): Declaration to be completed by ALL applicants Evidence of Qualifications: Offers of appointment are made on the basis of information provided in your written application and at the interview. If offered a position, you may be asked to provide evidence of any qualifications that are relevant and detailed in your application. If you are unable to provide satisfactory evidence the offer of employment may be withdrawn. Undertaking: I confirm that the entries I have made on this application are true to the best of my knowledge and belief. I understand that should I have deliberately made a false statement on this form any job offer could be withdrawn, or the continuation of employment be put a risk. I authorise the company to process and store all information contained on this application form for the purpose of recruitment and as outlined above. I authorise the company to obtain references to support this application and release the company and referees from any liability caused by giving the receiving information. Full Name: Mr/Mrs/Miss/Ms Signed: Date: Once complete, please return this form to: Stobart Training Academy, Foundry Lane, Halebank Ind.Est, Halton, WIDNES WA8 8TZ. Tel:
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