Application for Employment Applicant Information Sheet. Thank you for your and your interest in working for Plastic Surgeon.

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1 Application for Employment Applicant Information Sheet Thank you for your and your interest in working for Plastic Surgeon. If you are applying for a position with us it s important that you complete this application form in full in your own hand writing. You may send your CV in support of your application form along with anything else you think may be of interest. We do not require you to send your driving licence, CRB check, passport or birth certificate with your application form either in original format or copies. We will gladly review this information if you are selected for a face to face interview. In the event that you are successful please ensure you supply an active telephone number and address on your application form, this will ensure you receive updates on your application. You can then either scan and it to us at recruitment@plastic-surgeon.co.uk or post it to us at HR Dept, The Plastic Surgeon Ltd, Blue Waters House, Pottery Road, Bovey Tracey, Devon TQ13 9DS. Please pay particular attention to postage instructions otherwise we may not receive your application form. We receive a large number of applications for employment each week so regret that we are unable to reply to each application personally. However, we do review every application individually and yours will go through the selection process detailed below. Due to the amount of applications we receive we will only be in contact should we wish to take your application further. If you have not heard anything within six weeks, we are very sorry but please consider that in this instance your application has been unsuccessful. The Recruitment Process Complete & return application form Stage 1 Applications thoroughly reviewed and suitable applicants progressed to stage 2 Stage 2 Applicants contacted by phone Stage 3 Face to face interview Stage 4 Successful applicants at Face to Face interview required to attend site with Finisher for a taste of what to expect Stage 5 If successful at stage 4 job offer can be made Date Application Form Posted to Plastic Surgeon If you have not heard anything within six weeks of the above date, we are very sorry but please consider that in this instance your application has been unsuccessful. Please remove this page before sending. It is for your reference only. Page: 1 of 6 Application for Employment

2 Application for Employment Job Reference (use home town) How did you hear about job? 1) Personal Details (Please complete in BLOCK capitals in your own handwriting) Mr/Mrs/Miss/Other Full Name Address Postcode Home Telephone Number Mobile Telephone Number Address Date of Birth Nationality Name - Next of Kin Relationship Address Postcode Do you have any special needs or disabilities that we should be aware of? Do you have any serious or recurrent illness/injuries? How many days off work have you taken in the last 12 months due to sickness? Please provide brief description: Do you have a current driving licence? Are you a car owner? Do you have any driving convictions? Please provide full details: Page: 2 of 6 Application for Employment

3 2) Education (Please list below details of your Education) Dates From/To Name of Secondary Schools, Colleges, Universities etc Subjects & Results Please list any other Courses, Training or Achievements Page: 3 of 6 Application for Employment

4 3) Employment History (Please supply details of your employment history, most recent first) Dates From/To Name & Address of Employer Position Held Salary Reason for Leaving Please provide dates & details of any period of unemployment What notice period is required from your current employer? Plastic Surgeon carries out Criminal Records Bureau checks on all its employees. During your lifetime have you ever been convicted of a criminal offence? If yes, please provide full details. Page: 4 of 6 Application for Employment

5 4) Supporting Information (Please enclose a separate sheet if necessary) Please provide details of previous experience relevant to the role you are applying for Please explain why you would like to work for the Plastic Surgeon What are your future ambitions? Page: 5 of 6 Application for Employment

6 What are your hobbies and interests? Please provide any further information you feel would support your application for this position. References will only be taken up once an offer of employment has been made and accepted. Reference (Most Recent Employer) Mr/Mrs/Miss/Other Full Name Company Name & Address Postcode Position Telephone Number Declaration I hereby con firm all the information contained in this application is to the best of my knowledge accurate and true. Signed Dated Page: 6 of 6 Application for Employment