Employment Application Form

Transcription

1 Office Use Only Employment Application Form We welcome applications from all people with the relevant skills and potential for the job. Please answer the questions in this form as honestly and fully as possible, incomplete forms will not be considered and CV s will not be accepted as a substitute for incomplete forms. The information given in part one, which contains personal information, will be detached from the rest of the form and only the information given in part two will be used for short-listing purposes. Should your application be successful, you will be required to provide certain documentary evidence before commencing employment (e.g. birth certificate, educational qualifications, national insurance and income tax details, passport). PART I Surname Nearest Railway Station to your home Date of Birth* Age* Forenames (First names) / / Title Miss Mrs Ms Mr Other (please specify) National Insurance. Address Do you need a working permit to work in the UK? Are you able to provide your own transport to travel to work? Job Applied for Job reference number Are you able/ willing to work shifts (including nights and weekends) Postcode if the job requires it? Telephone number and , where you can be contacted Home Telephone Mobile Telephone Have you previously been interviewed/ worked for this company or another Rail Industry company? If yes, which company? Work Telephone Location Position Address * Age limits apply to certain types of work. Please ask if you are unsure how these may affect your application.

2 Diversity Monitoring - Equal Opportunities It is Arriva s vision to become Europe s leading transport organisation. We believe that a diverse workforce, that more closely reflects our customer base, will help to shape this vision. In line with our equal opportunities policy, we are committed to base our selection decisions on merit alone, irrespective of ethnic origin, nationality, age, sex, marital status, sexual orientation, religious belief, political opinion or disability, where this is not clearly justifiable. For us to be able to monitor that this policy is fully and fairly implemented, please provide the information below (choosing not to complete this section will not affect your application): Gender Please indicate your gender Male Female Disability Do you consider yourself to have a disability? Ethnic Origin Ethnic origin questions are not about nationality, place of birth or citizenship. They are about colour and broad ethnic groups UK citizens can belong to any of the following groups. Please indicate which ethnic group most closely resembles yours. If yes, please give brief details of the nature of your disability: White Arriva is a Positive About Disabled People English Scottish employer. Please give details below of any special Welsh Irish arrangements you may need for interview, or to carry out European the job effectively. Other white, please state Mixed White/Black Carribean White/ Black African Other mixed, please state White/ Asian Language ability Please indicate which languages you consider yourself fluent in: Asian English Welsh Indian Pakistani Other, please state Bangladeshi Other Asian, please state Black Caribbean Other black, please state African If the job you are applying for specifies that fluency in Welsh is required, this section will also be used at shortlisting stage. Military Reserve Are you a member of the military reserve? Chinese Other, please state

3 References Please give full contact details of two referees. One referee must be your current / most recent employer. The second referee should be from your previous employer. Where this is not possible, we will accept a personal reference from someone who has known you for at least five years and is neither a family relative nor a friend. Name: Position: Company name: Relationship to you: Address: Name: Position: Company name: Relationship to you: Address: Postcode: Postcode: Telephone number: (Home) (Mobile) Fax Number: Telephone number: (Home) (Mobile) Fax Number: Please give an indication of your non availability for interview over the next two months. Rehabilitation of Offenders Act Have you been convicted of any criminal offence*? If, please give details: Date of conviction: Nature of Offence: Any false statement could disqualify your application, or in the event of employment, render you liable to dismissal. *You are not required to disclose convictions now spent under the Rehabilitation of Offenders Act 1974.

4 Job reference number Office Use Only Employment History/Work Experience Please specify your relevant experience for this role, beginning with your current / most recent employment and working backwards. Please continue on a separate sheet if necessary. This section should include an outline of your job duties and responsibilities. PART II Start Date: Organisation/ Company (including address) Position held / Nature of work Finish Date: Reason for leaving What is your current notice period?

5 General Health Some of our posts require the occupants to meet nationally laid down standards for physical, visual and auditory health. If you are applying for the post of Driver, Conductor or other posts, which influence the running of trains, you must complete this section. For jobs where the above does not apply, information on weight, height, colour vision and laser eye treatment is not required, although you may provide it if you wish. All applicants should complete information on sickness absence and medical conditions/problems causing frequent absence. How much do you weigh? kg/st How tall are you? metres/feet Do you have any medical conditions/problems that could cause you to be absent from work? If yes, please give details: Do you have defective colour vision? Don t know How many days have you been absent from work during the past 12 months due to sickness? Please give brief reasons and dates Have you received surgical treatment for near sightedness (laser or photo-refractive eye surgery)? absence in the last 12 months Declaration Data Protection Act I declare that all information given by me on this application form is correct. I understand that my application may be rejected and that I may be dismissed if I have given false information or withheld any relevant details. By signing below, I consent to my personal data, including sensitive personal data being retained and used by Arriva Trains Wales Ltd for the purpose described. I also consent to my personal data being passed to third party organisations as set out below. Signature: The information you provide on this form will be used for recruitment purposes and will only be used in accordance with which it has been collected by Arriva Trains Wales Ltd. All personal information gathered will be processed, stored, maintained and destroyed in accordance with the principles of the Data Protection Act We may disclose your information as required by law or to carefully selected third parties who may process data on our behalf, such as our appointed agents and service providers for the purpose of psychometric testing, medical examinations and associated arrangements, or for other similar services which are necessary for selection or recruitment purpose. They or we may contact you by mail or telephone in connection with your application. Date: / / Arriva Trains Wales Limited/Trenau Arriva Cymru Cyfyngedig Registered in England and Wales Number Registered Office St. Mary's House, 47 Penarth Road, Cardiff, CF10 5DJ PLEASE RETURN THIS FORM TO: Recruitment Department Arriva Trains Wales St Mary s House 47 Penarth Road Cardiff CF10 5DJ

6 RAILWAY REPLACEMENT AVAILABILITY SHEET Name:.. Please select which of the following depots you would be able to work from:- Scotland rth West and rth Wales rth East Midlands (East & West) East Anglia Mid Wales South & West Wales South West (England) South East and South Coast Please give brief details of your availability (e.g. any time, Saturdays only, one weekend in four etc.) Would you be interested in emergency call out work? / If yes, please state any times or days that we should not contact you. Any further information you would like to tell us.

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