Vacancy title


You must select one job title.

Company Division

Please select number of hours you wish to apply for


Your preferred hours must match Vacancy Title.

Please tell us how you heard about this vacancy

1. Personal Details

First name

Last name

Address

Postcode

Home telephone number

Mobile number

D.O.B.

Marital status

Email address

National Insurance number

Driving license

Do you hold a full, clean driving licence valid in the UK?

YesNo

Smoking

Are you a regular smoker

YesNo

Personal body art

Do you have any visible tattoos or body piercings?

YesNo

If YES please give details

2. Preferred Hours

Please tick

Full timePart time

We like our workers to be willing to work flexibly across the week and need to know when other commitments mean you could not be available to work:

Please tick when you are unavailable:

Morning

Afternoon

Evening


This would be for late night shopping in the run up to Christmas.

3. Education/Qualifications

School 11+

School 1.

School name

Study dates

Qualification & Grade

Date obtained

School 2.

School name

Study dates

Qualification & Grade

Date obtained

School 3.

School name

Study dates

Qualification & Grade

Date obtained

College/University

College/University 1.

College/University name

Study dates

Qualification & Grade

Date obtained

College/University 2.

College/University name

Study dates

Qualification & Grade

Date obtained

College/University 3.

College/University name

Study dates

Qualification & Grade

Date obtained

Ongoing Professional Development

Ongoing Professional Development 1.

Name

Study dates

Qualification & Grade

Date obtained

Ongoing Professional Development 2.

Name

Study dates

Qualification & Grade

Date obtained

Ongoing Professional Development 3.

Name

Study dates

Qualification & Grade

Date obtained

Training and Development

Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application.

Please provide course names and details (including length of course/nature of training)

Current Membership of any Professional Body/Organisation

Please give details

4. Employment History

Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first.

Current or most recent employer
No approach will be made to your present employer before an offer of employment is made to you.

1.

Name of employer

Address

Postcode

Position held

Date started

Leaving date

Reason for leaving

Salary on leaving this post

Contact Name of Line Manager for reference

Brief description of duties

2.

Name of employer

Address

Postcode

Position held

Date started

Leaving date

Reason for leaving

Salary on leaving this post

Contact Name of Line Manager for reference

Brief description of duties

3.

Name of employer

Address

Postcode

Position held

Date started

Leaving date

Reason for leaving

Salary on leaving this post

Contact Name of Line Manager for reference

Brief description of duties

5. Information in support of your application

Skills, abilities and experience

Please use this section to demonstrate why you think you would be suitable for the post by reference to the job description and person specification (and by giving examples and case studies). Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities.

6. Criminal Convictions

Rehabilitation of Offenders Act 1974 (Exceptions)(Amendment) Order 1986

Have you ever been convicted of a criminal offence?

YesNo

Please provide any details below if you have been convicted of a criminal offence or been the subject of a conditional discharge or probation order. (Past criminal proceedings are not necessarily an obstacle to taking up a post. This occurs only where the offence/s is/are deemed relevant. Any details will be discussed with you should you be the successful candidate based on your supporting statement, interview).

7. Reasonable Adjustments/Arrangements for Interview

Please contact us if you need the application form in an alternative format.

Work permits

Do you need a work permit to work in the UK?

YesNo

Are you subject to any conditions relating to your employment in this country?

YesNo

If YES please use the space below to tell us what these are?

If you need us to make any adaptations for your interview to accommodate any disability you may have please tell us what these should be?

Are you closely related or married to a member of staff or Director of the Company?

YesNo

If yes, please state their name and position along with the nature of this relationship below:

If appointed when could you start? Give period of notice if applicable

References

Please give the detail of two references – see guidance sheet for further information.

1.

Name of Referee and relationship to you:

Address

Postcode

Email

Phone

2.

Name of Referee and relationship to you:

Address

Postcode

Email

Phone

Declaration

By submittng this form I agree that Shingoi Distribution Ltd can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998.
I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated.

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