Personal Details

Surname
First Name
Title
Address
 
 
 
PostCode
Telephone Number (Day)
Telephone Number (Evening)
Telephone Number (Mobile)
E-Mail Address
Date of Birth
Current Driving Licence
National Insurance Number

Employment Aspirations

Type of position sought

Why have you applied for a job with Interfleet?

Where did you hear about the job?
Press Advertisement (please state which)
Employment Agency
College / School
Personal Application
Job Fair / Careers Convention
From an Interfleet employee (please give name)
Interfleet Web Site
Other (please specify)

Education

Secondary Education:

School Dates Examinations Passed (subject, grade, etc.)

Higher Education:

College/University Dates Type of Degree and Grade Principal Subject

Details of scholarships, exhibitions, sponsorships, prizes awarded, etc.


Please give details of any other skills, qualifications or experience which you feel may be relevant.


Employment History

Employer Dates Position Held

Main Activities / Responsibilities Reason for Leaving

Employer Dates Position Held

Main Activities / Responsibilities Reason for Leaving

Employer Dates Position Held

Main Activities / Responsibilities Reason for Leaving

Referees

Please give the names and addresses of two referees, one of whom should be your most recent employer. Please indicate whether you have any objection to Interfleet contacting them. Yes No

Referee 1

Name
Address

Referee 2

Name
Address

Equal Opportunities

Interfleet Technology is an equal opportunities employer. In order to monitor our recruitment practices and to ensure equality of opportunity, please complete the following sections. Information given will not form part of the selection process.

Plese indicate your ethnic origin:
Black/Caribbean
Black/African
Asian
White/European
Other (please specify)

Gender:

Male
Female

Do you consider yourself to have a disability? Yes No
If YES do you require any additional facilities or help during the interview/recruitment process?

Offences

Please give details of any court or court-martial conviction, driving licence endorsement, outstanding summons or prosecution (except spent convictions under the Rehabilitation of Offenders Act 1974). Any false statement will disqualify you from employment or, if discovered after employment commenced, render you liable to instant dismissal.

Date Nature of Offence Sentence or Court Order with Costs

Data Protection Act

The information requested in this application form is used solely for entry onto our personnel database and for equal opportunities monitoring purposes.
This information will not be forwarded to a third party without your written consent.


Back