Position Applied For*

First Name(s)*

Surname(s)*

Address*

City

Postcode*

Email Address*

Home Telephone Number*

Mobile Telephone Number

Are you currently unemployed?*

Are you currently in receipt of benefits i.e Universal Credit ?*

Do you have a bank account?*

Do you have a valid passport?*

Do you have a full driving license?*

Endorsements*

If YES, please give dates

Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974)?*

If YES, please give full details

Are you involved in any activity which might limit your availability to work or your working hours e.g. local government?*

If YES, please give full details

Are you subject to any restrictions or covenants which might restrict your working activities?*

If YES, please give full details

Are you willing to work overtime and weekends if required?*

Please give details of any hours you would not wish to work

Do you smoke?*

You may be required as part of your Application to complete the attached Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination prior to employment?*

Have you ever worked for this business before?*

If YES, please give full details

Are you related to or do you know any person employed by the business?*

If YES, please give full details

Have you ever applied for employment with this business before?*

Do you need a work permit to take up employment in the UK?*

How much notice are you required to give to your current employer?*

Do you have your own transport*

Please list your qualifications*

Do you have specific windows and doors experience*

If YES please give full details

Company Name*

Start Date*

End Date

Reason for leaving*

Duties*

Company Name

Start Date

End Date

Reason for leaving

Duties

Reference 1 - Name and Address of Contact at previous employer

Reference 2 - Name and Address of Contact at previous employer

Name of Doctor

Address

City

Postcode

Allergies*

Asthma*

Hay Fever*

Chest Pain*

Heart Disorder*

High Blood Pressure*

Palpitations*

Rheumatic Fever*

Hernia*

Jaundice*

Peptic Ulcer*

Rectal Bleeding*

Dizzy Spells*

Epilepsy*

Fainting Attacks*

Paralysis*

Severe Headaches*

Kidney Stones*

Pain on Urination*

Sugar/Albumin Urine*

Chronic Cough*

Pleurisy*

Pneumonia*

Sinusitis*

Tuberculosis*

Arthritis*

Backache*

Back Injury*

Disc Disorder*

Gout*

Joint/Tendon Disorder*

Rheumatism*

Colour Blindness*

Ear Disorder*

Eye Disorder*

Nose Disorder*

Throat Disorder*

Speech Disorder*

Dyslexia*

Anaemia*

Anxiety*

Blood Disorder*

Cancer*

Depression*

Diabetes*

General Debility*

Insomnia*

Skin Disorder*

Dermatitis*

If YES, please give full details