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Members Login
Application Form
Please complete the below form.
Position Applied For
*
Personal
Address
First Name(s)
*
Surname(s)
*
Address
*
City
Postcode
*
Email Address
*
Home Telephone Number
*
Mobile Telephone Number
Are you currently unemployed?
*
Yes
No
Are you currently in receipt of benefits i.e Universal Credit ?
*
Yes
No
Do you have a bank account?
*
Yes
No
Do you have a valid passport?
*
Yes
No
Do you have a full driving license?
*
Yes
No
Endorsements
*
Yes
No
If YES, please give dates
Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974)?
*
Yes
No
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?
*
Yes
No
If YES, please give full details
Are you subject to any restrictions or covenants which might restrict your working activities?
*
Yes
No
If YES, please give full details
Are you willing to work overtime and weekends if required?
*
Yes
No
Please give details of any hours you would not wish to work
Do you smoke?
*
Yes
No
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?
*
Yes
No
Have you ever worked for this business before?
*
Yes
No
If YES, please give full details
Are you related to or do you know any person employed by the business?
*
Yes
No
If YES, please give full details
Have you ever applied for employment with this business before?
*
Yes
No
Do you need a work permit to take up employment in the UK?
*
Yes
No
How much notice are you required to give to your current employer?
*
Do you have your own transport
*
Yes
No
Qualifications
Please list your qualifications
*
Experience
Do you have specific windows and doors experience
*
Yes
No
If YES please give full details
Previous Employment (last 2 positions)
Company Name
*
Start Date
*
End Date
Reason for leaving
*
Duties
*
Company Name
Start Date
End Date
Reason for leaving
Duties
References
By completing this section you consent to the Company taking up references.
Reference 1 - Name and Address of Contact at previous employer
Reference 2 - Name and Address of Contact at previous employer
Pre-Employment Medical Questionnaire
Please answer the following questions. If the answer is YES then please provide full details.
Name of Doctor
Address
City
Postcode
Allergies
Allergies
*
Yes
No
Asthma
*
Yes
No
Hay Fever
*
Yes
No
Cardiovascular
Chest Pain
*
Yes
No
Heart Disorder
*
Yes
No
High Blood Pressure
*
Yes
No
Palpitations
*
Yes
No
Rheumatic Fever
*
Yes
No
Digestive System
Hernia
*
Yes
No
Jaundice
*
Yes
No
Peptic Ulcer
*
Yes
No
Rectal Bleeding
*
Yes
No
Neurological
Dizzy Spells
*
Yes
No
Epilepsy
*
Yes
No
Fainting Attacks
*
Yes
No
Paralysis
*
Yes
No
Severe Headaches
*
Yes
No
Genito-Urinary
Kidney Stones
*
Yes
No
Pain on Urination
*
Yes
No
Sugar/Albumin Urine
*
Yes
No
Respiratory
Chronic Cough
*
Yes
No
Pleurisy
*
Yes
No
Pneumonia
*
Yes
No
Sinusitis
*
Yes
No
Tuberculosis
*
Yes
No
Musculoskeletal
Arthritis
*
Yes
No
Backache
*
Yes
No
Back Injury
*
Yes
No
Disc Disorder
*
Yes
No
Gout
*
Yes
No
Joint/Tendon Disorder
*
Yes
No
Rheumatism
*
Yes
No
Senses
Colour Blindness
*
Yes
No
Ear Disorder
*
Yes
No
Eye Disorder
*
Yes
No
Nose Disorder
*
Yes
No
Throat Disorder
*
Yes
No
Speech Disorder
*
Yes
No
Dyslexia
*
Yes
No
Miscellaneous
Anaemia
*
Yes
No
Anxiety
*
Yes
No
Blood Disorder
*
Yes
No
Cancer
*
Yes
No
Depression
*
Yes
No
Diabetes
*
Yes
No
General Debility
*
Yes
No
Insomnia
*
Yes
No
Skin Disorder
*
Yes
No
Dermatitis
*
Yes
No
If YES, please give full details
I understand that misrepresentation, falsification or omission of information requested on this application form may be a reason for dismissal
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