Employment Application Form-Torkington engineers

* Indicates required field

Position you are applying for:

Personal Details

Title:

First Name: *

Surname: *

Address Line 1: *

Address Line 2:

Town or City: *

Post Code: *

Home Telephone: *

Mobile:

Email:

Date of Birth: *

Gender: M F *

National Insurance No:

Marital Status: *

Number of Children:

Nationality:

Are you entitled to work in the UK without having a work permit? Y N *

Are you a European Economic Area (EEA) citizen? Y N *

Are you currently working in the UK on a work permit? Y N *

Please note, all candidates who are invited for interview will be asked for documentary proof of entitlement to work in the UK (i.e. birth certificate or passport showing EEA citizenship or entitlement to work in the UK, National insurance card, P45 or P60 showing name or NI number or letter from the Home Office showing right to work in the UK).

Health

Please give details of any health/disability concern(s) *

Do you consider yourself to be physically and mentally capable of performing all activities required of the position you are applying for? Y N *

How many sickness absence days have you had in the last 12 months? *

General Information

Do you have a criminal record? Y N *

If yes, what was the nature and date of offence and the sentence received?

Do you have a full and current driving license? Y N *

If yes, specify type (i.e. motor car / HGV etc):

Have you any driving endorsements? Y N *

If yes, give details of offence and number of points received:

Will you use your own motor vehicle to travel to and from work? Y N *

Will you work overtime? Y N *

Will you work shifts or other flexible working arrangements if required? Y N *

Do you currently have any form of secondary employment or public service commitments (e.g. magistrate, councillor, territorial army, emergency services, bar work etc)? Y N *

If yes, please give details:

How did you hear about this vacancy? *

Have you previously made any application for employment with Torkingtons? Y N *

If yes, please give details:

Education and Qualifications *

List details of GCE O Level, CSE, GCSE, NVQ, A Level, Degree qualifications etc:

Name of school, college, university etc.	From-to dd/mm/yyyy	Qualification	Subject	Grade

Employment

What is your employment status? *

Relating to your current (last) employment

Basic hour rate / salary: *

Overtime per year:

Bonus per year:

Pension per year: *

Confirmation of earnings may be required upon acceptance of employment offer.

Employment history (most recent first) *

Employer name, location, and nature of business	Your position	From-to dd/mm/yyyy	Main duties	Reason for leaving

Work-related Skills

Other Skills

Give details of any other skills you have? (e.g. computer literacy etc.):

Hobbies and Interests:

References

All appointments are subject to the receipt of satisfactory references. Please provide details of a referee to whom strictly confidential enquiries may be made. The referee should ideally be your supervisor/manager in your current/last employment.

Name: *

Position:

Company Name:

Contact Telephone: *

Please state when we may contact your referee by telephone *

Declaration

I declare that the information I have given is correct to the best of my knowledge and belief. I understand that any false declaration, misleading statement or significant omission will disqualify my application or render me liable to dismissal if employed. * I agree to the above declaration

Tel: 0161 872 8931

Torkington Engineers Limited

Application for Employment Form