Join Our Team - ABLE SERVICES LIMITED

Job Application Form

Position applied for *
Surame *
Title (Mr, Mrs, Miss, Ms) *
Correspondence Address *
Date of Application:
Forenames(s) *
Date of Birth
Telephone Home *
Telephone Work (Discretion will be exercised) *
Email *
Please state your National Insurance (N.I.) No.*

Bank Details

Name Of Bank *
Sort Code *
Account in the name of *
Address of Bank *
Account No (8 digits) *
Bank Ref/Roll No *

EMPLOYMENT HISTORY

Current Employment*
Job Title *
Date employed
From *
To *
Salary *
Reasons for leaving or notice required by current employer *

PREVIOUS EMPLOYMENT – Over the last 5 years, the most recent post first, please include any voluntary/temp work.
(Continue on a separate sheet if necessary)

Date
Employer’s Name and Address*
Job Title and responsibilities held*
Reasons for leaving *

REFERENCES: Please supply the names and addresses of two referees, one of which should be your last or present employer:

Name and Address*
Position *
Tel No: *
Fax No: *
Email *

And

Name and Address*
Position *
Tel No: *
Fax No: *
Email *
May we approach the above prior to interview?
Do you already hold a current work permit?
How many days sickness have you had in the last 2 years? *
Do you have a Full Driving Licence?
Do you know anyone who works for Able?
Do you require a work permit *
What status is your current work permit? *
When does your current permit expire?
Are you a car owner? *
Please state Name & Relationship *
Please attach a copy of your passport/birth certificate, NI card or any identity document plus 2 passport photographs*

EMERGENCY CONTACT DETAILS

Name *
Address*
Relationship *
Tel No*
If in a publication, please state which: *
How did you learn of this vacancy: *

CONFIDENTIAL EQUAL OPPORTUNITIES MONITORING

Able Services Limited aims to be an Equal Opportunities Employer. In order to assist with our Equal Opportunities Policy all applicants are requested to complete this questionnaire. This information will be used solely for monitoring purposes; it will be treated as confidential and separated from your application on receipt before short listing takes place.

Application for the post of: *
Full Name*
ETHNIC ORIGIN (Commission for Racial Equality Definitions): *
SEX *
MARITAL STATUS *
ARE YOU *
AGE STATUS *

REHABILITATION OF OFFENDERS ACT 1974

There is a possibility that you will be employed in schools and therefore come into contact with children and therefore this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act (Exemptions) Order 1973. Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act. In the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Amy information given will be treated in strictest confidence and will only be considered in relation to posts for which the order applies.

Do you have any criminal convictions to disclose? *
If YES, please give details *

HAVE YOU EVER:

Had an operation? *
Been refused a drivers license due to ill health? *
Been refused employment or dismissed on health grounds? *
Been registered disabled?*
Received a disability pension? *
Suffered a work-related illness? *
Been seriously injured?*

DO YOU SUFFER FROM OR HAVE YOU HAD:

Diabete *
Any Allergies *
Asthma*
Cough (frequent)*
Rheumatic fever *
Arthritis *
Epilepsy/fits *
TB *
Skin rashes/Eczema *
Anemia *
Headaches/Migraine*
Heart problems *
Chest problems *
Fainting/Dizziness *
Shortness of Breath *
Jaundice *
Rupture/Hernia *
High Blood Pressure *
Stomach/Intestinal Problems *
Varicose veins *
Back problems *
Eye problems *
Nervous disorders *
Period/Prostate Problems *

STATEMENT

The information requested on this application will be treated with complete confidentiality and will only be used to assist in determining your general state of health. To the best of my knowledge and belief, the above information is comprehensive and accurate.
I certify that the above information is true and understand that false or misleading information may lead to withdrawal of an offer of employment or, in the event of employment, dismissal. I consent to Able Serviecs Limited, processing by means of a computer database or otherwise any information which I provide to them for the purposes of this application and understand that should I be appointed this application form will form the basis of my employment record. I consent to Able Services Limited retaining the data contained on this monitoring from for the purpose detailed above. I am in good general health and am aware of no medical condition which might compromise my ability to perform the role I have been offered/applying.

Signature *
Date