Application Form About You All fields marked with * must be completed. Your Title *MrMrsMissMsOther First Name * Surname * Position You Are Applying For Your Email * Address Line 1 * Address Line 2 Town/City * Postcode * Telephone Number (home) Telephone Number (mobile) * National Insurance Number *For example, NX 12 34 56 C Marital Status *MarriedSingle Do You Have a Full UK Driving Licence? *A copy will be required at your interviewYesNo Do You Own a Car? *YesNo Next of Kin If this changes later, please send an update to YBC, to enable contact in the event of emergency Name * Relationship (For example - Father, Mother, etc) * Address Line 1 * Address Line 2 Town/City * Postcode Telephone Number (home) * Telephone Number (mobile) General InformationApplication Reason *Please give your reason for applying for the vacancy, with details of any relevant training. Criminal Convictions *Do you have any criminal convictions? Please state NONE or if you do, state the date of conviction and the charges. If this employment requires an enhanced DBS disclosure, by submitting this application you agree to pay the Company £51.00 immediately in order for them to process my application. The cost will be reimbursed after 12 months of continuous employment. Permission to Work in The UK If you are a non EEA or Swiss national, or need a valid work permit to work in the UK, we require you to upload a copy with your application before we can consider your application. The copy can be a JPG, GIF, PNG image or a PDF file. Work Permit Upload Education History Complete ONLY if you left school/college in the last 10 years. SCHOOL NAME Date Started Date Left Exams Taken & Grades COLLEGE NAME (if attended) Date Started Date Left Exams Taken & Grades UNIVERSITY NAME (if attended) Date Started Date Left Exams Taken & Grades Employment History A complete and continuous 5 years checkable record is required to cover all full and part time employment, self-employment, military service and any periods of unemployment. Give reasons for any time lapses in the box titled 'Addition Employment Info'. Start with your most recent employment period and work backwards. How Many Jobs Have You Had in The Last 5 Years? *12345 or more Latest JobName & Address of Employer Telephone Number Start Date End Date Final Wage/Salary Reason For Leaving ResignedDismissedMade RedundantBusiness Ceased TradingOther Reason Second JobName & Address of Employer Telephone Number Start Date End Date Final Wage/Salary Reason For Leaving ResignedDismissedMade RedundantBusiness Ceased TradingOther Reason Third JobName & Address of Employer Telephone Number Start Date End Date Final Wage/Salary Reason For Leaving ResignedDismissedMade RedundantBusiness Ceased TradingOther Reason Fourth JobName & Address of Employer Telephone Number Start Date End Date Final Wage/Salary Reason For Leaving ResignedDismissedMade RedundantBusiness Ceased TradingOther Reason Fifth JobName & Address of Employer Telephone Number Start Date End Date Final Wage/Salary Reason For Leaving ResignedDismissedMade RedundantBusiness Ceased TradingOther Reason Additional Employment Info Enter details of any additional jobs you've had in the last five years or any breaks in employment of more than 4 weeks. Employment References Please give details of two people employers. If you have not worked in the last 5 years please supply details of professional/personal references (not relatives) known to you for at least 12 months that we could approach. Name of First Reference Occupation Address Daytime Telephone Mobile Telephone Name of Second Reference Occupation Address Daytime Telephone Mobile Telephone Declaration & SubmissionEQUAL OPPORTUNITIES POLICY This Company is an equal opportunities employer. The aim of our policy is to ensure no job applicant or employee is discriminated against in accordance with The Equality Act 2010. Selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities. All employees are given equal opportunity and encouraged to progress within the organisation. DECLARATION BY APPLICANT *I hereby certify that I have completed the Application Form correctly and give permission for the Company to make any necessary enquiries about me, including contacting my personal references and a check of police records. I understand that it is a criminal offence to make false statements on this Application Form as defined in section, 16 para 2c of the theft Act 1968 and that if it is subsequently revealed that I have made a false statement on this Application Form, it will be considered cause for instant dismissal and probable prosecution.I understand and confirm Date of Application (today) *
