APPLICATION FOR EMPLOYMENT

Please attach a copy of your current CV

Position applied for: How did you learn of this vacancy:

(If through a current employee, please name them)

Although staff are required to work any of the following shifts, please tick your preference, (if any):
Dayshift Rotating Double Dayshift Rotating Triple Shift Fixed Nightshift

PERSONAL DETAILS Surname: Address: First Names: Telephone Number: Mobile Number: Post Code: National Insurance No: Do you have a current full driving licence? Do you have any current endorsements? Do you have a criminal record? YES / NO YES / NO YES / NO Email Address: Do you require a work permit?
(If yes, please give details)

YES / NO YES / NO

Do you have a disability which may have a bearing on this application ? Date of Birth (if under 18years of age)

REFERENCES (2 persons who could provide us with work references one of whom must be your present/most recent employer) 1. 2. Name: Name: Address: Telephone Number: Email Address:
Can this referee be contacted immediately? YES / NO

Address: Telephone Number: Email Address:

Can this referee be contacted immediately? YES / NO

EDUCATION & QUALIFICATIONS (Including membership of professional bodies) Name of School/College/University Qualifications gained (with grades)

EMPLOYMENT HISTORY Starting with present/most recent (Please complete in full, adding a separate sheet if necessary)

Butlers Leap, Rugby.CV21 3RQ.

Telephone 01788 559000

Fax: 01788 568183

June 2011

Dates

Company name & address

Job title

Salary

Reason for leaving

PRODUCTION APPLICANTS ONLY Have you had experience of reading engineering drawings? (If so, please state most recent employment when this was a requirement.)

Have you had experience of using verniers, micrometers, or any other measuring equipment? (If so, please state what type of equipment and the date last used on a regular basis.)

ADDITIONAL INFORMATION
Please give details of past-times, sports, hobbies, etc and any further information which you feel may support your application.

DECLARATION (Please read this carefully before signing this application)

1. 2. I confirm that the information given on this form is, to the best of my knowledge, accurate and complete and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. I agree that the company reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.

Signed:

Date:

Butlers Leap, Rugby.CV21 3RQ.

Telephone 01788 559000

Fax: 01788 568183

June 2011

EQUAL OPPORTUNITY MONITORING

We are an equal opportunity to employee. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation, gender reassignment, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please choose one section from A to E, ticking the appropriate box to indicate your cultural background, then tick one box in section F to indicate your sex.

White British Irish Any other White background, please specify ...

Mixed White and Black Caribbean White and Black African White and Asian Any other Mixed background, please specify ...

Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background, please specify ...

Black or Black British Caribbean African Any other Black background, please specify ...

Chinese or other ethnic group Chinese Any other, please specify ...

Male Female

Name: Signed:

......................................................................... ......................................................................... Date: ...........................................

Butlers Leap, Rugby.CV21 3RQ.

Telephone 01788 559000

Fax: 01788 568183

June 2011