Application for Employment

The following instructions should be followed carefully. Benchmark Security Solutions works to BS 7858. As a result full and accurate completion of this form is essential. It will also speed up the time taken for us to process your application and may well save you inconvenience at a later date.

·  Answer ALL questions in BLOCK CAPITALS. Where a question cannot be answered, insert NIL, NO, or N/A as appropriate.

·  Please specify telephone contact number(s) where we may contact you QUICKLY.

·  If you have served in H.M Forces, we will require copies of your service documents with the initial application. This also applies to persons who have served in the Merchant Navy.

·  We will require two passport size photographs with your application.

·  In the event that you have worked for a company or firm in the past that has ceased trading, it will assist us greatly if you can provide us with details of a person (not a relative) who can confirm your employment status with that company or firm. Additionally, you may be required to obtain a signature of an official person, usually a Solicitor, in front of whom you swear that you worked at such a company or firm.

·  You are required to provide a complete work history details for the last 10 years, or back to school, including periods of unemployment and any part-time employment.

·  Please give the full postal address of all employers and Employment Service Offices where applicable.

·  Once the Application Form has been completed, please post it to our Head Office (address below), where it will be processed. Applicants will then be contacted and invited for interview locally.

·  If you have any questions regarding this application form, please contact:

Benchmark Security Solutions Ltd.

Roeacre House

Roeacre Business Park

Fir Street

Heywood

OL10 1NW

Personal
Position applied for
Title
Surname
Forename(s)
Previous Names (if applicable)
Date of Birth
Place of Birth
Nationality
Address
Town/City
County
Post Code
Previous Address (if less than two years)
Town/City
County
Post Code
Telephone Number
Mobile Number
N.I. Number
SIA Licence Number(s)
Please give details of any outstanding Criminal Convictions
Next of Kin – Name
(to be contacted in the event of an emergency)
Address
Telephone Number
Their Relationship to you
Name of Bank
Account Name
Sort Code
Account Number
Do you have your own transport? (Delete as appropriate) / YES /NO
If Yes - Motor vehicle (car) / Bicycle / Motorcycle or Scooter
Driving Licence Number
Bank & Public Holidays are some of the busiest days in our industry.
Please confirm that you are prepared to work on these days – delete as appropriate. / YES - I am prepared to work on Bank & Public Holidays.
NO – I am not prepared to work on Bank Holidays
The EU Working Time Regulations 1998 specify that an employer must not allow any worker to work more than 48 hours in any one week unless they sign an opt-out.
If you are prepared to work more than 48 hours in any week you are required to sign an opt-out declaration, which you can cancel with appropriate notice to the employer at any time by giving the appropriate notice.
Please confirm by deleting YES or NO as appropriate as to your preference: / I wish to opt-out of the EU Working Time Regulations and am prepared to work more than 48 hours per week.
YES / NO
I do however recognise that Benchmark Security Solutions Ltd. may deny or withdraw any personal request to work in excess of 48 hours.
I recognise and accept this (Please tick box)

EDUCATION
Name of Secondary School
Address
Town/City
County
Post Code
Qualifications / Subject / Grade
Please use separate sheet if there is insufficient space above
Name of Further Education Establishment
Address
Town/City
County
Post Code
Town/City
Qualifications / Subject / Grade
Please use separate sheet if there is insufficient space above
Other Qualifications (Please use separate sheet if there is insufficient space)
MILITARY SERVICE
Have you ever served in the Royal Navy, RAF, Army or Merchant Navy? / YES / NO
Specify
Date joined
Date of Discharge
Rank attained
Serial/Regimental Number
OUTSIDE INTERESTS
Give details of sporting/leisure interests including membership of clubs/associations
PERSONAL REFEREES
Please provide details of TWO references (not relatives) that you have known for at least three years and who would be willing to provide a character reference.
Name / Name
Address / Address
Tel. / Tel.
EMPLOYMENT HISTORY
The security screening process requires that we are able to verify your personal history for a period of ten OR FIVE years, or to date of leaving school.
Please give details of your personal history, identify in the space provided all periods of EMPLOYMENT SELF employment, registered or unregistered unemployment (state the unemployment office which you reported to), military service. Be sure to give full addresses including, telephone numbers and dates.
Name & Address & Telephone No. of Employer / Person to whom your reported / Position held / Employment Dates / Reason for Leaving
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
Please use additional sheet if necessary
Do you or any of your immediate family have any connections or involvement with any company or business providing security services? / YES / NO
If YES, please give details
In the case of any Self Employment please answer the following questions:
IN THE CASE OF PERIODS OF SELF-EMPLOYMENT PLEASE GIVE NAME(S) AND ADDRESS(ES) OF SOMEONE WHO CAN CONFIRM YOU’RE DETAILS
(e.g. ACCOUNTANT, and OR SOLICITOR).
HAVE YOU BEEN MADE BANKRUPT? / YES / NO
If YES, please give details
DO YOU HAVE ANY COUNTY COURT JUDGEMENTS? / YES / NO
If YES, please give details
DO YOU OBJECT TO THE COMPANY CONTACTING A CREDIT AGENCY WITH REFERENCE TO YOURSELF? / YES / NO
EQUAL OPPORTUNITIES
Benchmark Security Solutions is an equal opportunities employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of age, sex, disability, marital status, creed, colour or ethnic origin, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Selection criteria and procedures are frequently reviewed to ensure individuals are selected and treated on the basis of their relevant skills and abilities. To ensure that this policy is fully and fairly administered, it would help us if you would provide the following information:
I would describe my Ethnic Origin as:
I would describe my Religion as:
Benchmark Security Solutions also recognises and embraces the provisions of the Equality Act 2010 that came into force on 1 October 2010. These new provisions include a new rule which limits the ability of employers to ask job applicants pre-employment health questions, with the aim being to protect disabled job applicants from discrimination during the recruitment process. Under the provisions there are specified circumstances in which employers can continue to ask pre-employment health questions. It will still be possible to ask questions that are necessary for the purpose of:
·  Establishing whether the applicant will be able to carry out a function that is intrinsic to the work concerned,
·  Monitoring diversity in applications,
·  Taking positive action in relation to applicants with a disability (e.g. guaranteeing an interview for disabled applicants),
·  Establishing that the applicant has a particular disability, where having that particular disability is a requirement of the particular role.
Do you suffer from any illness or disability which may prevent you from carrying out any function intrinsic to the job/role you are applying for? / Yes / No
If the answer is Yes please provide details
UNIFORM INFORMATION
Shirt collar size (inches)
Pullover (s/m/l or higher)
Chest (inches)
Waist (inches)
Shoe (UK size)
DECLARATION
READ THIS SECTION CAREFULLY BEFORE YOU SIGN THE STATEMENT
1.  IF OFFERED EMPLOYMENT IT WILL BE INITIALLY FOR A PROBATIONARY PERIOD OF 16 WEEKS.
2.  AFTER A PERIOD OF 12 WEEKS FROM START DATE FOR SCREENING:
3.  DURING THE PROBATIONARY PERIOD YOUR CONTRACT OF EMPLOYMENT MAY BE TERMINABLE BY THE "COMPANY" BY NO LESS THAN 24 HOURS NOTICE IN WRITING. THIS APPLIES TO SCREENING PERIOD ALSO.
4.  CONTINUED EMPLOYMENT IS CONDITIONAL UPON SATISFACTORY SCREENING, MEDICAL AND GENERAL PERFORMANCE.
STATEMENT TO BE SIGNED BY APPLICANT
I ______CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE INFORMATION I
HAVE GIVEN IS COMPLETE AND CORRECT, AN I UNDERSTAND THAT MISREPRESENTATION OF FACTS IS GROUNDS FOR IMMEDIATE DISMISSAL AND RENDERS ME LIABLE FOR PROSECUTION.
I AUTHORISE THE COMPANY TO APPROACH ANY GOVERNMENT AGENCIES, FORMER EMPLOYERS, CREDIT AGENCIES AND PERSONAL REFEREES TO VERIFY THE INFORMATION GIVEN, AND WILL SUPPLY A STATUTORY DECLARATION IF REQUIRED (I GIVE PERMISSION FOR MY PRESENT EMPLOYER TO BE APPROACHED).
APPLICANTS SIGNATURE
DATE
Comments – Please include any information you feel will be relevant to you application
For Office Use Only
SUPPORTING DOCUMENTATION
Documents / Seen
Yes / No – type / Date / Copy Retained
N.B. PHOTOCOPIES OF ONE THE ABOVE DOCUMENTS ARE TO BE INCLUDED WITHIN VETTING PAPERS.
Birth Certificate
Passport (if held)
S.I.A. Licence
Service Record (if held)
Utility Bill - 1
Utility Bill - 2
Bank Statement
Photographs x 2
INTERVIEWERS ASSESSMENT (office use only)
Sense Tests
a)  Colour Blindness - OK / FAILED
b)  Hearing - OK / FAILED
c)  Smell - OK / FAILED
INTERVIEWERS SIGNATURE:______DATE:______
I HAVE CHECKED THE DETAILS OF THIS APPLICATION FORM AND CONFIRM THAT ALL
INFORMATION IS CORRECT AT TIME OF INTERVIEW.
INTERVIEWER’S NAME: …………………………………… SIGNATURE: …………………………… DATE: …….....……

1 | Page BSS HR 01 Dec 2012 – V.1.2 App. M/D