Date Completed: Position:

Mr/Mrs/Miss/Ms: Location:

First Name: Surname:

Address: NI Number:

Mob Number:

Home Number:

Post Code: Email:

Email Address:

Work Experience

Employers Name & Address / Dates Employed Between / Job Title & Main Duties

Please Give References, which ideally should be from your last two jobs:

Name: / Name:
Organisation: / Organisation:
Address: / Address:
Postcode: / Postcode:
Telephone: / Telephone:
Email: / Email:
Your Position: / Your Position :
Dates position held: / Dates position held:
Are you able to read and write in English?
Can you work from instructions which are written in English?
Do you have a full clean driving licence valid for use in the UK?
If you have any points or convictions please list them here:
Do you have your own transport?
How many years have you held your licence?
Are you able to work flexible hours including weekends or nights?
When are you able to start work?
Would you consider temporary work?

What hours are you available to work:

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
Start Time
Finish Time

Do you have any relevant criminal convictions? Yes/No (Delete as appropriate)

If YES please call the office to request a self declaration form.

Explain why Cinderella Cleaning Contractors Ltd should consider you for this job role:

If you have any qualifications or training courses you would like to tell us about please list them here:

Thank you for completing this application form. We will reply to all successful candidates and invite them to an interview. If you do not hear from us about this role we may keep your application on file and contact you about more suitable roles which arise in the future.

Sign by applicant:Date:

V2

For Office Use Only

Date Received Back:Initial Impression:

Proceed to interview:Date of Interview:

Not Suitable:Outcome of Interview:

Keep on file for future:Response to applicant: