Lead organisations
Participating Colleges

Employer

APPRENTICESHIP APPLICATION FORM
PERSONAL DETAILS
Full Name:
Address (including postcode):
Date of Birth: / Email Address
Home Tel No (including code): / Mobile No:
Please tick
Are you legally eligible for employment in the UK? / YES / NO
Do you have any physical or mental condition which could limit your ability to perform the particular job for which you are applying? / YES / NO
If YES, please describe your condition and how you would be able to perform the job in spite of it?
Do you have a current driving licence? / YES / NO
Is it clean? / YES / NO
If NO, please give details
Do you have your own transport / YES / NO
Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974? / YES / NO
If YES, please give details
EMPLOYMENT DETAILS
If you are offered this position, would you continue to work as an employee of any other / YES / NO
company or as a self employed individual?
If YES, please give details
Have you previously worked for this Company? / YES / NO
If YES, please give details
On what date would you be available for work?
EDUCATION DETAILS
Present / Last School attended:
SECONDARY SCHOOL / FROM / TO / LEVEL OF QUALIFICATION (GCSE, A Level, etc) / SUBJECTS / COURSES / Grade
(if exams already taken) / Expected Grade
(if awaiting results)
COLLEGE / UNIVERSITY / FROM / TO / LEVEL OF QUALIFICATION / SUBJECTS / COURSES / Grade
(if exams already taken) / Expected Grade
(if awaiting results)
FURTHER EDUCATION / FORMAL TRAINING / FROM / TO / LEVEL OF QUALIFICATION / SUBJECTS / COURSES / Grade
(if exams already taken) / Expected Grade
(if awaiting results)
Are you a current member of a professional body?If YES, please give details / YES / NO
Name of Professional Body: / Level of Membership:
YOUR INTERESTS – Please indicate your hobbies and interests:
ENGINEERING EXPERIENCE(You may use an additional page if required.)
Give details on why you wish to pursue a career in civil engineering.
Please outline any engineering experience you may have gained which could be applicable to a career / apprenticeship in civil engineering.
What do you think will be the greatest challenge for civil engineers and technicians in the future?
EMPLOYMENT HISTORY – List below your present and past employment in full, beginning with your most recent (continue on a separate sheet if necessary). Please write N/A if this will be your first job.
Name and Address of Employer: / Job role:
From: / To:
Job Title:
Manager’s Name: / Leaving Salary:
Contact Number: / Reason for Leaving:
Outline your main responsibilities:
Name and Address of Employer: / Job role:
From: / To:
Job Title:
Manager’s Name: / Leaving Salary:
Contact Number: / Reason for Leaving:
Outline your main responsibilities:
I hereby give my permission to contact previous employers regarding my work experience
Signature:
Please indicate if there is a particular employer(s) whom you do not wish us to contact:
ADDITIONAL INFORMATION – Please provide any additional information relevant to your application:

RELIGIONS EQUALITY OF OPPORTUNITY IN EMPLOYMENT

SELF CLASSIFICATION BY EMPLOYEE/JOB APPLICANT

STATEMENT OF COMMUNITY BACKGROUND

The attached form asks you to provide information on your community background. This leaflet explains why.

We are fair employers; we do not discriminate on the grounds of religious belief or political opinion; we practice equality of opportunity in employment.

Most important of all - we operate the merit principle, i.e. we select the best man or woman for the job.

We want to show we are fair employers; we want to demonstrate - clearly and openly - our commitment to equality of opportunity in employment.

To do so we need to monitor the community background of our employees and job applicants.

So we are asking you to help us by completing the attached form.

The information that you are asked to supply will be treated in the strictest confidence and protected from misuse.

It will be used only for the purpose of monitoring our equality of opportunity in employment policy.

The terms of this leaflet are as recommended to employers by Government.

The Partners

FAIR EMPLOYMENT & TREATMENT (NORTHERN IRELAND) ORDER 1998

WDR & RT TAGGART

Questionnaire on Community Background

Personnel Reference Number :

Please indicate the community to which you belong by ticking the appropriate box below:

I am a member of the Protestant community
I am a member of the Roman Catholic community

I am a member of neither the Protestant nor the Roman

Catholic community

Please indicate sex : MALE / FEMALE

Date of birth:______

Health – Give details of any disability or past serious illness

______

______

______

When you have completed this form you should return it in the envelope provided to :

The Monitoring Officer

WDR & RT Taggart

Laganwood House

Newforge Lane

BELFAST

BT9 5NX

Thank you for your co-operation.

The information which you give on this form will be treated in the strictest confidence and will not be used for any purpose other than monitoring the firm's policy on equality of opportunity.

Head Office - Laganwood House, Newforge Lane, Malone Road, Belfast, BT9 5NX; Tel 028 9066 2121

Email: ;Web: