Application Form

We are an equal opportunities employer

GEDA CONSTRUCTION

An Equal Opportunity Employer

APPLICATION FOR EMPLOYMENT
Position Applied For:
PERSONAL DETAILS
Full Name: / Title:
Address (including postcode):
Home Tel No (including code): / Work Tel No (including code):
Mobile No: / Email Address:
National Insurance / PPS Number:
Please tick the box which applies to you
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?
Are you colour-blind? / YES / NO
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
Have you ever claimed/received compensation for an injury? / YES / NO
If YES, please give details
EMPLOYMENT DETAILS
Are you available for full time work? / YES / NO
If NO, please state days/hours you are available for
If you are offered this position, would you continue to work as an employee of any other company or as a self employed individual / YES / NO
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
SECONDARY SCHOOL / FROM / TO / LEVEL OF QUALIFICATION (GCSE, A Level, etc) / SUBJECTS / COURSES / GRADE / RESULT
COLLEGE / UNIVERSITY / FROM / TO / LEVEL OF QUALIFICATION / SUBJECTS / COURSES / GRADE / RESULT
FURTHER EDUCATION / FORMAL TRAINING / FROM / TO / LEVEL OF QUALIFICATION / SUBJECTS / COURSES / GRADE / RESULT
Are you a current member of a professional body? / YES / NO
If YES, please give details
Name of Professional Body:
Level of Membership:
Entitled to use which designation (e.g. MICE, MCIOB):
Please outline the skills, qualities and experience you have gained through employment and which you feel you can bring to this position
EMPLOYMENT HISTORY – Please list below your present and past employment in full, beginning with your most recent (continue on a separate sheet if necessary)
Name and Address of Employer: / Details:
From: / To:
Job Title:
Starting Salary:
Manager’s Name: / Leaving Salary:
Contact Number: / Reason for Leaving:
Outline your main responsibilities:
Name and Address of Employer: / Details:
From: / To:
Job Title:
Starting Salary:
Manager’s Name: / Leaving Salary:
Contact Number: / Reason for Leaving:
Outline your main responsibilities:
Name and Address of Employer: / Details:
From: / To:
Job Title:
Starting Salary:
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 use the space below to provide any additional information which you feel may be relevant to your application:
YOUR INTERESTS – Please use the space below to tell us what you enjoy doing outside of work:
PERSONAL REFERENCES – Please give details of two people (not relatives or former employers) whom we may approach for character references:
Name: / Name:
Address: / Address:
Telephone No: / Telephone No:
Occupation: / Occupation:
Capacity in which you know this person: / Capacity in which you know this person:
The facts set forth in this application for employment are, to the best of my knowledge, true and complete.
Signature: / Date:
FOR OFFICE USE ONLY
Interviewers may wish to use this space to make additional notes.
Comments:
Signature: / Date:

GEDA CONSTRUCTION

An Equal Opportunity Employer

Please complete this form clearly in black ink

Geda Construction is an equal opportunities employer. The policy of the Company is to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, marital status, disability, religion, ethnic or national origins, nor should they be disadvantaged by conditions or requirements which are not justified and relevant to the job. Selection criteria and personnel procedures are reviewed to ensure that individuals are selected, promoted and treated in all other ways purely on the basis of their merit and ability to do the job for which they have applied.

Under the provisions of the Fair Employment (NI) Act 1989, we are required to monitor the religious affiliation of our job applicants. This information also helps us monitor the effectiveness of our policy and to ensure that our employment practices are fair. The answers to the questions below will be treated as strictly confidential and will provide statistical information to senior management, who will be responsible for seeing the selection processes are carried out correctly. This sheet will be detached before the application form is considered by management involved in the selection procedures.

Your co-operation would be of great value since the provision of the information is essential in order to enable us to demonstrate that our employment practices are fair.

Position Applied For:
Where did you hear of the vacancy?
Please tick the box which applies to you
1. / Sex / Male / Female
2. / Date of Birth (DD/MM/YYYY)
3. / 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

Under the Disability Discrimination Act 1995 a person is considered to have a disability if he/she has a physical or mental impairment which has asubstantial and long term adverse effect on his/her ability to carry out normal day to dayactivities. Please note that it is the effect of the impairment, without treatment, whichdetermines if an individual meets this definition of disability.

4 (a) / Do you consider yourself disabled? / YES / NO
(b) / Are you a Registered Disabled Person? / YES / NO
(c) / Are there reasonable adjustments that we could make that would enable you to enjoy equality of opportunity in getting a job / working with us? / YES / NO
If YES, please specify:
5. / Marital Status (please tick the box which applies to you):
Single (never married) / Married (living with spouse) / Married (separated)
Civil partnership (same sex) / Divorced / Widowed
Other:
6. / Racial / Ethnic Origin (please tick the box which applies to you):
White / Chinese / Irish Traveller
Indian / Pakistani / Bangladeshi
Black African / Black Caribbean / Black Other
Mixed Ethnic Group / Other
7. / Please state your nationality:
If born and / or educated outside Northern Ireland, please give details:

Head Office – 36 Moor Road, Coalisland, Co Tyrone, BT71 4QB; Tel 028 8774 7600; Fax 028 8774 7601

Regional Office – 9 High Street, Kegworth, Derbyshire, DE74 2DA; Tel/Fax 01509 670 878

Email ; Web