Bells Of Lazonby
Application For Employment

Please complete this form in your own handwriting.

Use additional paper if required.

Please return to: HR, Bells of Lazonby, Edenholme Bakery, Lazonby, Penrith, Cumbria, CA10 1BG

Position Applying For:

Surname: Age if under 18yrs:

Other Names: National Insurance No:

Address:

Post Code:

Telephone No: (Home) (Mobile) Work:

(if convenient)

If you have a disability please tell us about any adjustments we may need to make to assist you at interview.

Are you willing to undergo a Medical Examination? YES/NO

Do you hold a full clean driving license? YES/NO Do you have your own transport? YES/NO

Please give details of any endorsements:

Have you ever been convicted of a criminal offence?

If yes, please give details:

(Declaration subject to the Rehabilitation Act 1974)

EDUCATION AND QUALIFICATIONS:

DATE:
FROM - TO / NAME OF SECONDARY SCHOOLS, COLLEGES & UNIVERSITIES ATTENDED / EXAMINATIONS PASSED / ACTIVITIES & POSITIONS OF RESPONSIBILITY HELD

Please give details of:

Other Training & Qualifications (include part-time study) Any Hobbies & Leisure Interests.______

______

______

EMPLOYMENT DETAILS

Dates of employment should be continuous with current or most recent employment. Any breaks in employment should be explained in the section below.

DATE
FROM - TO / NAME & ADDRESS OF EMPLOYER / POSITION HELD, DUTIES AND RESPONSIBILITIES / REASON FOR LEAVING / SALARY/WAGE

*Use another sheet of paper if required.

Please explain any breaks in employment:

Period of notice required in current employment:

Please give details of any personal qualities, skills, qualifications or experience which you feel are relevant to the position applied for:______

______

Please tell us if there are any dates when you will not be available for interview:

Please supply the names and addresses of two persons, other than relatives, who will supply references. No approach will be made to your present employer before an offer of employment is made to you.

Name: / Name:
Address: / Address:
Tel. No. / Tel. No.

I certify that the information given on this form is accurate. I accept that providing deliberately false information could result in dismissal.

Signed: Date:

FOR OFFICE USE:

Holiday requirements

Uniform Chest Size: Waist: Leg Length:

Shoe Size: Jacket: Shirt:

Issue 4 HR app.form J K 26/02/201611:34:20 HRR020