Elsomsseeds Ltd, Spalding, Lincolnshire, PE11 1QG. Telephone 01775 715000

ElsomsSeeds Ltd, Spalding, Lincolnshire, PE11 1QG. Telephone 01775 715000

CONFIDENTIAL APPLICATION FOR EMPLOYMENT

POSITION APPLIED FOR:______
Name (in full)
Address
Post Code
Telephone: / Home / Mobile

EDUCATION:

Secondary School(s) attended

G.C.S.E., and A Levels or equivalent(with grades)

University/College attended and Qualifications

Professional or Occupational (forklift, spraying etc) Qualifications and Training

Computer Qualifications or Skills

PERSONAL HEALTH: (All information given will be treated in strict confidence and only for lawful purposes)
Are there any disabilities which may affect your application?
If your answer is 'yes', are there any reasonable adjustments which we may need to make?
Is there any relevant type of work you cannot do for health reasons?
Have you been involved in any accident notifiable under the Health and Safety act Work Regulations?

Would you be prepared to have a medical examination?

DRIVING:

Do you have a current driving licence?

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Provisional/Full/HGV

Any current or pending endorsements/points penalties? (Give details)

Any accidents in the last 5 years? (Give brief details)

EMPLOYMENT HISTORY: Please work back from most recent experience

Employer and type of business

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Period

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Position held

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Reasons for leaving

Up to

From

Up to

From

Up to

From

Up to

From

WORK PERMITS ETC:

Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK?

/

Yes/No

If you are successful in your application would you require a work permit to work in the UK?

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Yes/No

Have you been convicted of a criminal offence (declaration subject to the Rehabilitation of Offenders Act 1974)?

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Yes/No

PERSONAL INTERESTS ETC:

Clubs/Societies/Hobbies together with any offices held in Sports/Social Clubs and any Public Duties (e.g. local councillor) undertaken:

Please give any other facts which you think would be useful in considering your application

Are you currently employed?

If so, how much notice do you need to give your present employer?

Data protection

Information from this application may be processed for purposes registered by the Employer under the Data Protection Act 1998. Individuals have, on written request the right of access to personal data held about them.
I hereby give my consent to ElsomsSeeds Ltd processing the data supplied in this application form for the purpose of recruitment and selection.
Declaration
I declare that the information given in this application is to the best of my knowledge complete and correct.
Signature Date
Note any false, incomplete or misleading statements may lead to dismissal.