How Did You Learn of This Vacancy?

For office use only

Application No: Date:

How did you learn of this vacancy?

Surname:Title: Mr/Mrs/Miss/Ms/Other

First Name(s)Date of Birth (DD/MM/YYY)

Address:

Home Tel:Work Tel:

Mobile Tel:Email:

National Insurance Number:

Do you have the right to work in theUK?YesNo

Are there any restrictions on your continuing residence or employment in the UK? YesNo (If Yes, please specify)

Do you hold a full current UK driving licence YesNo

If you answered YES to the above, is your licence free from endorsement? YesNo (If Yes, please specify)

Do you have any friends or relatives currently working for the company? Yes No(If Yes, please specify)

Name:Position Held:

Relationship:

Name:Position Held:

Relationship:

Have you ever been found guilty of any offence (other than driving offences) which is not considered ‘spent’ under the Rehabilitation of Offenders legislation: Yes No

(if Yes, please give details, these details can be given ona separate sheet and sealed in an envelope if so desired)

EDUCATION – PROFESSIONAL, POSTGRADUATE, DEGREE/DIPLOMA

Please list all degrees/diplomas/professional qualifications etc held or currently studied for, whether at first degree or postgraduate level. List most recent first and give all results known whatever the outcome.

From – To
Month/Year / Higher Education Institution / Award and Title of Award
(HND/Degree/Dipl/Msc/PhD
List main subjects below title / Results
(Expected/Awarded)

EDUCATION – PRIOR TO HIGHER EDUCATION

List most recent first and give all results known whatever the outcome.

From – To
Month/Year / Name of School/College Attended / Award and Subject (GCSE/A/ASLevels/Scottish Higher/ IrishLeaving/Access/GNVQ/Baccalaureate etc) / Results
(Expected/Awarded)

EMPLOYMENT AND WORK EXPERIENCE

Please describe any work (whether paid or unpaid) which you have undertaken

From – To
Month/Year / Employer / Job Title & Key Duties/
Responsibilities / Achievements

Please write up to 200 words explaining why you have applied for this role. You should highlight evidence of your suitability for this position, explain why your experiences are relevant and emphasis your skills, strengths and qualifications.

The following questions are designed to encourage you to identify specific abilities. You may write about your experiences gained during education, work experience, placements, spare-time or other voluntary activities. To ensure we consider you for the right vacancy, please be as honest and truthful as possible and avoid making obvious statements, such as ‘I am a good communicator’.

Please do not exceed 200 words for each of your answers. Continue on a separate sheet if necessary.

PLANNING, IMPLEMENTATION AND ACHIEVING RESULTS:

Describe a challenging project, activity or event that you have planned and taken through to a conclusion. Include your objective, what you did, any changes you made to your plan and state how you measured your success.

INFLUENCING, COMMUNICATION AND TEAMWORK:

Describe how you achieved a goal through influencing the actions or opinions of others (perhaps in a team context). What were the circumstances? What sort of contribution did you make? How do you know the result was satisfactory?

ANALYSIS, PROBLEM SOLVING AND CREATIVE THINKING:

Describe a difficult situation that you have had to deal with. State how you decided which were the critical issues, how did you cope and what was the outcome? What other approaches may you have taken?

Use this space to describe your interests and hobbies.

Please provide the name and contact details for 2 referees, one of which should be academic and one other personal

(neither should be a relative or friend)

ACADEMIC
OTHER
Please confirm that subject to success at application stage, that you will be available to attend an on-site assessment centre. (Please tick box below)
Yes No

DATA PROTECTION ACT 1998

The information you provide in this form and during our recruitment process will be processed according to the Data Protection Act 1998. Your information will be used by Zodiac seats UK to evaluate your application and may be used for statistical research, analysis and in the event of your appointment, for business purposes. If your application is unsuccessful, your data will be retained for a period of six months and will then be destroyed.
The inclusion of information on this form that is incorrect, or failure to include relevant details will disqualify you from consideration for the role applied for, or if you are appointed, may lead to your dismissal.
I RECOGNISE MY EMPLOYMENT IS SUBJECT TO THE RECIEPT OF SATISFACTORY REFERNCES AND THE SUCCESFUL COMPLETION OF A SIX MONTH PROBATIONARY PERIOD.
I DECLARE THAT THE INFORMATION I HAVE GIVEN IN THIS APPLICATION IS CORRECTY AND I HAVE NOT OMITTED ANY REQUIRED INFORMATION.
Signed Date: