Employment Application Form
We are registered with the Data Protection Registrar under entry Z1748242
PERSONAL INFORMATION
Surname ______Forenames______
Contact Telephone Numbers ______
(Place your preferred contact number first)
Email Address ______National Insurance No _____ / _____ / _____ / ______
POSITION APPLYING FOR: ______
Hours of Work Preferred: ______
Dates not available over the next 2 months: ______
(Reference Assessment/Interview)
______
Where did you hear about this position? ______Have you applied before? Y / N
Have you previously been employed by Gerber Juice Company Ltd/GerberEmig Group or Gerber Foods Soft Drinks Ltd or worked for our company through an external agency/contractor? Y / N
If yes, please provide details below:
Job Title ______Reason for Leaving ______
Crew______Department______
Date of Leaving ______Agency/Contractor name ______
If you are currently working for Gerber please note it is your responsibility to ensure your Line Manager is aware of your approach for this post. Please obtain their signature before forwarding the application to Liz McCrorie.
Signature______Printed Name______
What proof of Identity do you hold please circle: Passport / ID Card / Birth Certificate / NI Number
Do you have entitlement to work in the UK?Y / N
Do you have any convictions, which are not “spent” under the Rehabilitation of Offenders Act 1974?Y / N
If yes, please detail ______
______
Are you intending to have any other paid employment if you join Gerber Juice Company Ltd? Y / N
EDUCATION & QUALIFICATIONS – Please enclose photocopies of your certificates with this application (if not obtained through Gerber)
Warehouse Positions:CB LicenceY / Nexpiry date ______
Reach TruckY / Nexpiry date ______
Very Narrow Aisle (VNA)Y / Nexpiry date ______
Basic Health & SafetyY / N
Basic Food HygieneY / N
Production Positions:Quality Assurance ExperienceY / N
Continuous Improvement ExperienceY / N
Engineering Qualification/sY / N
Basic Health & SafetyY / N
Basic Food HygieneY / N
Office Positions:Basic Health & SafetyY / N
Basic Food HygieneY / N
Computer SkillsY / N
Work History - Please list your current and all previous employers leaving no gaps, giving most recent information first (continue on a separate sheet if necessary)
SUPPORTING STATEMENT – Please outline the skills, experience and knowledge you have gained through your work history, education or leisure activities which are relevant to your application.
References – Please give details of 2 employment references, one of which should be your current or most recent employer. We must ensure at least the last two years are covered, please continue on to a separate page if necessary. If you have not worked before, provide 2 character references who are not family members. We will not approach your referees until an offer of employment has been made.
1.2.
Name: ______Name: ______
Job Title: ______Job Title: ______
Address: ______Address: ______
______
Tel No:______Tel No:______
I confirm that the information given on this application form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.
Signed: ______Date: ______
Print Name: ______
Thank you for taking the time to complete this form, if you do not fully complete this form we may not consider your application any further. Please note candidates may be required to undertake assessments and interviews as part of the selection process, please let us know of any special requirements.
Return this application to:
Liz McCrorie
Gerber Juice Company Ltd
Mallard Court
Express Park
Bridgwater
Somerset TA6 4RN
Please make sure you have enclosed the following with your completed application (place a tick in the circle):
I have attached a covering letter/separate sheet.
I have enclosed photocopies of certificates that are relevant to the job application. (if not obtained through Gerber)
Office Use Only:
Comments on Application
Tel: 01278 441657 Fax: 01278 441691 Web Site: Email:
All information collated on this form will be kept in the strictest confidence.