Application for Employment s1

Initial Application for Employment.

HR001 s1 v6.0
Please complete this online form to apply for employment with Eboracum®. If you have any questions, feel free to call the team on 01904 295570
Position/Role applied for:
EG. Admin staff, Security, Steward, etc
Full Name:

First NameMiddle NameLast Name
Date Of Birth*

DayMonthYear
Date of birth.
Age*
Place of birth*
Telephone number(s):*
E-mail Address:*
example@example.com
Current Address:*

Street Address

Street Address Line 2

CityCounty

Post Code
Date moved in:*

DayMonthYear
The date that you moved in.
Please confirm that you are 18 years old or over - this is to comply with industry regulations
Address History

If you have been at your current address for less than five years, we will require the previous addresses should this applicatin be progressed.
If this application is progressed, do you have any of the following documents available, showing your current address? (Tick any that you have)*

Drivers licenseBank/Credit card statement dated within the last 3 monthsUtility Bill dated within the last three monthsP45/P60Letter from governmental department (ie. HMRC, Job centre, etc)Letter from the local council ie,. Council tax statements, etc.Letter from education establishment ie. University or collegeOther

SIA Licenses
If you have an SIA license, please provode detaile below.

If this is NOT a secutity role, please leave this section blank.
SIA license numbers and expiry dates:
It is important to include accurate license details here.
Please upload a photograph of your SIA license

Cancelof

Employment, education, leave and unemployment history
Please provide your employment/education/benefits for the last 5 years.
Employment History for last 5 years.*
Name of current or most recent employer orDWP office, or name of school/university:
Address:
Email address:
example@example.com
Employer Telephone No:
Position Held:
Reporting to (manager name)
Reason for leaving:
Employment start date:

DayMonthYear
Date
Date employed to (If currently still employed, please leave blank):

DayMonthYear
Date
Can we contact these organisations now?
WE WILL ONLY CONTACT CURRENT AND PREVIOUS EMPLOYERS IF EMPLOYMENT IS OFFERED AND ACCEPTED, AND YOU GIVE IS PERMISSION TO DO SO.
If this application is progressed, we may require more details of employment/education history for the past 5 years. Would you be able to provide this information during an interview?

Job Skills & Training
Please tell us about your skills and any experience that you may have relating to this role:*
If you hold any other relevant certifications or qualifications, please tell us about these:

Right to work compliance
Do you have a right to work in the United Kingdom?*
Are you subject to immigration control?*
If you have any restrictions, please provide details here:
If this application is progressed, are you able to provide documentary evidence of your right to work in the UK? (Ie. passport, biometric passes, etc)

Criminality Declaration
Have you, ever been fined, cautioned, sentenced to imprisonment or placed on probation for a criminal act (subject to the Rehabilitation of Offenders Act)? *
Are there any alleged offences outstanding against you? *
If you have answered YES to any of the above two questions, please give details below:
Please sign to confirm that the criminality declaration information is accurate and correct.*

Clear

Other Declarations
Have you, ever been made bankrupt or have any Court Judgments against you, whether satisfied or not, within the last 6 years? *
Has any order been made against you by a Civil or Military Court or Public Authority?*
If you have answered YES to any of the above two questions, please give details below:

Personal Reference and Employment Verification
Please read this section carefully before signing the application form.

Declaration: I understand that any employment with the company is subject to reference and screening in accordance with BS7858 and/or other standards applicaple to the role that I am applying for.

I undertake to cooperate with the company in providing any additional information required to meet these criteria, I authorise the company to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies.

I authorise the company and/or its nominated agent to approach previous employers, schools/colleges, character referees or Government Agencies to verify that the information I have provided is correct I understand that some of the information I have provided in this application will be held on a computer and some or all will be held in manual records.

I consent to the companies reasonable processing of any sensitive personal information for the purpose of establishing my medical condition and future fitness to perform any duties.

I accept that I may be required to undergo medical examination where requested by the company. Subject to the access of medical record act 1988, I consent to the results of such examinations to be given to the company.

I understand and agree that if so I will make a statutory declaration in accordance with the provisions of the statutory declarations act 1835, in conformation of previous employment or unemployment. I hereby confirm and clarify that, to the best of my knowledge; the details I have given in this application form are complete and correct.

I understand that any false statement or omission to the company or its representatives may render me liable to dismissal without notice and/or prosecution If appropriate.
Data Protection Notification
Signature*

Clear
Name*

First NameLast Name
Date*

DayMonthYear
Date

The information you have provided in completing this form will be used to process your application for employment. The company will keep this information confidential and will not divulge any part to third parties, except where required by law, or where we have retained the services of a third party representative to act on your/our behalf.

The company will store your personal details on electronic and hard copy format. Some of the details you provide will be input onto web based software to create online schedule/training accounts. You have a right to request any information held about you and can do so by contacting the Data Controller on 0800 644 1660 to begin the subject access process.

I have read the data protection notification and understand & agree to the use of my personal data in accordance with the data protection act 1998 / General Data Protection Regulation after 28th May 2018.
Declaration
I declare that the information I have given in this application is correct to the best of my knowledge. I understand that if I am employed by the company and it is later discovered that I have withheld or falsified relevant information, disciplinary action may be taken up to and including dismissal. I also agree for Eboracum to deduct £15.00 from my first wage packet to cover the cost of a consumer information/credit check. Should I leave employment within 60 days for any reason, Eboracum may dediuct costs to cover any vetting admin charges connected with my application.
Signature*

Clear
Full Name*
Date*

DayMonthYear
Date
Please take/upload a recent head shot photograph of yourself (This may be printed on your company ID if employed).

Please make sure that this is a recent photograph and a true representation of yourself at the time of this application.
Cancelof
Eboracum Contact Email
example@example.com
Should be Empty:

Initial Application for Employment.

SIA Licenses

Employment, education, leave and unemployment history

Job Skills & Training

Right to work compliance

Criminality Declaration

Other Declarations

Personal Reference and Employment Verification

Data Protection Notification