Online Application Form

 
1, Name:
 

2, Prev Surname if App
   
3, Marital Status:
   
4, Title:
   
5, NI Number::  
   
6, Date of Birth:  
   
7, Age at Registration:
   
8, Address:
   
9, Postcode:
   
10, Home Telephone:
   
11, Mobile Telephone:
   
12, Other Telephone:
   
13, E-mail:
   
14, Do you have a clean & current driving licence: Yes No
   
15, Do you have access to transport: Yes No
   
16, If so what type:
   
17, If required are you in possession of a work permit: Yes No
   
18, If yes, is a copy held: Yes No
   
19, Date Seen:
   
20, Are you registered disabled: Yes No
   
21, Do you have any medical conditions that we need to be made aware of:
   
22, How many hours do you wish to work:
   
23, Required Salary:
   
24, Are you willing to work: Days
  Evenings
  Nights
  Weekends
   
25, Which locations are you able to travel to:
   
26, Do you have to give notice, if so how much:
   
27, Do you have any unspent criminal convictions, if so please give details:
   
28, Have you ever been dismissed or made to resign, if so why:
   
29, Are there any times of the year that you are unable to work:
   
30, What type of employment are you looking for: Temp
  Perm
   
31, If temporary please indicate how long you are available for:
   
Please tick all relevant experience/qualifications
LGV1 LGV2 Non LGV 7.5T PCV
Vans Multidrop Supermarkets CPC National
CPC Internat'l Tail Lift Fridge Frigo Bloc
Draw Bar Taut Liner A Frame Tippers
Containers Low Loader Rope & Sheet Hiab
Shunting ADR HGV Mechanic Tacho Exp
 
HHT Warehouse Safety Boots Hi Vis Vest
First Aid Cert Manual Handling Fork Lift Counter Balance
Reach Pump Truck Supervisor Loader
Order Picking Coldstore Case Counting Stock Control
   
LGV Licence Number
Class
Expiry
Endorsements
Removal Dates
Accidents (Last 5 years)
Any additional notes