For Office Use Only Date: Time: ID: Shoe Size: Availability: Please email to:--------For any queries regarding the application, please contact: Tel: 01942 841200 Chartered Manager Degree Apprenticeship Application This application forms an important part of our selection process and enables the company to make a judgement about your suitability for the Apprentice Scheme. Please type on this document and make sure that you complete all sections fully and honestly. Position: Chartered Manager Degree Apprentice PERSONAL DETAILS Full Name: DOB: Title: Miss / Mr / Mrs / Ms Other________ Previous name(s): Home telephone number: Alternative contact number: Mobile telephone number: Do you need a work permit to work in the UK? (Please delete accordingly) Yes No Email Address: Nationality: Place of birth: Are you currently unemployed, self-employed or in full time education? VACANCY QUESTIONS Would you be prepared to work towards additional qualifications whilst working in this role? YES/NO We are looking for at least 4 years’ commitment. Can you commit to this? YES/NO Do you have a minimum of 5 GCSEs at Grade C or above or equivalent including Maths and English? YES/NO Are you fluent in English? YES/NO Do you have a degree, HND, HNC or equivalent qualification? YES/NO 1 EDUCATION, TRAINING, AND PROFFESSIONAL QUALIFICATIONS Please arrange in order of your most recent qualification first. Please state if the grade has been ACHIEVED or PREDICTED. School, College, University etc. Dates attended Qualification type 2 Subject Grade Achieved OR Predicted PREVIOUS EMPLOYMENT PLEASE GIVE DETAILS OF ALL PREVIOUS EMPLOYMENT, INCLUDING VOCATIONAL WORK OR INDUSTRIAL PLACEMENTS WHERE APPLICABLE: Name and address of employer Job title Dates (from-to) Referee (name and number if possible) WHAT SKILLS AND EXPERIENCE CAN YOU BRING TO THIS ROLE? (Maximum 250 words) 3 Reasons for leaving PLEASE GIVE AN EXAMPLE OF WHEN YOU HAVE WORKED IN A TEAM AND THE ROLE THAT YOU PLAYED IN THE TEAM (Maximum 250 words) BREIFLY OUTLINE WHY YOU ARE INTERESTED IN THIS APPRENTICESHIP (Maximum 250 words) 4 EQUAL OPPORTUNITIES & DIVERSITY IN EMPLOYMENT Stateside Foods Ltd. is committed to an Equal Opportunities & Diversity Policy and will assess applicant’s suitability for a position fairly without regard to gender, disability, marital status, race, colour, nationality ethnic or national origins or any other criteria not related to work performance. Please fill in this form as fully as possible to enable us to monitor the implementation of our Equal Opportunities & Diversity Policy. Forename:____________________________________ Surname:__________________________________________ Position applied for:____________________________________________________________________________________ Please tick the relevant box. I would describe my cultural and ethnic origin as: Oriental / South East Asian Black African Black Caribbean Asian White UK / Irish / European Black UK Other (please specify) _________ Marital Status: Single Married Male Female Other Gender: Equality Act 2010 Do you have any special requirements in relation to any possible future interview with the company? Do you have any special requirements in relation to the position you are applying for? If relevant, what is your Disability Registration Number? ______________________________________________________ 5 OTHER DETAILS For Health and Safety purposes please state if you are over 18 Do you have a current driving licence? Do you have your own transport? Yes No Yes No Yes No Yes No Yes No Yes No If no, what form of transport do you rely upon? Do you have any motoring convictions? If yes, please give details: Have you previously worked for Stateside Foods Ltd. before? If yes, please give details Do you have any criminal convictions (excluding those defined as “spent” under the rehabilitation of Offenders Act 1974)? If so, please give details Where did you hear about Stateside Foods? REFEREES Please note that if your application is successful, we will require a minimum of two work / personal / academic references. Please supply names and contact details of your referees below. Name Name Address Address Contact Telephone number Contact Telephone number Relationship Relationship DECLARATION I confirm that the details given on this application are correct to the best of my knowledge and belief. I understand that if I am employed by Stateside Foods Ltd, and it is subsequently discovered that I have made false statements or omissions on this application form, it will be considered cause for dismissal. I am aware that if my application is successful, my employment offer will be subject to the receipt of satisfactory references. Signature ____________________________________________________ Date _______/________/________ 6 Thank you for your application to Stateside Foods Ltd. Should we wish to take your application further we will contact you in due course. We regret that due to the large volume of application forms received each day we are not always able to respond to unsuccessful applicants. 7
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