Application Form
Please complete all sections in block capitals and submit to your local store.
POSITION APPLIED FOR
Position Applied for:
What hours can you work per week (please
complete the boxes below to indicate which days and
hours per day you can work)
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
What is the maximum number of hours
per week you can work?
Start time
Date when available to start
Finish time
PERSONAL DETAILS
Surname
First Name(s)
Any previous names i.e. Maiden name
Address (including postcode)
Home telephone number
Mobile telephone number
Do you have the right to work in
the UK?
National Insurance Number
Yes
E-mail address
How did you hear about the position?
No
Do you have any planned holiday arrangements?
YES
NO
If YES, please specify dates ____________________________________________________________
CURRENT OR MOST RECENT EMPLOYMENT
Full name(s) and address of your current or last employer
Telephone Number:
Email address:
Postcode:
Date started:
Date left:
Reason for leaving:
Job title:
Current salary:
Current notice period:
EDUCATION/QUALIFICATIONS
Please give details of your educational history – putting the most recent first. List all schools, colleges, universities you have attended. If we invite you to an
interview, we will ask you to provide original proof of any relevant qualifications if necessary.
Name and address of establishment
Qualifications
Date(s) of attendance
TRAINING
Please give details of any relevant qualifications, courses or training that you have completed.
Details of qualification, course or training
Organising body
Date completed
PREVIOUS EMPLOYMENT & REFERENCE DETAILS
Please enter details of all your work experience, including periods of non-employment, unpaid work, voluntary work and study. We have the right to ask any of your
previous employers for a reference. The Company will request in writing 5 years of employment history. If you have worked for more employers than the
application form allows please complete on a separate sheet.
1. Referee
2. Referee
Full name and address of your previous employer:
Full name and address of your previous employer:
Telephone number:
Telephone number:
Email:
Email:
Position held:
Position held:
Brief description of duties:
Brief description of duties:
Dates of Employment
Dates of Employment
From:
Reason for leaving:
To:
From:
Reason for leaving:
To:
PREVIOUS EMPLOYMENT
Have you previously been employed by Ryman?
YES
If YES, please state previous store, position and dates of employment.
NO
CONVICTIONS
Have you ever been convicted of a criminal offence, that is not regarded as spent under the Rehabilitation of Offenders Act 1974 or do you have any
prosecutions pending?
YES
NO
If you answered “Yes” then please provide further details:
DECLARATION
Are you related to or know anyone who works for the Company?
YES
If YES, please provide their full the name, position and store if known.
NO
If YES, please give details.
Do you have any business or financial interest which might conflict with
the duties of the job? This includes working for a competitor.
YES
NO
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DATA PROTECTION STATEMENT
As a requirement of current Data Protection legislation, the information that you provide on this form and that is obtained from other
relevant sources will be used to process your application for employment. The equal opportunities information that you give us will be
used in a confidential manner to help us monitor our recruitment process.
Once the recruitment process is completed, if you are unsuccessful, the data will be stored for a maximum of 4 months and then
destroyed. If you are a successful candidate, relevant information will be taken from the application form and used as part of your
personnel record and stored for the appropriate time period.
Any offer of employment is subject to the Company obtaining satisfactory references and evidence that you have eligibility to work in the
UK.
In order to protect the funds that we handle we may use the information you have supplied to prevent and detect fraud. We may also
share this information with other parts of the Group that handle funds.
By signing below, you agree that the information provided is true and accurate to the best of your knowledge and that you have read and
understood the above statements. You also are agreeing that any misrepresentation, omission or false statement may be cause for
rejection or later dismissal.
Signature ____________________________________________________ Date ________________________________________
DIVERSITY MONITORING
We are committed to ensuring that all job applicants and colleagues are treated equally, without discrimination because of gender, sexual orientation, marital or civil
partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain
equal opportunities best practice and identify barriers to workforce equality and diversity.
Please complete this form and return it with your application. The form will be separated from your application on receipt. The information on this form will be used for
monitoring purposes only and will play no part in the recruitment process.
All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All
information supplied will be treated in the strictest confidence. It will not be placed on your personnel file. Thank you for your assistance.
ETHNIC ORIGIN
How would you describe you nationality?
Please tick an appropriate box
A White
B Mixed race
C Asia or Asian British
D Black or Black British
E Chinese or other
groups
British – Welsh,
English or Scottish
White &
Black Caribbean
Indian
Caribbean
Chinese
Irish
White &
Black African
Pakistani
African
Prefer not to
say
White &
Asian
Bangladeshi
Other mixed background,
please specify
Other Asian background,
please specify
Other black background,
please specify
Other ethnic, please specify
Other White background,
please specify
DISABILITY
The Equality Act 2010 defines a disabled person as someone with “a physical or mental impairment which has a substantial and long-term adverse effect on his or her
ability to carry out normal day-to-day activities”
An effect is long-term if it has lasted, or is likely to last, more than 12 months. Do you consider that you have a disability under the Equality Act (please tick)?
Yes
No
If you have a disability, what equipment, adaptations or adjustments to working conditions would help you to carry out your job?
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