Business Management System OP 0035 Group Application Form 1 Revision History New Rev Date Author Approval Section Amended 01 05 April 2013 AS TW All Reason for update : 01 - Updating uncontrolled version of Group Application Form to reflect current legislation. Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Owner (Approved by): Tim Woodside Version: 1 Page 1 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver Business Management System OP 0035 Group Application Form WOODSIDE GROUP LTD 61 CARRICKFERGUS ROAD, BALLYNURE CO. ANTRIM, N. IRELAND BT39 9QJ TELEPHONE: 028 93352255 Application for employment as: PERSONAL DETAILS (Please use capital letters) Title: (Mr, Mrs, Miss, Other) First Name(s): Surname: Home Address: Address to which we should write (if different from Home address) Telephone Number: Telephone Number E-Mail Address: Do you hold a clean driving licence? Please give details: You may be asked to attend a medical examination before any appointment can be confirmed Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Owner (Approved by): Tim Woodside Version: 1 Page 2 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver Business Management System OP 0035 Group Application Form Education Dates From To Secondary Education (Do Not Name School attended) Examinations taken, results obtained, subjects passed, scholarships and prizes Please continue on a separate sheet if necessary University / College Education Dates Name of College or University From To Subjects Studied Examinations taken, results obtained, class of pass, scholarships and other distinctions Please continue on a separate sheet if necessary Technical, Professional or Occupational Training, to include apprenticeships, evening, full time and day release courses, correspondence courses, company courses Dates Type of Training Subjects Studied College, Firm, Institute Qualifications gained From To Please continue on a separate sheet if necessary Knowledge of Foreign Languages (state, Good, Fair or Slight) Language Read Write Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Owner (Approved by): Tim Woodside Spoken Version: 1 Page 3 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver Business Management System OP 0035 Group Application Form Please list all positions held since completing your fulltime education. Starting with your most recent and work back. Dates From To Name, Address of Employer and nature of Business Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Position Held & Duties Owner (Approved by): Tim Woodside Starting & Leaving Wage State Reason for leaving Version: 1 Page 4 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver Business Management System OP 0035 Group Application Form Personal Statement Please give details of your experiences including any unpaid and outside interests that are relevant to the job. Give examples where appropriate. Attach additional sheets and ensure they are marked clearly with your name. Additional Information Is there anything else you would like to add? References: One must be your current or most recent employer No 1 No 2 Company Name: Address: Company Name: Address: E Mail Telephone Number E Mail Telephone Number Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Owner (Approved by): Tim Woodside Version: 1 Page 5 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver Business Management System OP 0035 Group Application Form Criminal Convictions: The Rehabilitation of Offenders Act 1974 requires applicants to give details of any convictions that are not spent. Failure to disclose such convictions could result in disciplinary action or dismissal. Do you have any previous convictions? If Yes, please detail the offence(s) including date(s) and sentence(s) Declaration: I certify that the information contained on this application form is accurate and true. I give my consent to the processing, transfer and disclosure of all information submitted by me during the recruitment process and throughout any subsequent periods of employment for pre-employment checks, equal opportunities monitoring, payroll operations and training (Data Protection Act 1988). Candidate Signature: ____________________________________________ Date:___________________ Office Use Only The Woodside Group is an equal opportunities employer Editor (Issued / Reviewed by): Alison Sweeney * QSHE = Quality, Safety, Health & Environment Owner (Approved by): Tim Woodside Version: 1 Page 6 of 6 Last Update: 05 April 2013 Uncontrolled if printed – latest version on the wsserver
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