Team Member Application form
Please attach
a recent
picture
of yourself
here
Position Applied for:
Full-time
Part-time
e-mail
Name
Address
Title
(Mr/Mrs/Ms/Miss)
Postcode
Telephone No.
Date of Birth
Age
Years
Months
Today’s date
What do you think makes a good pub/restaurant and why?
What hobbies / interests do you have?
How would your friends describe you?
What can you offer Ridge & Furrow Inns?
Equal opportunities
It is the policy of 'Ridge & Furrow Inns' that there shall be no discrimination in respect of sex, colour, religion, race, ethnic origin, or nationality and that
equal opportunities shall be given to all employees. To assist in the monitoring of our equal opportunities policy it would be of great help if you would tick
the appropriate box. It is not, however, compulsory to complete this section and it will not affect your chances of selection if you do not choose to do so.
Please put a cross next to the appropriate ethnic/racial group to which you belong:
Afro Caribbean
Asian
European White
Y
Other
Do you have any experience and/or qualifications relevant to this business? If yes, give details
Name & address of place of
study
Please give details of qualifications received
Dates
Qualifications gained.
from/until
Name & address of
company
Please give details of employment over last 3 years (full and/or part-time)
Dates
Position held
employed
(full/part-time)
Duties
Reason for leaving
from/until
Please answer the following questions
Have you ever suffered from a serious injury/illness?
YES
If YES, please
give details
How will you travel to work?
Bus or bike
Are you available to work through the following periods?
Period
Yes
No
Period
Lunchtimes
Weekends
Evenings
Statutory Bank Holidays
If you have answered NO to any of the above please specify when you will not be available to work
Have you ever been convicted of any offence?
Salary
NO
Yes
Yes
No
No
Please give full details of any convictions, County Court Judgements, District Court Judgements or other relevant matters
Date
Date
Court
Court
Offence
Offence
Please give the name and address of two people who can be contacted for a reference (work related if possible)
Name
Address
Telephone
Name
Address
Telephone
I confirm the above people can be contacted immediately for a reference
Yes
No
If NO, please state the reason
PLEASE NOTE: If you are claiming any type of State Benefit you may lose the benefits once you start work. Please contact your local DSS office for further
information.
Name and address of next of kin (or somebody to contact) in case of an emergency
Name
Address
Telephone
Relationship
Please complete the following
I understand that any inaccuracy or falsification of the information I have given may result in termination of my
employment. I have completed this form personally and declare that the above information is true in all respects.
Signed: __________________________________ Date:
__________________________