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Dallington Fields Bakery, Gladstone Road, Northampton, NN5 7QA
Telephone (01604) 581614 Facsimile (01604) 588951 mailto:baking@oliveradams.co.uk

CONFIDENTIAL APPLICATION FOR EMPLOYMENT

Position applied for____________________________________________________________________________

At branch address ______________________________________________________________________________

Prepared to work - Full Time - Part Time - Days - Nights - (Circle as applicable)

Have you done this kind of work before ?_____________________________________________________________


Personal Details:

Surname________________________________________________________________________________________

Title (Mr/Mrs/Miss/Ms)_____________

Forenames_______________________________________________________________________________________

Date of Birth_____________________

Address
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Post Code _______________________________________________

Telephone Number _________________________________________

Mobile Telephone number____________________________________

Best time to call ___________________________________________


Education: Please give details of schools attended from age 11, with dates and examination subjects/results.

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Further education: Please give details of place of education, dates, type of training and qualifications gained

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Previous employment

Please give Employer Name(s) and addresses, starting and leaving dates, job title, duties/responsibilities, finishing pay, reason for leaving. Start with your most recent employer

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Continue on separate sheet if necessary.
Please tick here if there is a continuation sheet ___________________

Qualifications gained through employment _________________________________________________________________________________________________

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If offered this position will you continue to work in any other capacity? (give details)

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Interests/Hobbies Give details of pastimes, sports etc
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Offices held in social/sports clubs etc.
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Health Give details of any Health Problems/Disabilities e.g. Asthma, Chest trouble, Back trouble, Dermatitis, Epilepsy etc:
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Describe any Disabilities and any reasonable adjustments which you feel should be made to the job itself which would enable you to carry out the job
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Driving Do you own a car? ___________________________

Do you have a current driving licence? No - Provisional - Full - HGV - (Circle as applicable)

Have you any current endorsements? Give details
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Work Permit Do you need a work permit to work in the UK? __________________________


Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act)
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I authorise the company to obtain references to support this application once an offer has been made and accepted and release the company and referees from any liability caused by giving and receiving information.

All employees must bring identification on commencement of employment, i.e. passport, ID card, driving licence or birth certificate. (A Birth Certificate must be sent in for employees under the age of 18) This will be photocopied and returned to you. If you are not a British subject, or subject of the European Economic Area or Switzerland, you may need a Work Permit. You must produce all documents you have to prove your entitlement to work, which may be checked to verify your right to work with the U.K. Border Agency.

I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.

Signature___________________________________________________

Date_____________________________________

Please print out this application form for your use. Thank you for your interest in our Company.


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