Job Application - Armstrong Priestley

Job Application Form

By filling in this form, you’re providing us with the information that we need in order to run through the job application process. This submission will go direct through to our careers department.

Please enter the position that you're applying for

Please submit your contact information.

What is your national insurance number?

Do you have a drivers licence?

If yes, please answer the following, if no, press next.

What is the expiry date?

If you have any endorsements, provide details.

Are there any restrictions on you working in the UK?

Please outline your education history.

Please tell us what qualifciations you gained.

Please provide details of your employment history.

How much notice is required at your current job?

Other employment

Please note here the names and addresses of two people who we could obtain both character and work references from.

Reference 1

Reference 2

Do you have any unspent criminal records?

Do you have a physical or mental impairment which has a substantial and long term effect on your ability to carry out day to day activities?

Please specify any special arrangements for work associated with any impairment.

Please specify any special arrangements you will need to attend an interview.

Please list any diseases, disorders, allergies, muscular or musculoskeletal injuries from which you have suffered or do suffer.

Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.

Please list all absences from work in the past 12 months and the reasons for such absences.

Thank you, now please proceed to the declaration.

1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

2. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organization reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection act.

3. I agree that should I be successful in this application, I will, apply to the Criminal Records bureau/Scottish Criminal Records Office for a basic disclosure. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.