Surname*:

Forenames*:

Preferred Name:

Address*:

Postcode
(UK addresses only):

Country:

Home Telephone No:

Work Telephone No:

Mobile No:

May we call you at work?*

Contact Email Address:

Do you require a work permit to take up employment in the UK?

If so, do you have a work permit valid for 1 year or more?*

Would you require live-in accommodation?*

Are you currently in employment?

How much notice are you required to give your present employer?

Are you looking to work*

Position applied for:

Have you been convicted of any criminal offence other than a spent conviction i.e treated as though it has never occurred under the Rehabilitation of Offenders Act 1974* Under the Rehabilitation of Offenders Act 1974 all applicants/employees are required to declare any conviction(s) or charge(s) still outstanding against them in respect of a criminal offence and this information is treated as confidential. The Rehabilitation of Offenders Act 1974 enables some criminal convictions to become 'spent' or forgotten after a 'rehabilitation period'. A rehabilitation period is a set length of time from the date of conviction. This means that if a certain period of time has passed since the date on which you were convicted the conviction becomes 'spent' and you are not normally obliged to declare the conviction when applying for a job.

Signature:

Date: