Employment Application Form: Position Applied For
Employment Application Form: Position Applied For
Employment Application Form: Position Applied For
Personal
Surname
First Name(s)
Address
______ Years
______ Months
Mobile No.
Date of Birth.
YES
NO
YES
NO
YES
NO
YES
NO
Are you involved in any activity which might limit your availability to work or your working hours?
YES
NO
YES
NO
Are you subject to any restrictions or covenants which might restrict your working
activities?
If YES, Please give full details
You are required as part of your Application to complete the attached Pre-Employment
Medical Questionnaire.
Are you prepared to undergo a medical examination prior to employment if required?
YES
NO
Have you either applied for employment with The Glade before or worked for The Glade?
YES
NO
YES
NO
YES
NO
Personal cont.
Are you willing to work overtime and/or weekends if required?
YES/NO
Please give details of any hours which you would not wish to work.
YES/NO
Are you registered with the SSSC or any other relevant regulatory body?
YES/NO
Employment History
Please fill in all of your employment history since leaving school. If extra space is required, attach an A4
sheet with the extra information on it. Any gaps in time should be explained (e.g. child birth, year out etc.).
Employer
start date
leaving date
start date
leaving date
start date
leaving date
start date
leaving date
Employment History
Employer
start date
leaving date
start date
leaving date
List below all the schools, colleges and universities you attended in order with approximate dates.
School, college or university
Start date
Finish date
Give details below of any personal qualities, skills or experiences that are relevant to the job advertised.
References
Please give the names of two people (one of which should be your present or most recent employer) whom
we may approach for a reference. References will not be accepted from family members or from people writing solely in the capacity of friends.
Name:
Name:
Position:
Position:
Address:
Address:
Tel. No.
Tel. No.
Declaration
I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary
dismissal and relevant information will be passed on to the SSSC.
Signature: (can be signed when interviewed)
Date:
Submit