We need a full employment history for the past 10 years or from leaving full time education if that was less than 10 years ago. Any employment gaps of more than a month must be shown and explained.
1. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
2. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
3. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
4. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
5. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
6. Company Name and Address
Post Code:
Job Title:
Dates: From (mm/yyy)
Dates: To (mm/yyy)
Details of relevant qualifications and courses passed. Give most recent dates only for repeated courses.
You may be asked to show your certificates as evidence.
Date
Examination / Course
School / College / University / Employer
Grade
State which language you speak and the level of fluency (Beginner or Advance [Conversational])
Language
Fluency
Occupational Personal Services Ltd undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998.
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By signing this form, I consent to the company keeping paper and computer employment records, and may be used for internal management purposes and externally for the purposes of placing me in temporary or permanent roles and to report my compensaion and renumeration to the relevant authorities.
By signing this form, I confirm that I understand my right to opt out of the 48 hour working week limitation as set out in the Working Time Regulations 1998 (WTR).
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I wish to opt out of the WTR
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I understand I may change this by giving one week's notice in writing to my Manager.
NOTES (For office use ONLY)
We need two previous employer reference (one must be the current/most recent employer) plus one character reference. The character reference must be from someone (not a relative) you must have known for at least two years.
Company Name:
Contact Name:
Telephone Number
Company Name and Address
Post Code:
Company Name:
Contact Name:
Telephone Number
Company Name and Address
Post Code:
Character Reference
A character reference needs to be provided by a person of standing in the community who is not your relative, and has known you for at least three years or more. This means that your referee must have a reputation in the community. A professional person (e.g. a doctor, solicitor or accountant) will be recognised as a person of standing in the community as will a Bank manager; Justice of the Peace or other judicial official; or Minister of the Church, Rabbi, Imam or other religious official. This is not an exhaustive list.
Have you ever been convicted of a criminal offence
At the time of signing this form is there any prosecution pending or has anything occurred that may result in a prosecution?
If you have ticked either yes box please give details on a separate sheet.
I, the undersigned, undertake to inform Occupational Personnel Services Ltd of anything which occurs at any time during my employment hat may result in a prosecution.
Occupational Personnel Services Ltd can offer employment to non-British citizens and non-EEA nationals only with proof of eligibility to work in the UK
Passport number:
Date Issued:
Passport nationality:
Passport Expiry Date
I confirm that the information provided in this application and within my personal statement is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file.
Signed (Applicant):
Date:
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