Application For Employment

Vacancy applied for:

What days/hours are you available for work?:

Forename(s):

Surname:

Address:

Postcode:

Home Tel No:

Mobile Tel No:

Email Address:

National Insurance Number:

1. Please tell us of any relevant experience you have for this position:

2. Please provide details of your employment history/work experience:

3. Are you able to drive?:

—Please choose an option—yesno

4. Do you have a full, clean licence?:

—Please choose an option—yesno

If no please give details:

5. Do you have access to a car to be used for work on regular basis?: yes/no

—Please choose an option—yesno

6. Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state none:

7. If you are currently in employment please state how much notice you are required to give:

8. Please supply the names and addresses of two references, one of these must be from a previous or recent employer:

Reference 1:

Reference 2:

10. Declaration:

I confirm that the information is complete and correct to the best of my knowledge and that any untrue or misleading information will give Cleaner Care Ltd the right to terminate my employment contract offered.