Post Applied for

Job Title *

Location *

Personal Details

Title *

First Name *

Last Name *

Date of birth +

Street Address *

Address 2

Town *

County *

Post Code *

Contact Telephone (we will text if your email is unreachable) *

Email Address *

General Information

1. Are you legally authorised to work in the UK? *

Yes

No

Nationality *

What relevant documentation will you be able to provide in order to demonstrate this eg passport, birth certificate, etc. showing authorisation to work and reside in the UK? *

2. If applying for a part time role, what days are you available?

3. Do you have a driving licence?

Yes

No

If you have a driving licence, is it clean?

Yes

No

If no, number of points:

4. Do you have any previous criminal convictions? *

Yes

No

If yes, please provide details

Education

Please list all educational qualifications obtained, GCSEs, GNVQs, A Levels, degrees etc.

Secondary School/College/University etc. Please provide dates, Work Related Skills and Qualifications Qualification(s) obtained Subject(s) Grade (if applicable)

Health

1. How would you describe your current state of health? *

2. Have you suffered from any major illnesses or injuries in the last ten years? *

Yes

No

If yes, please give details:

3. Please state how many days you had off work due to sickness during the last 12 months: *

4. Are you willing to have a medical examination if required?

Yes

No

5. Are you currently receiving any medical treatment and/or taking any medication? *

Yes

No

If yes, please give details:

6. Are you aware of any medical problems which may impair your ability to undertake your duties both safely and to the required standard? *

Yes

No

If yes, please give details:

Employment History

Employer 1

Company Name 1

Nature of Business

Address

Phone

Summarise the nature of your work and job responsibilities/achievements (if relevant):

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

Employer 2

Company Name 2

Nature of Business

Address

Phone

Summarise the nature of your work and job responsibilities/achievements (if relevant):

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

Employer 3

Company Name 3

Nature of Business

Address

Phone

Summarise the nature of your work and job responsibilities/achievements (if relevant):

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

References

Please give details of persons who are willing to give you a reference - one of which should be your present or last employer, if applicable.

Reference 1

Reference Name 1

Title

Email Address

Phone

Reference 2

Reference Name 2

Title

Email Address

Phone

Reference 3

Reference Name 3

Title

Email Address

Phone

Pre-Booked

If you have any holidays, training courses, part time employment, or any other activities that will interfere with you performing your duties?

Yes

No

If yes, please give full details

Relevant Experience and Other Information

Please provide details of any other experience, skills, interests etc which may be of relevance to your application.

You can submit a copy of your resume.

Declaration

The information provided on this form will be treated as confidential and used for recruitment/selection purposes. Where the application is successful the company may, from time to time thereafter, wish to process this information (as updated periodically) for personnel administration and business purposes. Where this happens, processing, whether by means of a computer or otherwise, will take place in accordance with the terms of the Data Protection Act. By accepting this decleration, you will be providing Arrow Precision Manufacturing Limited/Powerball Limited/Powerball Outdoor Activities Limited with your consent to these uses.

I declare that to the best of my knowledge and belief, all particular and information I have given are complete and true.

I understand that any false declaration or misleading information or any significant omission may disqualify me from any employment and/or render me liable to dismissal.

I understand that any job offer is subject to satisfactory references are a probationary period and (If the company believes it appropriate) a statutory medical report.

Note: Arrow Precision Manufacturing Limited/Powerball Limited/Powerball Outdoor Activities Limited reserves the right, at any time, to check on any experience, achievements, qualifications and skills claimed by you on this application form, or at an interview. By agreeing to this declaration you will be giving your agreement for us to undertake such checks and confirm that you will co-operate with any such investigations.

I have read and accept the above decleration *

Yes

All fields with a * are required to submit the form.

Survey

Where did you learn about the vacancy?

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