Date of Birth *

MM

DD

YYYY

Do you currently hold an SIA Licence? *

Yes

No

Have you ever had an SIA Licence withdrawn/refused?

Yes

No

Do you currently hold a valid First Aid Qualification? *

Yes

No

If 'no', would you undergo Training for this? *

Yes

No

Do you currently hold a valid Fire Warden Qualification? *

Yes

No

If 'no', would you undergo Training for this? *

Yes

No

Do you currently hold a valid Control and Restraint Qualification? *

Yes

No

If 'no', would you undergo Training for this? *

Yes

No

Do you have a valid Driving Licence? *

Yes

No

Have you ever been fined, cautioned, sentenced to imprisonment, placed on probation, discharged on payment of costs, or had any order made against you by a criminal, civil or military court or public authority? *

Yes

No

Failure to disclose information, including any cautions, is regarded as a Criminal Act under the 'Fraud Act 2006', which carries a maximum sentence of 5 years imprisonment. Are there any alleged offences against you? *

Yes

No

Have you ever been made bankrupt? *

Yes

No

Do you have any outstanding CCJs or debts? *

Yes

No

Have you ever applied to work with us before? *

Yes

No

Do you have friends or family who are employed by us? *

Yes

No

Have you ever worked for us before? *

Yes

No

Declaration *

Briefly state why you would like to work with the Company and anything else which you wish to support your application: On completing this form, I have read and accepted any conditions outlined within it. Any offer of employment is subject to satisfactory screening; therefore the applicant gives his/her consent to being screened and will provide all information when required. The information given in this Application Form is, to the best of my knowledge, correct. I understand that any false statement or omission will make me liable for immediate dismissal. I understand that any appointment will be subject to satisfactory references being received and full vetting being completed by the Company. I give my permission for the Company to approach Government agencies, former employers, schools, colleges and personal referees to verify that the information I have given is correct. I also authorise the Company to record and store information relating to my application or future employment in accordance with the Data Protection Act. I authorise the Company to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies. I also understand that if I wish to take up secondary employment, whilst working for the Company, I am to contact the HR Department for authorisation. I have read and agree to the above statement. ReadUnread You will be required to 'Read/Agree' with this statement, if you wish to pursue your Application with the Company.

Agree