Tanker Drivers
(STRICTLY CONFIDENTIAL)
· This Application Form is an integral part of our selection procedure.
· It is in your own interests to complete the form as comprehensively as you can and without reference to an enclosed CV.
· You may, however, enclose a CV or other relevant material to support your application.
Please send your form, completed in your own handwriting, to:
Chandlers Oil and Gas
WCF Fuels (Eastern)
Warren Way . Alma Park
Grantham
Lincolnshire. NG31 9SE
A: PERSONAL DETAILS
Surname (Capitals) / First name(s) / What do you like to be called?
Home address (Capitals)
Home tel. no.
Postcode Mobile no.
E-mail / Business address (term time address)
Business tel. no.
May we contact you here? YES/NO
Nationality / National Insurance number
Date of birth / Age last birthday / Marital status / Number of dependants
Next of kin - please give relationship, name, address and telephone number / Passport number - if offered the position you will be asked to show your passport to your manager on your first day of work
Do you hold a current driving licence? YES/NO
Class of vehicles
Are you a car owner? YES/NO
Do you have a valid ADR Certificate (class 3 in tanks)? YES/NO / Have you ever been convicted of a criminal offence which is not a spent conviction within the terms of the Rehabilitation of Offenders Act 1974?
YES/NO
If YES, please give details of offence and sentence:-
Details of all convictions for motoring offences / Motoring accident record (last 5 years)
When can you attend an interview? / When could you start work with us?
Notice required by present employer / Have you worked for Chandlers/WCF previously? YES/NO If YES, please give details / Have you any relatives working for Chandlers/WCF? YES/NO If YES, please give details
WCF Ltd, Registered Office: Crawhall, Brampton, Cumbria CA8 1TN
Height / Weight / Have you had any serious illness, mental health problems or
sustained any serious injury following an accident? YES/NO
If YES, please provide details.
Have you, or do you suffer from, any of the following:
Back Problems YES/NO Heart Complaint YES/NO Bronchitis YES/NO
Skin Complaints YES/NO Chest Complaints or YES/NO Fits/Fainting YES/NO
Asthma
Diabetes YES/NO Carpal Tunnel Syndrome YES/NO / Please give the number of sick days you have had in the last two years / Are you a smoker?
YES/NO
Do you have a disability/medical condition of which we should be aware?
YES/NO If YES, please provide details / Does your eyesight, both corrected and uncorrected, conform to the requirements of the DVLA for LGV drivers?
YES/NO
C: EDUCATION AND TRAINING
Name of school(s)/college(s) attended from age 11 / From: To:
Month/ Month/
Year year / Main subjects studied / Qualifications & grades obtained
Full/Part time further education/Vocational training / From: To:
Month/ Month/
Year year / Main subjects studied / Qualifications & grades obtained
D: EMPLOYMENT EXPERIENCE
(including vacation work and self employment) / No contact will be made with your present or previous employer without your permission unless you have already accepted the position.
Name and address of employer(s)
(current or most recent first)
Please provide a complete employment record using a separate sheet if necessary / From: To:
Month/ Month/
Year year / Position held and main responsibilities / Last salary and any bonus paid/Rate of pay / Reason for leaving (or wishing to leave)
E: ASSESSMENT OF EXPERIENCE
Please provide a fair assessment of your experience in the following areas using the score system below. Complete as many sections as you wish, even if they may not appear directly relevant to the job for which you are applying.
Extensive = 3, Moderate = 2, Minimal = 1, None = Leave Blank
Use the blank lines to add in any other headings you may think relevant.
Tanker Driving / Transport/Operations / Information Technology
Customer Contact / Knowledge of Legislation / Word Processing
Multi Drop Work / Routing/Scheduling / Windows
Fuel Tankers / Maintenance Procedures / Spreadsheets
PC Use / Health & Safety Management / Powerpoint
- Home / Operations Audits / File Management
- Work / Problem Solving
Safe Delivery Practices / Databases
Local Road Knowledge
F: INTERESTS
What are your interests and hobbies outside work?
G: ADDITIONAL INFORMATION
Is there anything you would like to add in support of your application?
H: REFERENCES
Please give the names and full addresses of someone (manager/person of authority) from BOTH your current/most recent employer AND your next previous employer who will provide a reference as to your character, ability and suitability for the job. If either of these periods of employment span less than 12 months then you must provide a third referee (on a separate sheet) from an alternative previous employer. Please note that if we are unable to contact, or do not hear back from, your referees then we reserve the right to approach an alternative previous employer.
Name / Name
Address
Postcode / Address
Postcode
Telephone no. / Telephone no.
Job title of referee / Job title of referee
In the event that you are offered and accept a position within our Company, do we have your permission to approach your current employer/nominated referees for a reference? YES/NO
I: DECLARATION
I declare that the information supplied on this form is correct to the best of my knowledge and understand that any false statement or withholding of information may make me liable to disqualification, or if appointed, to dismissal. In accordance with the Data Protection Act of 1998 regulations, I understand the information included on this form will be stored for a period of 12 months, of if appointed will remain on my personal file.
Signed…………………………………………………………………. Date………………………………………………………………
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