Ruskin House

The Sidings

Hampton Heath

Cheshire

SY14 8LU

Telephone:01948 820696

Fax: 01948 820252

Email:

JPCS Application Form

NAME OF APPLICANT: ______

PLEASE COMPLETE THIS APPLICATION IN FULL.

DO NOT SUBSTITUTE WITH A STANDARD CURRICULUM VITAE.

JPCS is an Equal Opportunities Employer. All appointments will be made on the basis of merit.

Candidates should note that JPCS reserves the right to enhance the criteria for the above post to facilitate short listing.

It is the responsibility of applicants to ensue that all relevant information is included on this application form.

OFFICIAL USE ONLY

Referred by: ______

Date application received: ______

Interviewed: ______

APPLICATION FOR EMPLOYMENT

PLEASE COMPLETE IN BLACK INK.

1. PERSONAL INFORMATION

TITLE:MR / MISS / MRS / MS (DELETE WHERE APPROPRIATE)

SURNAME:FIRST NAMES:

PERMANENT ADDRESS:

POSTCODE:

TELEPHONE NUMBER:

(HOME):______(MOBILE):______

2. HEALTH

DO YOU HAVE A DISABILITY? YES / NO

Have you had any serious illness in the past five years?YES / NO

If yes, please give details.

DO YOU HAVE ANY SPECIAL NEEDS IN RESPECT OF YOUR INTERVIEW?

______

______

3. EDUCATION

PLEASE GIVE HERE RELEVANT DETAILS OF POST PRIMARY EDUCATION AND

QUALIFICATIONS, INCLUDING DETAILS OF PROFESSIONAL QUALIFICATIONS.

NAME OF SCHOOL/ COLLEGE ETC. / FROM/TO / SUBJECTS STUDIED / QUALIFICATIONS
(With dates)

SUPPORTING STATEMENT

PLEASE DESCRIBE HOW YOUR EXPERIENCE AND QUALIFICATIONS TO DATE CAN BE

APPLIED TO THE POST OF HGV DRIVER-OPERATIVE WITH JPCS.

4. OTHER RELEVANT INFORMATION

PLEASE GIVE DETAILS, INCLUDING DATES, OF ANY OTHER EXPERIENCE WHICH IS RELEVANT TO THE POST. E.G. UNPAID WORK, VOLUNTARY ACTIVITIES, REPRESENTATION ON COMMITTEES.

SHORTLISTING WILL BE CARRIED OUT ON THE BASIS OF HOW WELL CANDIDATES ADDRESS THE CRITERIA CONTAINED IN THE “PERSONNEL SPECIFICATION”.

(Please continue on rear or on a separate sheet if required).

5.OTHER TRAINING

PLEASE GIVE INFORMATION ABOUT ANY OTHER TRAINING COMPLETED WHICH YOU WOULD LIKE TO DRAW TO OUR ATTENTION.

6.DRIVING LICENCE

Do you hold a full driving license?
If Yes, please state expiry date:
Are you qualified to drive 7 ½ tonne vehicles
Do you hold a HGV license for Class 2
Do you hold a HGV license for Class 1
Please give details of any endorsements: / YES / NO
YES / NO
YES / NO
YES / NO
Do you have access to a car during normal working hours / YES / NO
If no will you have the capacity to travel to and from work:

7. POLICY ON RECRUITMENT OF PERSONNEL WITH A CRIMINAL RECORD

JPCS aims to promote equality of opportunity for all with the right mix of talent, skills and potential. JPCS welcomes applications from diverse candidates. Criminal records will be taken into account for recruitment purposes only when the conviction is relevant. Unless the nature of the work demands it, you will not be asked to disclose convictions, which are ‘spent’ under the Rehabilitation of Offenders (NI) Order 1978. Having an ‘unspent’ conviction will not necessarily bar you from employment. This will depend on the circumstances and background to your offence(s).

A Declaration of Criminal Record form will be forwarded to all short-listed candidates prior to the interview to be completed and returned in a sealed confidential envelope. This form will not be seen by the interviewing panel but will be reviewed by designated person(s) within JPCS.

8. EMPLOYMENT HISTORY

PLEASE LIST ALL PERIODS OF EMPLOYMENT STARTING WITH THE MOST RECENT

Job Title / From/To / Name and Address of Employer / Areas of responsibility and duties and salary / Reason for Leaving

9. REFERENCES

TWO REFEREES ARE REQUIRED. ONE OF THESE SHOULD BE YOUR PRESENT OR MOST RECENT EMPLOYER. REFERENCES WILL ONLY BE TAKEN UP IN THE EVENT OF YOU BEING CONSIDERED FOR THE OFFER OF EMPLOYMENT.

1. Present/most recent employer / 2. Second referee
NAME: / NAME:
ADDRESS:
POSTCODE:
TELEPHONE NO:
Capacity in which known to you: / ADDRESS:
POSTCODE:
TELEPHONE NO:
Capacity in which known to you:

SIGNATURE: ______DATE: ______

A CANDIDATE FOUND TO HAVE KNOWINGLY GIVEN FALSE INFORMATION OR TO HAVE WILLFULLY SUPPRESSED ANY MATERIAL FACT WILL BE LIABLE TO DISQUALIFICATION, OR IF APPOINTED, DISMISSAL.

PLEASE RETURN THE COMPLETED APPLICATION FORM TO:

Morag Cliff

HR Manager

JPCS Limited,

Ruskin House,

The Sidings,

Hampton Heath,

Cheshire,

SY14 8LU

Equal Opportunities Recruitment Monitoring Form – Strictly Confidential

JPCS is committed to promoting fairness and eliminating discrimination from recruitment and selection practices. We will ensure that no job applicant or employee received less favourable treatment either directly or indirectly, on the grounds of age, race, disability, gender, marital status, religion or faith or sexual orientation.

To monitor the effective delivery of this commitment, JPCS requests all applicants to provide information asked for in this monitoring form. This will only be used for this purpose, will form no part of the interview process and will be treated in strict confidence.

The form will be detached from your application form and transferred to our Human Resource database to help monitor the diversity of applications we receive. This will enable us to develop appropriate policies and procedures in respect of diversity and equal opportunities.

Name ………………………………………… Date…………………………………….

1. Where did you learn of this post:

Vacancy website Internal bulletin

Newspaper advert Other (please specify) ………………………………………….……...

2. Gender:

Male Female

3. Marital status:

Married Single Divorced

Other (please specify) ……………..…......

4. Nationality:

5. How would you describe your ethnic origin:

White
A British
B Irish
C Any other white background / Black or black British
L Caribbean
M African
N Any other black background
Mixed
D White and black Caribbean
E White and black African
F White and Asian / Other ethnic groups
O Chinese
P Other ethnic groups
Z Not stated
G Other mixed background (please specify) ……………………………………….
Asian or Asian British
H Indian
I Pakastani
J Bangladeshi
K Other Asian background (please specify) …………………………………......

6. Disability is defined by the Disability Discrimination Act as:

A physical or mental impairment, which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities. The disability could be physical, sensory or mental and must be expected to last at least 12 months.

Are you a disabled person as defined by the Disability Discrimination Act?

Yes No

7. How would you describe your religion or belief?

Christian
Jewish
Muslin
None / Buddhist
Hindu
Sikh
Prefer not to say
Other (please specify) ……………………………………………………......

8. What of the following describes your sexual orientation?

Heterosexual
Bi-sexual
Other / Gay
Lesbian
Prefer not to disclose

Thank you for completing this form. Please return it with your application.

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