01 - APPLICATION FOR EMPLOYMENT

Confidential

This application must be completed by all individuals who wish to be considered for employment with the Company and/or its subsidiaries.

PLEASE USE BLOCK CAPITALS AND PRINT ALL ANSWERS CLEARLY. ALL SECTIONS MUST BE COMPLETED

POSITION APPLIED FOR:

PERSONAL DETAILS

LAST NAME OR FAMILY NAME: / FIRST OR FORENAME(S)
HOME ADDRESS: / POST CODE:
HOME TELEPHONE NUMBER:
EMAIL: / OTHER CONTACT NUMBER : (EG MOBILE / PAGER ETC)

References – Please provide two reference contacts. The contacts must not be related to you.

Name / E Mail / Phone

EMPLOYMENT HISTORY

GIVE FULL DETAILS OF YOUR PREVIOUS EMPLOYMENT STARTING WITH THE MOST RECENT JOB FIRST

NAME, ADDRESS, TEL.NO. OF EMPLOYER / DATES OF EMPLOYMENT
FROM TO / JOB TITLE
AND DUTIES / WAGE RATE & REASON FOR LEAVING

CONTINUE ON SEPARATE SHEET IF NECESSARY

OTHER INFORMATION, EDUCATIONAL ACHIEVEMENTS & QUALIFICATIONS GAINED

DO YOU HAVE THE RIGHT TO WORK IN THE UNITED KINGDOM? (if you are offered a job, you will be required to give us proof of the right to work before you can start your job) / You must answer YES or NO to this question. If you answer NO, please explain:
Do you have NATIONAL INSURANCE NUMBER:
NAMES AND POSITIONS OF ANY RELATIVES WHO CURRENTLY WORK FOR THE COMPANY WHO HAVE WORKED FOR THE COMPANY OR ASSOCIATED COMPANIES IN THE PAST:
HAVE YOU EVER WORKED FOR THE COMPANY OR AN ASSOCIATED COMPANY IN THE PAST? IF YES GIVE DETAILS / POSITION / DATES
HAVE YOU EVER BEEN CONVICTED OR RECEIVED A POLICE CAUTION FOR A CRIMINAL OFFENCE OTHER THAN A SPENT CONVICTION AS PROVIDED FOR UNDER THE REHABILITATION OF OFFENDERS ACT? IF YES, GIVE DETAILS

WORKING TIME REGULATIONS DECLARATION

Worker’s Voluntary Agreement to disapply the weekly working time limit Under Regulation 4(1) of the Working Time Regulations 1998, a Worker’s average working time (including overtime), averaged over the designated reference period, shall not exceed 48 hours for a seven day period. In accordance with Regulation 5, I give my voluntary agreement to Will To Win Ltd that this time limit should be disapplied in respect of my own employment but I understand I may bring this agreement to an end by serving three months notice.

Signature:

Declaration

I DECLARE THAT I HAVE UNDERSTOOD THE QUESTIONS ON THIS APPLICATION FORM AND THAT I HAVE ANSWERED THEM TRUTHFULLY AND COMPLETELY. I UNDERSTAND THAT ANY FALSE STATEMENTS MADE WHICH ARE SUBSEQUENTLY DISCOVERED WILL RESULT IN MY DISMISSAL I ALSO UNDERSTAND AND CONSENT TO THE INFORMATION THAT I HAVE PROVIDED ON THIS FORM TO BE PROCESSED FOR THE PURPOSES OF MANAGING MY EMPLOYMENT AND I FURTHER GIVE CONSENT FOR THE INFORMATION TO BE MADE AVAILABLE TO THOSE WHO HAVE A LEGITIMATE NEED TO DEAL WITH THE INFORMATION.

Signature of Applicant: Date: