ORWELL
ENGINEERING SOLUTIONS LTD / 1 Farriers Way
Bridle Road
Liverpool L30 4XL
Tel: ++ 44 (0)151 530 2000
Fax: ++ 44 (0)151 525 3288
www.orwell-engineering.co.uk

JOB APPLICATION FORM

1.  APPLICATION DETAILS (PLEASE WRITE CLEARLY IN ALL FIELDS)
Position applying for.
Date.
Where did you hear about this vacancy?
Your available start date.
Are you willing to work paid overtime?
2.  PERSONAL DETAILS
Surname
Forename(s)
Address
Postcode
Telephone No. / Home / Mobile
E mail address
National Insurance No.
Do you hold a clean driving licence?
Do you have a current valid passport?
3.  EMPLOYMENT HISTORY
Please list all your employment history in the last 15 years (where applicable)
Dates (from – to) / Employer Name & Address / Job Title & Responsibilities
4.  EDUCATION, TRAINING & DEVELOPMENT HISTORY
Please list your education history (Secondary school, College or University where applicable) and any training courses you have attended relevant to your work.
Establishment / Qualifications attained or course details
5.  COMPUTER SKILLS
Please list any computer software (including CNC programming software) that you are capable of using (i.e. word, excel, project etc) and indicate your level of proficiency using this software (i.e. B = basic, I = intermediate, A = advanced)
Software / Proficiency level
6.  REFERENCES
Please provide details of two referees that we can contact. One of who must be from your current or most recent employer.
Name
Company
Company Address
Position in Company
E mail
Telephone No.
Relationship to Applicant
Name
Company
Company Address
Position in Company
E mail
Telephone No.
Relationship to Applicant
7.  PERSONAL STATEMENT
Please provide a personal statement outlining what attracted you to apply for this position and why you believe your skills and previous employment knowledge and experiences match the job requirements.
Your statement should also refer to any voluntary work or leisure activities you undertake or have undertaken in the past that you believe add to your suitability and skill level to make you the ideal candidate for this position.
Please attach your personal statement securely to this application and ensure it is clearly marked with your name and details of the position for which you are applying.
8.  MEDICAL DETAILS
Do you or have you had any illness or medical condition which may prevent you from attending work regularly in the future?
If yes please provide details.
Number of working days absence in the last 2 years.
9.  CRIMINAL CONVICTIONS
The Rehabilitation of Offenders Act 1974 requires applicants to give details of any convictions that are not spent. Failure to disclose such convictions could result in disciplinary action or dismissal.
Do you have any previous convictions?
If yes, please detail offence(s) including date(s) and sentence(s).
If you have previously applied for a criminal Records Bureau Disclosure please state the date and issue of your Disclosure certificate.
10.  DECLARATION
I certify that the information provided on this application form is accurate and true. I give my consent to the processing, transfer and disclosure of all information submitted by me during the recruitment process and throughout any subsequent periods of employment for the purpose of pre-employment checks, equal opportunities monitoring, payroll operations and training. (Data Protection Act 1988).
Signed: / Date:

Please return the completed form either by post to the address shown above or by e mail to:-

Thank you for showing an interest in wanting to work for Orwell Engineering Solutions Ltd.

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