The Position You're Applying ForPlease complete the following fields about the position you are applying for. Job title*How did you hear about this vacancy?*If you replied to an advertisement, please give the reference number Personal DetailsPlease let us know the following information about you.First name*Last name*Known as*Personal email address* Address Line 1*Address Line 2Town/City*County*Postcode*Mobile number* Special RequirementsPlease complete the question below. Do you have a disability or special need that would require any specific arrangements or adjustments to equipment for the interview* Yes No Please provide us with details* HealthPlease complete the questions below.Have you ever suffered any injury or illness that has involved a block period of two weeks or more away from work?* Yes No Please give the number of days of your sickness absence in the last twelve months, including the number of occurrences.* Education and Training - Secondary SchoolPlease complete the following section about your secondary school.Name of secondary school attended*Qualifications and grades* Education and Training - College/UniversityPlease complete the following section about the college or university you attended (if applicable).Name of college/university attendedQualifications and grades Professional Memberships and QualificationsPlease let us know about the following, if it applies.Where appropriate, please specify level and date achieved. Copies of your certificates and/or diplomas may be required. Additional SkillsPlease let us know about any additional skills or experience that you have.Specialist knowledge or experience, for example, language reads and/or spoken, PC software skills etc. Where appropriate, please specify level and date achieved. Employment History - Current or Previous EmployerPlease provide us with the information about your most recent employer.Name and address of employer*Postcode*Contact name for a reference*Phone number for reference*Date you started role* DD slash MM slash YYYY Date you left role (leave blank if you're still working there) DD slash MM slash YYYY Job title*Brief description of responsibilties*Basic salary and benefits*Notice period*Reason(s) for leaving* Additional Previous EmploymentPlease complete the following question.Do you want to add an additional previous employer?* Yes No Name and address of employerPostcode*Contact name for a reference*Phone number for reference*Date you started role* DD slash MM slash YYYY Date you left role DD slash MM slash YYYY Job title*Brief description of responsibilties*Basic salary and benefits*Reason(s) for leaving*Do you want to add an additional previous employer?* Yes No Name and address of employerPostcode*Contact name for a reference*Phone number for reference*Date you started role* DD slash MM slash YYYY Date you left role DD slash MM slash YYYY Job title*Brief description of responsibilties*Basic salary and benefits*Reason(s) for leaving* Further DetailsPlease read the question below and answer if you want to let us know any further details.Do you want to provide us with any additional information on your education, qualifications and previous employment? If yes, please fill out the below. If no, please move onto the next section. Additional InformationPlease answer the following two questions.What prompted you to apply for this vacancy?*In what ways do you feel your background and experience equip you to fulfil this role?* Driving InformationPlease complete the following.Do you have a full current UK driving license?* Yes No Is your driving license free from endorsements?* Yes No Please provide brief details* Rehabilitation of Offenders Act 1974You are required to disclose any convictions which are not defined as spent under the Rehabilitation of Offenders Act 1974. Convictions which the company considers irrelevant to the position applied for will not be taken into consideration.Do you have any convictions which are not yet spent?* Yes No Please provide the details below* Working From HomePlease let us know the following information about your capabilities of working from home.Do you own a computer or laptop to work from home?* Yes No What operating system do you have?*What anti-virus do you have installed?*Do you currently have a broadband service at your home address?* Yes No Who is your provider?*What speed is your current service?*Are there any free ethernet ports available on your router?* Yes No Not Sure How far is your router from your expected place of work?*Do you have quality internet access in your home work areas?* Yes No Not Sure Working in the UKPlease let us know the following about working in the UK.Are there any restrictions, now or in the future, on your working within the UK?* Yes No Do you hold, or need to hold, a work permit or visa or require sponsorship to work within the UK?* Yes No DeclarationPlease read the following carefully and answer accordingly.The declaration:* I agree I do not agree If I am offered and accept an appointment, I agree with references being taken up and a medical examination, if required. I hereby give my consent for the company to process the information contained in this application form as may be necessary for the proper administration of any recruitment process and employment relationship in accordance with the principles of the General Data Protection Regulation (GDPR). I confirm that I have read the Data Protection and Privacy Notice for Applicants. I understand that any misrepresentation by me will be sufficient cause for the termination of my employment. I confirm that I am eligible to live and work in the United Kingdom and I understand that I will be asked to provide proof of this fact on commencement of employment. Under GDPR you have the right to request from us access to the rectification or erasure of your personal data and the right to restrict or object to processing. If you provide us with consent for the processing of data you have the right to withdraw this at any time. You have the right to lodge a complaint to the ICO if you believe we have not complied with the requirement of the GDPR with regards to your data.test Data ProcessingPlease read the following and respond.You consent to us processing the information contained in this application as may be necessary for the proper administration of any recruitment process and employment relationship in accordance with GDPR.* I agree I do not agree Data StoragePlease read the following and respond.You consent to us keeping your information so that we may contact you in the future regarding any possible employment opportunities at Churchill Knight & Associates Ltd / Churchill Knight Umbrella for the same or similar positions to your original application.* I agree I do not agree CAPTCHACAPTCHA2NameThis field is for validation purposes and should be left unchanged. Δ
