Position Applied for (All fields must be completed)
Surname Mr/Mrs/Miss/Ms
Forename
Address
How long have you lived at your current address? If less than 5 years at this address, please provide a previous address where you have resided for 5 years or more.
Home Tel No
Mobile Tel No
Your Email
Nationality
Date of Birth
National Insurance Number
Place of Birth
Real World Services Ltd has a policy that fully complies with the law in relation to the Equality Act (full copy available upon request) and in that regard please describe your ethnic origin: African/Asian/Caribbean/West Indian/Caucasian/Other. Please state
Name & Address of person to contacted in an emergency.
Emergency contact Tel No
Relationship status - Married / Single / Divorced / Other
Have you ever been cautioned, charged or have any pending criminal offence's (subject to the provisions of the Rehabilitation of Offenders Act 1974) or been subject to Bankruptcy Proceedings or have outstanding/pending County Court Judgements against you for Debt. You must include motoring offences. YESNO If Yes, please give details.
Do you own a motor vehicle? YESNO
Do you possess a full UK driving licence? YESNO
Please give details of any endorsements or other motoring convictions during the last 5 years.
Tell us about any other special skills, activities, hobbies or training which you feel may be relevant to your application.
Secondary School/College/University attended (Please state dates & qualifications gained for each).
Any other relevant qualifications held.
Do you hold a current SIA Licence? (if yes, please give Licence number and Licence sector) YESNO SIA Licence Number
Please give details of two people, other than relatives or persons residing at the same address, who have known you for at least TWO YEARS, whom we may approach for character references. Previous employers may not be used.
Name Address Telephone Number Occupation Period Known Relationship to Applicant
Give details of employment history, listing latest first, for the last 5 years or since leaving full time education. Any breaks in employment you must give details of the address of Unemployment Benefits Office to which you reported. You may be unacceptable for employment with this Company if you fail to produce a fully checkable work history.
This section must be filled in - you can copy and paste your CV into this area if you wish.
Due to the nature of our work, Real World Services will be conducting a thorough background check on each of your previous employment roles over the last five years.
To that end, when filling out the next section, it is vitally important that you let us have the following information for each employer.
Employer
Employment Dates From & Until (Day/Month/Year)
Position Held
Employer Contact Details (Employer Name/Address/Contact Name/Phone Number/Email)
Employer Employment Dates From & Until (Day/Month/Year) Position Held Employer Contact Details (Employer Name/Address/Contact Name/Phone Number/Email)
Use this section for details of any additional positions held over the last 5 years. Please remember to include: employer, employment dates, the position held and employer contact details (Employer Name/Address/Contact Name/Phone Number/Email).
May we approach your previous employer for references now? YESNO
If invited for an interview you will be required to bring with you proof of address (i.e. utility bill etc. within last 3 months) and photo proof of ID (i.e. driving licence/passport).
If offered employment, you will be appointed a probation period of 16 weeks.
I understand that any offer of employment will be subject to the satisfactory completion of my screening, which will be carried out in accordance with the current standard of BS 7858. In that regard, I offer to assist the Company in obtaining a continuous record of written evidence confirming that there is nothing in my background, which would reflect adversely upon my suitability for any proposed employment.
I understand that if I am offered employment, any misrepresentation, or failure to disclose material facts, may constitute grounds for dismissal and/or legal action. I certify that to the best of my knowledge, the information that I have given is true and complete.
I authorise the company to make a consumer information check, a record of which will be kept and maybe shared with other credit reference agencies.
I understand that some information I have provided in this application will be held on a computer and some on manual records.
I consent to the Company's reasonable processing of any sensitive personal information obtained for the purposes of establishing my medical condition and future fitness to perform my duties.
I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Records Act, I consent to the results of such examinations to be given to the Company. I understand and agree that if so required, I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act, in confirmation of previous employment or unemployment.
P2 Issue 7 | Updated July 2019 | Controlling Authority: Management Representative.
