Personnel Application Form

STRICTLY CONFIDENTIAL
APPLICATION FOR EMPLOYMENT - CLEANER FORM

PERSONAL DETAILS

REFEREES

REFEREE 1

REFEREE 2

EMPLOYMENT

A full employment history must be detailed beginning with your current employment, and covering all reasons for gaps in any given year.

Current Employment

Previous Employment

A full employment history must be detailed beginning with your current employment, and covering all reasons for gaps in any given year.

REHABILITATION OF OFFENDERS ACT 1974 – NOTICE TO OFFENDERS

Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the rehabilitation of Offenders Act 1974 by virtue of the rehabilitation Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.
Any information should be given on a separate sheet and sent with this application form. This information will be treated as confdential and will not necessarily preclude you from employment.

RESIDENCY

DECLARATIONS

ANSWER EVERY QUESTION SO THAT WE WILL BE ABLE TO FULLY ASSESS YOUR APPLICATION AND MAKE A DECISION WITHOUT UNDUE DELAY.

If you have, this is not a barrier to the consideration of an application for employment, however, it will assist in assessing opportunities to place you in appropriate employment.

Thank you for completing this application form.
I declare that to the best of my knowledge, all of the information contained and documented herein is complete and truthful.

ROLE REQUIREMENTS

Please Note: Successful Applicants will be required to attend relevant training courses relating to your employment as a cleaner and will be required to reach a satisfactory standard in all training courses. *

EQUAL OPPORTUNITIES MONITORING

This section of the application will be detached and used for monitoring purposes only. Our organisation recognise and actively promote the benefts of a diverse workforce and are committed to treating all employees with dignity and respect regardless of race, gender, disability, age, sexual orientation religion or belief. We welcome applications from all sections of the community.

I Please select the option which best Please indicate your religion or belief describes your sexuality

I declare that the information given is correct to the best of my knowledge. In my view, I am ft physically and mentally to undertake this post. I understand that omissions or false statements may disqualify me from employment or lead to dismissal. I give the employer the right to investigate all references

I understand that by virtue of section 79 of the Workers’ Compensation and Rehabilitation Act 1981, a future claim for workers’ compensation may be in jeopardy if I fail to divulge relevant information about my past or present medical history that may impact upon my employment.

I consent to a medical examination, if required by the employer, to be carried out by a medical practitioner of the employer's choice, with the fee incurred in having to attend the examination being paid by the employer.

I acknowledge that if I am employed and any statement I have made is found to be deliberately false or deliberately misleading, I will be liable for instant dismissal.

Headquarters:
3 Thetford Mews, Caversham, RG4 6SN,
Company Reg: 11788238.
UK:
Phone: 0044742433616
Email: info@worldclasscareandstaffing.co.uk
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