Application Form For Employment

Location - Please choose which Michelmersh site you are applying for.
Telford (BL)Barnsley (CB)Shepshed (CW)Danehill (FL)Romsey (MM)

Surname

Forenames

Title

Address Inc. Post Code

Home Phone

Mobile Phone

Email Address

Do you need a work permit to work in the UK?

YesNo

Please note, to enable us to comply with our obligations under the Immigration, Asylum and Nationality Act 2006, you will be asked to provide written proof of your right to work in the United Kingdom, before any job offer is made to you. You will be given details of the original document or documents which are required at the appropriate time.

Do you have a full current driving licence?

YesNo

Is it free of endorsements?

YesNo

(If NO, give details)

Have you previously worked for us?

YesNo

(If Yes, when and in what capacity?)

Do you know or are you related to any person in the employment of Michelmersh Brick? If so please give details.

Employment

Position applied for

Pay expected (£ per Month or Year)

If offered and accept this position, will you continue to work in any other capacity?

YesNo

(If Yes, please give details)

What type of work are you looking for? (if not stated on the job advert)
Full TimePart Time

Would you be prepared to work shift work?
YesNo

(If Yes, please give details)

On what date would you be available to start this employment?

Education

Educational qualifications

Please list examinations taken and grades achieved:

Any Further Education, Degree or equivalent?

Please give name(s) & address(s) of school/college/university where you attained your qualifications:

If your application is successful, you may be asked to consent to Michelmersh verifying the information you have given in this form.

Please list professional qualifications and membership of professional organisations:

Employment History

Present/last Employer:

Date of employment from:

Address:

Starting salary:

Final salary:

Type of business:

Position held:

Describe the work undertaken:

Reason for leaving:

Please give details of your two previous employers, most recent first.

Employer:

Date of employment from:

Address:

Starting salary:

Final salary:

Type of business:

Position held:

Describe the work undertaken:

Reason for leaving:

Employer:

Date of employment from:

Address:

Starting salary:

Final salary:

Type of business:

Position held:

Describe the work undertaken:

Reason for leaving:

References

Please give details of two referees (one of whom should be your present/last employer and not relatives). Contact will only be made with your authority.

Name:

Occupation:

Address:

Name:

Occupation:

Address:

Please outline the skills and competencies you have gained through paid employment and other work activities and interests which are relevant to your application for this job.

Please use this space to give any other information you feel is necessary to support your application including any interests or hobbies.

Sign and date the declarations and authorisation below:

I declare that the information given by me, to the best of my knowledge, is true and complete.

I acknowledge that dishonesty or the giving of incorrect information on purpose may render this application and any subsequent employment invalid and subject to summary termination.

In accordance with GDPR (EU) 2016/679, I hereby authorise Michelmersh Brick UK Ltd to process the information contained in this application form for recruitment and selection purposes. I authorise the company to obtain references to support this application once an offer has been made and accepted and release the company and referees from any liability caused by giving and receiving information. Full Privacy Notice relating to job applications can be found by following the link below.

Name:

Date:

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