Application Form – Dynamic Resourcing Services

Candidate Application Form

Please complete the form fully and if you have any questions please contact Dynamic Resourcing Services

Candidate Name

First Name *

Last Name *

Position applied for *

Date *

PERSONAL DETAILS

First Name *

Last Name *

Street Address *

City *

State/Province

ZIP / Postal Code *

Country *

Phone *

Email Address

GENERAL DETAILS

Can you Drive *YesNo

Own Transport *YesNo

Are you a citizen of the EU or EFA? *YesNo

If not, are you eligible to work in the UK? (give details)

AVAILABILITY (shifts)

Full Time: (Yes/No) *YesNo

Part time: (Yes/No) *YesNo

Evenings: (Yes/No) *YesNo

DaysMondayTuesdayWednesdayThursdayFridaySaturdaySunday

NightsMondayTuesdayWednesdayThursdayFridaySaturdaySunday

Weekends: (Yes/No) *YesNo

Any Other info

PREVIOUS EMPLOYMENT

Begin with most recent position

PREVIOUS EMPLOYMENT - Fill in below

Employer 1

Employer 1 Company Name:

Employer 1 Address

City

State/Province

ZIP / Postal Code

Employer 1 Job Title

Employer 1 Nature of business

Employer 1 Duties

Date employment From

Date employment To

Employer 1 Rate of pay

Employer 1 Reason for leaving

Employer 2

Employer 2 Company Name

Employer 2 Address

City

State/Province

ZIP / Postal Code

Employer 2 Job Title

Employer 2 Nature of business

Employer 2 Duties

Date employment From

Date employment To

Employer 2 Rate of pay

Employer 2 Reason for leaving

EDUCATION & QUALIFICATIONS

If you have not addended further education please leave the sections blank.

Secondary School Name

Secondary Education From

Secondary Education To

School Qualifications Obtained

College Name

College Education From

College Education To

College Qualifications Obtained

University Name

University Education From

University Education To

University Qualifications Obtained

EXPERIENCE / SKILLS

Multiple Choice, please tick all that apply.

Industrial / WarehouseProduction LineMachine OperativeAssembly LinePackingWarehouse OperativeSecurityCleaning/HygieneFork Lift Truck (Cert)

CommercialCustomer ServiceSwitch BoardDate EntryTelesalesAdministrationHelp DeskSecretarialOther

Trade / TechnicalHandymanMaintenanceMultiskilledPlumbingElectricalAir ConditioningMechanical

Any other experience or skills

Have you ever been convicted of a criminal offence? (declaration subject to the Rehabilitation of Offenders Act 1974) If you have a disabillity please tell us about any adjustment we may need to make to assist at interview *

Please tell us if there are any dates when you will not be available for interview

NEXT OF KIN

Name *

Contact Number *

Next of Kin Address *

City

State/Province

ZIP / Postal Code

Country

REFERENCES

References *

Note:

No approach will be made to your present employer before an offer of employment is made to you You have my authority to seek references. I certify that my answers are true and complete to the best of my knowledge. I authorise you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, institutes, or persons from all liability in responding to enquiries in connection with my application. In the event that I am employed, I accept that providing deliberately false information could result in my dismissal.

Signature *

Date *

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