Response
Name
Location
Personal Details
Title
Mr
Mrs
Miss
Ms
Dr
Forenames*
Surname*
Address
Postcode
Contact number*
E-mail
Homeowner
Yes
No
NI Number
Country of birth
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Côte D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Holy See (vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Bartholemy
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Martin
Saint Pierre And Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province Of China
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Work permit required
Yes
No
Previous addresses
For the purposes of the Asylum and Immigration Act 1996, please give details of all addresses you have lived at during the past five years (not including the above)
Current driving licence
Yes
No
Endorsements
Please give details of any driving endorsements
Sickness
How many days sick have you had off work in the last 12 months of employment? (Please give reasons for absence)
Absenteeism
If applicable, on how many occasions were you absent for 3 or more days?
Previous Employment
Yes
No
Have you worked for Manning Stainton previously?
Acquaintances
Yes
No
Do you have a relative or acquaintance who works (or has worked) at Manning Stainton?
Criminal Offences
Yes
No
Have you ever been convicted of a criminal offence or is any prosecution pending (excluding minor driving convictions) by a civil or criminal court? (Declaration is subject to the Rehabilitation of Offenders Act 1974).
Disciplinary Procedures
Yes
No
Have you ever been subject to any action taken under disciplinary procedures by an employer or dismissed from employment?
If yes, please give details
Education History
Schools
Please list schools attended, dates and qualifications gained.
College/University
Please list colleges/universities attended, dates and qualifications gained.
Professional Qualifications
Please give details of any Professional Qualifications or Membership of Professional Institutions
Previous Training
Please give details of any specialised training received and/or courses attended
Ongoing Training
Please give details of any current/ongoing training
Employment History
Current Position
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
Notice period
Notice period required in current position.
Previous Position 1
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
Previous Position 2
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
Previous Position 3
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
Previous Position 4
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
Previous Position 5
Please give details of employment dates, employer name and address, job title and duties, final salary, reason for leaving.
References Please note references will not be taken up prior to an offer of employment being made. Please provide the names and addresses from whom the company may obtain both character and work experience references. One reference should be from your current employer.
Reference 1
Reference 2
Further Information
Leisure
Please note here your leisure interests, sports and hobbies, other pastimes etc.
Other Skills
(e.g. languages, computer keyboard skills etc.)
Continuing Employment
Please provide information about any additional work outside your full-time employment (please note under the ‘Working Time Directive’ you are obliged to notify the Company)
Personal Qualities
Briefly describe any personal qualities you believe you possess for the position you are applying for
Application Support
Please add any information you feel will support your application
Holidays Booked
Please give dates of any holidays booked for this year
Interview Dates
Are there any dates you are unavailable for interview?
Special Arrangements
Start Date
When would you be able to start work if offered a position?
Current/Final Salary
Please state your current/final salary per annum based on number of hours worked per week
Required Salary
Please state your required salary (per annum / per week)
Attach CV
Please attach your CV here. Microsoft Word or PDF format.
Equal Opportunity Monitoring - Optional We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, creed, nationality, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.
Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.
All employees are given equal opportunity and are encouraged to progress within the organisation.
We are committed to an ongoing programme of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information.
PLEASE NOTE THIS SECTION IS OPTIONAL AND IF COMPLETED, WILL BE LOOKED AT INDEPENDENTLY FROM YOUR APPLICATION AND WILL HAVE NO BEARING ON IT
Ethnic Origin
White
Black - Caribbean
Black - African
Black - other (please specify)
Indian
Pakistani
Bangladeshi
Chinese
Other (please specify)
Other ethnic origin
Gender
Male
Female
Marital Status
Date of Birth
Referral
Where did you see this vacancy?
Declaration Please read this carefully before sending this application.
"I confirm that the information given on this application form is correct and accept that providing deliberate, false information could result in my immediate dismissal if offered a position with the Company. In the interest of security I agree to abide by the company’s search procedure.
I understand that any offer may be conditional on the results of a medical examination that the Company may wish to carry out. Completion of this form in no way binds the Company to offer me employment and that no contractual relations will exist between the two parties until such time as I have signed a form of contract or accept in writing the terms of a letter of appointment.
I have also read and understand the guidelines relating to use of data from information given in this form."
I agree*
By ticking this box you confirm that you have read and understand the declaration above.
Full name*
Date*
Authentication*
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