Application for Employment Step 1 of 8 12% Position* Position Applying forSpeculative Application: Yes Preferred Hours of Work* Full Time Part Time Day Shift AM Day Shift PM Night Shift Section 1: PERSONAL DETAILSTitle* Mr Mrs Miss Ms Other Other - Please Specify Forename* Surname* Address*Postcode* Mobile Telephone Number* Home Telephone Number Email* NI Number* Criminal Convictions*Have you any criminal convictions, except those spent, under the Rehabilitation of Offenders Act 1974? Yes No Details of your ConvictionsProsecutions*To your knowledge and belief, is there any possible outstanding or prosecution pending against you? Yes No Details of your ProsecutionsRestrictions*Are there any restrictions on you taking employment in the UK? Yes No Details of your RestrictionsBenzies*Have you previously been employed by Benzies? Yes No Benzies Produce Ltd DetailsPlease state the dates and position you heldLanguage*If English is not your first language, what is your current level of speaking and understanding English? Basic Intermediate Advanced Special ArrangementsPlease specify any special arrangements you will need to attend an interview Section 2: EDUCATIONPlease list your education, starting with the most recent first.University/College/SchoolDates (to/from)Exam/Course UndertakenGrades AchievedUniversity/College/SchoolDates (to/from)Exam/Course UndertakenGrades AchievedUniversity/College/SchoolDates (to/from)Exam/Course UndertakenGrades AchievedUniversity/College/SchoolDates (to/from)Exam/Course UndertakenGrades AchievedUniversity/College/SchoolDates (to/from)Exam/Course UndertakenGrades Achieved Section 3: PROFESSIONAL QUALIFICATIONS/TRAININGPlease list any professional qualifications and or training that you have undertaken. Awarding BodyQualification Undertaken/Membership StatusAwarding BodyQualification Undertaken/Membership StatusAwarding BodyQualification Undertaken/Membership StatusAwarding BodyQualification Undertaken/Membership Status Section 4: EXPERIENCEDo you have any experience of the following areas? Please tick the appropriate boxes.Experience* Select All Health & Safety Quality Control Supervisory Experience Vegetable Packing Food Hygiene Stock Control Pallet Truck Computer experience Machinery Cleaning First Aid Paperwork/Admin Other Other ExperiencePlease outline the areas you have experience in, not covered by the above.Forklifts*Do you hold a forklift licence? Yes No Type of forklift licence Counterbalance Telescopic Reach Licence expiry date Section 5: EMPLOYMENT HISTORYPlease list your employment history, starting with the most recent first.Dates From/ToEmployer & AddressJob Titles & DutiesSalary on LeavingReason for LeavingDates From/ToEmployer & AddressJob Titles & DutiesSalary on LeavingReason for LeavingDates From/ToEmployer & AddressJob Titles & DutiesSalary on LeavingReason for LeavingDates From/ToEmployer & AddressJob Titles & DutiesSalary on LeavingReason for LeavingDates From/ToEmployer & AddressJob Titles & DutiesSalary on LeavingReason for LeavingNotice periodPlease advise notice required in current job. Section 6: Additional InformationHobbiesPlease give details of any hobbies and interests you haveReasons*Please detail your specific reasons for applying to this position, your main achievements to date and any strengths you would bring to this position. Section 7: REFERENCESPlease give details of two referees. (It is preferable that one should be your present employer or someone who could comment on your suitability for the position applied for).Referee 1Name AddressOccupation Tel Number Email Address Permission to ContactDo you give us permission to contact this person prior to you being offered a job with us? Yes No Referee 2Name AddressOccupation Tel Number Email Address Permission to ContactDo you give us permission to contact this person prior to you being offered a job with us? Yes No Section 8: DECLARATIONBy submitting your application, I declare that to the best of my knowledge and belief: I have completed all parts of this application and the details I have supplied are, to the best of my knowledge, true and complete; I confirm that, to the best of my knowledge, there are no reasons, which would prevent me from undertaking the duties of this post; I understand that any willful misstatement or omission renders me liable to being rejected during the selection process or dismissed if engaged; I understand that appointment is subject to receipt of satisfactory references, Immigration, Asylum and Nationality document checks, and any further checks relevant to the role that I am applying for; If I am unsuccessful, my application will be kept on file, in a secure location and subsequently securely destroyed, in accordance with Data Protection Requirements. If successful, my application will be stored on my personal file. My application data will be restricted to those who need it in connection with dealing with my application. Confirmation of above points.* ConfirmationI have read, agreed and understood all of the above.CV UploadIf you have a CV, please upload. You can also upload any other supporting documentation. The files size of each document must be under 2MB and a maximum of 5 documents are allowed. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, jpg, gif, png, pdf, jpeg, doc, docx, doc, docx, Max. file size: 2 MB, Max. files: 5. SPAM Protection