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Constructing the Future Application Form

Please note your application will not be processed unless you have successfully completed the above.

Position applied for (including trade):

Personal Information

Title

Surname

First Name / Middle Name

Gender

Date Of Birth

Day

Month

Year

Nationality

Ethnicity

Street Address

Town/City

County

Post Code

Calico Tennant?YesNoNot Selected

Home Phone Number

Mobile Number

E-mail Address

National Insurance Number

Next Of Kin Information

Next of Kin Name

Relationship to applicant

Street Address

Town/City

County

Post Code

Home Phone Number

Mobile Number

Indentification

Which forms of identification do you currently hold?

Do you have a P45? If so please let us have the employer’s copies if you are appointed.YesNoNot Selected

Do you hold a driving licence? YesNoNot Selected

What type of license

How long have you held this

Do you have transport?YesNoNot Selected

If so what type ?

Education

Name of secondary school attended

Dates ( to - from)

Qualifications

Qualification

Grade

Have you ever attended a Further Education College or University?YesNoNot Selected

Further Education

Name of College/University

Course Attended

Name of tutor / Head of year, for reference to support your application:

Contact Details for Tutor / Head of Year

Please list your qualifications, including grades:

Have you previously passed the CSCS test?YesNoNot Selected

 If so do you have a CSCS Card?YesNoNot Selected

Previous Employment

Have you been employed previously?YesNoNot Selected

Employment Details

Name of Employer

Position Held

Street Address

Town/City

County

Post Code

Telephone Number

Reference Contact Details

Date and reason for leaving

Tell us about yourself and any additional information

Have you ever been convicted of a criminal offence?Your attention is drawn to the fact that under the Rehabilitation of Offenders Act,1974 you may be entitled to answer ‘no’ to this question even if you have, in the past, been subjected to criminal proceedings resulting in conviction(s). However, certain types of employment are excluded under the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975, from the protection of the Act. It is therefore, suggested that you take appropriate advice if you are in any doubt as to the correct answer to give. The disclosure of a criminal record will not debar your appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making this decision the panel will consider the nature of the offence(s), how long ago and what age you were and any other factors which may be relevant. Failure to declare a conviction may, however, disqualify you from an appointment, or result in the termination of your contract if the discrepancy comes to light.

If yes, please specify the nature of the offence, date of the conviction(s), the court and sentence imposed:

Entitlement to Work in the UK

Entitlement to Work in the UK

Current legislation means that you will need to provide documentary evidence (for example your passport and National Insurance number) showing your entitlement to work in the UK if you are appointed. You should be aware that you will be asked to provide this before you take up your job.

Data Protection Act

Data Protection Act

In accordance with the Act, you should be aware that the personal details submitted with this application form, will be used for selection and interview purposes and for employment records if the application is successful. You should be aware that Constructing the Future Lancashire includes CITB Construction Skills as a partner; information will be shared only with CITB Construction Skills staff and staff of host companies directly involved in your employment and support.

Declaration

I certify that the information given on this form is, to the best of my knowledge, correct and complete and I understand that by deliberately giving false or incomplete answers, I will be disqualified for consideration for this post, or, if I am appointed, may be liable for summary dismissal with possible referral to the police.

I agree to conform to the company’s Health and Safety Policy, and all lawful instructions given verbally by supervisory staff relating of the company (and any additional company that I am placed with) to the Health And Safety at work Act 1974, particularly the wearing of head protection and eye protection.

Full Name

Date

Constructing the Future Application Form

Personal Information

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