Reliability Diligence Capability Commitment Application for Employment For Northern Security s use ONLY: Applicant Date received: : Location: Comments:
If completing this form in handwriting, please write clearly in black ink. Applied For: Where did you hear of this position? Personal Information First Name(s): Home Surname(s): Previously Known As (if applicable): Date of Birth: Nat. Insurance No: Mobile No: Time at this From: To: Previous Address (if resident at current address less than 5 years): Email Do you require a Permit to work in the UK? Time at Previous From: To: Driving Licence SIA Licence Do you hold a current Driving Licence? Yes No Do you have your own Transport? Yes No Do you have any Licence Endorsements? Yes No If YES, please detail: Do you hold a current SIA Licence? Yes No Is this licence for a Front Line Operative? Yes No Type of Licence Held (eg. Security Guarding): Licence No: Expiry Date: Example Employment History and Periods of Unemployment Employer Name, Address & Tel. (most recent first): From D/M/Y: To D/M/Y: Details: SMITH ENTERPRISES LTD 2 SMITH ROAD CARLISLE, CA2 4NE 01/01/ 2012 01/01/ 2016 LABOURER (01228) 547 663 CHANGE IN CAREER JOB CENTRE PLUS, CARLISLE LOWTHER STREET CARLISLE, CA3 8DA 30/06/ 2011 31/12/ 2011 UNEMPLOYED (0845) 604 379 N/A JOHN SMITH JOINERS LTD 10 JOINERS ROAD CARLISLE, CA2 4LH 01/01/ 2010 29/06/ 2011 SELF EMPLOYED (01228) 522 222 BUSINESS CLOSURE
Employment History and Periods of Unemployment, continued Employer Name, Address & Tel. (most recent first): From D/M/Y: To D/M/Y: Details:
Education Name and Address of Secondary School/College/Uni: From D/M/Y: To D/M/Y: Examinations Gained: Character References Please supply us with details of two people who have personally known you for at least the last TWO years (not relatives by blood or marriage, previous employers, colleagues or persons residing at the same address). Professional References Please supply us with details of two professional references or one of the following for periods of self employment; HM Revenue and Customs statement, bank statement, letter from accountants or solicitors, trade or client references, etc...as appropriate)
Background Information The Rehabilitation of Offenders Act 1974 set up a system whereby people who have been sentenced for criminal offences are entitled to have those convictions disregarded and treated as spent, after a certain period of time. The length of that period, known as the rehabilitation period differs according to the type of sentence imposed and the age of the person when convicted of the offence. Please note, some convictions are never deemed to be spent. Please provide details of any unspent convictions, prosecutions, bankruptcies or other offences: Date: Offence: Sentence: Have you ever been dismissed for misconduct by an employer? Yes No If YES, please detail: Additional Information What attracted you to apply for this position? What qualities, skills or relevant training do you think you could bring to this role? Personal Interests and Hobbies: Availability Dates on which you are unavailable (ie pre-booked holidays etc). From D/M/Y: To D/M/Y: Reason: Notice period required by current employer (if applicable) weeks/months:
Declaration In completing and signing this application form, I consent to Northern Security Limited using and keeping information about me provided by either myself, or by third parties. If my application is successful I understand that data collated during the recruitment process will form the basis of any personnel record held. This information will be processed in accordance with the Data Protection Act 1998. I certify that the information I have given is true, accurate and complete to the best of my knowledge. 1 2 3 I acknowledge that misrepresentation, or failure to disclose material facts, either during application or throughout employment may constitute grounds for withdrawal of an employment offer or termination of employment and/or legal action. I understand that any false statement or deliberate omission of information supplied to the Company or its representatives may render me liable to dismissal without notice. I understand that employment with the Company is subject to satisfactory references and security screening in accordance with BS 7858. 7 8 9 I understand that some of the information I have provided in this application will be held on a computer and some, or all will be held in manual records. I consent to the Company s reasonable processing of any sensitive personal information obtained for the purposes of establishing a medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Records Act 1988, I consent to the results of such examinations being provided to the Company. 4 5 6 I undertake to co-operate with the Company in providing any additional information required to meet these criteria. I authorise the Company and/or its nominated agent to approach previous employers, education or training provider, character referees or Government Agencies to verify that the information I have provided is correct. I authorise the Company to make a Consumer Information Search with a Credit Reference Agency, which will keep a record of that search and may share that information with other Credit Reference Agencies. 10 11 I understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment. I authorise the company and/or its nominated agent to approach my current employer to verify the information I have provided prior to an offer of employment being made. Yes No Disclosure You are applying for a position of trust and in the event of being offered employment by the Company we may apply for a disclosure. However, having a criminal record does not necessarily bar you from employment. For more information please refer to the HR department for a copy of the CRB Code of Practice / Disclosure Scotland and / or our Company policy statement with regard to ex-offenders. Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. By signing this document you allow the Company to see a copy of the Disclosure. The disclosure information is not retained i.e. it is disposed of within the timescales recommended in the CRB Code of Practice. By signing below you agree to this process. Applicant s Signature: Date:
Important things to bring with you and what to expect at your Interview: The recruitment and employment of quality staff is our biggest investment. Our employees represent the public face of Northern Security and without them we would not exist. That is why your first meeting is SO important; it will help you decide if Northern Security is right for you... and of course if you are right for Northern Security. To help you get the most out of your interview, we have prepared the following guidelines and tips, take special note of the additional documents you MUST bring with you: Preparation The first step is to complete the application form. Be sure to bring it along fully completed, ensuring that your full five year work/back to school history is included, as this information is an essential requirement under the vetting and screening procedures required for our industry. Important! You MUST also bring the following documents with you to confirm your identity: Either two Group A documents, or one Group A and two Group B documents from the options listed below. If you do not have a valid driving license additional proof of address will be required and MUST be dated within the last 3 months. Group A Documents Valid UK passport. Signed valid passport of any other nationality. Signed valid UK photo driving licence (including a provisional licence). UK original birth certificate issued within 12 months of birth. UK biometric residence permit. Group B Documents Valid EU photo ID card. Valid UK firearms licence with photo Signed valid UK paper driving licence. Marriage certificate or Civil Partnership certificate, with translation if not in English. UK birth certificate issued more than 12 months after date of birth, but not a photocopy. Non-UK birth certificate, with translation if not in English. UK adoption certificate P45 statement of income for tax purposes on leaving a job issued in the last 12 months. P60 annual statement of income for tax purposes issued in the last 12 months. Bank or building society statement issued to your current address, less than 3 months old. You can use more than one statement as long as each is issued by a different bank or building society. Mortgage statement issued in the last 12 months. Utility bill (gas, electric, telephone, water, satellite, cable) issued to your current address within the last 3 months. You can only submit one utility bill in support of your application. Pension, endowment or ISA statement issued in last 12 months. British work permit or visa issued in last 12 months. Letter from H.M. Revenue & Customs, Department of Work and Pensions, employment service, or local authority issued within the last 3 months. You can submit more than one letter as long as each is issued by a different Government department or a different local authority. A credit card statement sent to your current address within the last 3 months. You can submit more than one statement as long as each is issued by a different issuer. Council Tax statement issued in the last 12 months. Child benefit book issued in last 12 months. Important Notes: All documents must be original, not photocopies. All combinations must confirm your correct name, current home address and date of birth. If any of your documents are not in English you must provide us with both the original and an English translation from an approved translator. All personal data will be used for the purposes of security screening and any documents presented to establish your identity and proof of residence may be checked using an ultra violet scanner or other method to deter theft and fraud. Any documents which appear to be forgeries will be reported to the relevant authority. Please note that your interview may be held at an address different to the one below at another site operated by the Company. On the Day... The interviewer will use your completed application form as the basis for discussion. From the information you have provided, together with the face-to-face interview, they will be able to find out if you: Can successfully do the job, or be trained to carry it out. Have the attitude, appearance and communication skills required by Northern Security for this position. Understand what the job entails and Northern Security s Terms and Conditions of Employment. Don t Forget! Be ON TIME. Consider your appearance; first impressions DO count. Think about any questions you want to ask. If you require Glasses for reading and/or distance, then please bring them with you. We look forward to meeting with you! Head Office: Northern Security Limited, 17 Peterfield Road, Kingstown Industrial Estate, Carlisle, CA3 0EY. T: 01228 547 662 www.northernsecurityltd.co.uk 2016 Northern Security all rights reserved.