Cleaner Recruitment Form

FIRST NAME *

SURNAME *

DATE OF BIRTH *

NATIONAL INSURANCE NUMBER *

ADDRESS *

POSTCODE *

HOME TELEPHONE NUMBER

MOBILE TELEPHONE NUMBER *

EMAIL ADDRESS *


POSITION

DATES EMPLOYED FROM (MONTH AND YEAR)

DATES EMPLOYED TO (MONTH AND YEAR)

NAME AND ADDRESS OF EMPLOYER

MAIN RESPONSIBILITIES


DETAILS OF ANY EXPERIENCE, QUALIFICATIONS OR TRAINING RELEVANT TO THIS JOB

If other, please specify:

DO YOU HAVE ANY TRANSPORT OF YOUR OWN?

DO YOU HAVE A FULL UK OR EU DRIVING LICENCE?


MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY


SATURDAY

SUNDAY


REFERENCE ONE

REFERENCE TWO

NAME

JOB TITLE

ADDRESS

TELEPHONE

EMAIL

NAME

JOB TITLE

ADDRESS

TELEPHONE

EMAIL


SIGNATURE *

I declare that the information given on this form is, to the best of my knowledge, true and complete. I understand that any false statements may be sufficient cause for my rejection or, if employed, dismissal.

DATE *


POST APPLIED FOR *

DATE OF BIRTH *

I WOULD DESCRIBE MY ETHNIC ORIGIN AS

The award winning green cleaning company Additional information and equal opportunities POLICY Green Mop Ltd is committed to the principle of equal opportunities in employment. The aim of the Equal Opportunity policy is to ensure that all employees are recruited, trained and promoted according to their ability to fulfil the requirements of their post. There will be no discrimination on the grounds of, for example, race, colour, creed, ethnic or national origins, nationality, disability, age, sex, sexual orientation, marital status or family responsibility in any matter relating to employment. MONITORING Green Mop Ltd has adopted the recommendations of the Code of Practice published by the Equal Opportunities Commission and the Commission for Racial Equality (now the Equality and Human Rights Commission) that employers should regularly monitor the effects of selection decisions to assess whether equality of opportunity is being achieved. For this purpose you are asked to complete the form below. The information will be treated as strictly confidential and used, in an anonymous way, for statistical purposes only. The form will be removed from your application prior to short listing.

I AM

DO YOU NEED APPROVAL THROUGH THE REQUIREMENTS OF THE UK BORDER AGENCY TO WORK IN THE UK?

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE? (DECLARATIONS SUBJECT TO THE REHABILITATION OF OFFENDERS ACT 1974)?

IF YES, PLEASE GIVE DETAILS