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Application Form

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Application Form

Position Applied For
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Personal Details


Surname
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Forenames
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Address
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Postcode
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Home Tel
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Mobile Tel
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Email
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Nat ins No
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Age
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Do you hold a Full Drivers Licence
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Do you hold a Valid S.I.A licence
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Licence No
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Education and Training


Secondary Schools
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From
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To
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Qualifications Gained
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College/University
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From
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To
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Qualifications Gained
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Membership of a Technical/Professional Body
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From
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To
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Status By Exam
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Other relevant Training/ Apprenticeships
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From
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To
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Qualifications Gained
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Rehabilitation of Offenders Act:


Have you or do you have pending any Criminal Convictions (Include Motoring Offences)?
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Details
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Note: Any convictions classed as spent, ie after the ˝ rehabilitation period ˝ has elapsed does not have to be declared. If unsure of elapsed period a copy of The Rehabilitation of Offenders act can be found at all local libraries. Failure to disclose any convictions may result in disciplinary action / dismissal from the company.

 

OPT OUT AGREEMENT


I Agree that I may work more than 8 hours in one shift and more than an average of 48 hours a week. If I change my mind, I will give my employer 3 Months notice in writing to end this agreement.
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EMPLOYMENT HISTORY


Note: Please ensure that you provide a full 5 year checkable work history or from school if less than 5 years. Start with your most recent job or period of unemployment. All periods of unemployment must also be included including the name and address of the Benefits office claimed from.

Previous Employment History:


Most Recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Second most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Third most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Fourth most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Fifth most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Sixth most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Seventh most recent

From
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To
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Employer Inc: Address
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Job Title / Salary
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Reason For Leaving
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Contact name for reference purpose:
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Experience


What relevant Qualifications, skills or personnel qualities could you bring to this job? Please also include any work experience, which may be relevant E.G. voluntary groups, Schools/College activities.
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Next of Kin Details


Name
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Relationship
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Address
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Home Telephone No
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Mobile Telephone No
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Bank Details


Bank Name
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Branch
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Sort Code
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Personnel References


Please supply the names, addresses and telephone numbers of two personnel referees. (No Family Members).

Name
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Address
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Contact No
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Name
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Address
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Contact No
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Medical History:


Is there anything about your health record that may affect you in the performance of your duties?
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Details
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Have you in the past 5 Years had an illness that has caused you to be of work or away from school or college for 3 weeks or more.
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Details
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Declaration:


I have had my rights under the Data Protection Act 1998 explained to me and give Stone Security Services Limited my permission to access my personnel Details.

I understand that employment with the company is subject to satisfactory references and security screening in accordance with BS 7858. I undertake to cooperate in giving any further information required to meet the criteria. I authorise the company or their nominated agent/s to contact any persons, schools, armed forces, Government agencies including the DWP or previous employers to verify the details I have given are correct. I give my permission for Stone Security Services or their nominated agent/s to carry out credit reference checks and to hold such information along with any other information provided or gleaned from your application both on computer and on paper. I consent to the company’s reasonable processing of any sensitive personal information obtained for the purposes of establishing my 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 1998, I consent to the results of such examinations be made available to the company.

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 hereby certify that, to the best of my knowledge, the details I have given in this application form are complete and correct.

I understand that any false statement or omission to the company or its representatives may render me liable to dismissal without notice.

Please type the numbers you see in the box provided(*)
Please type the numbers you see in the box provided   RefreshInvalid Input

alertFor more info on Stone Management Group:
08000 32 99 88
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