Employment Application Form

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					                                      Employment Application Form



Position applied for……………………………………                           Dealership / Location…………………………………..

Personal Details

Title………………………………………………………..                                   Telephone: Home …..…………………………………..

Surname …………………………………………………                                    Mobile ……………………………………………………

First Name ……………………………………………….                                 Work …….……………………………….……………….

Address…………………………………………………..                                   Email ……………………………………………………..

…………………………………………………………….                                       …………………………………………………………….

……………………………………………………………                                        ………………………………………………….…………

……………………………...Postcode………………….                                 …………………………………………………………….

Please provide details of your current / most recent employer. If not applicable please give details of your Head
Teacher / Tutor or a Character reference (not a relative or friend).

Referees

Name……………………………………………………..                                     Name……………………………………………………..

Job Title………………………………………………….                                  Job Title………………………………………………….

Address…………………………………………………..                                   Address…………………………………………………..

……………………………………………………………                                        ……………………………………………………………

……………………………...Postcode……………….…                                 ……………………………...Postcode……………….…

Telephone …………………………………………….…                                  Telephone …………………………………………….…

Email …….…………………………………………….…                                   Email …….…………………………………………….…


Have you been previously employed by D M Keith Limited?           Yes    No

If yes, please give full details, including job title, location and dates ...……………………………………………………

…………………………………………………………………………………………………………………………………….

Do you know anyone who has worked for, or who currently works for D M Keith Limited? Yes          No

If yes, please give their name and dealership………………………...……………………………………………………...

Do you hold a full clean current driving licence?        Yes      No

If no, please give details of points or convictions ……………………...……………………………………………………

…………………………………………………………………………………………………………………………………….

Are you eligible to work in the UK?                      Yes     No

If no, please explain the details / work permit details
………………………………………………………………………..

Have you ever been dismissed from employment?            Yes     No

If yes, please explain the circumstances ……...……………………...……………………………………………………...
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Education & Qualifications

School; College; University             Dates: From & To                           Qualifications Gained

……………………………………                          ……………………………………                             ……………………………………

……………………………………                          ……………………………………                             ……………………………………

……………………………………                          …………………………………….                            ……………………………………

……………………………………                          .……………………………………                            ……………………………………


Vocational training; training received; courses attended; membership of any statutory or professional bodies

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………….

Employment History (please continue on a separate sheet if necessary)
Current / Most recent employment

    Employer Name & Address            Dates From / To                       Job Title & Description




Responsible to:                                              Notice Period:
Salary & Benefits:                                           Reason for leaving:

Previous Employment (please continue on a separate sheet if necessary)

    Employer Name & Address            Dates From / To                       Job Title & Description




Responsible to:                                              Notice Period:
Salary & Benefits:                                           Reason for leaving:

    Employer Name & Address            Dates From / To                       Job Title & Description




Responsible to:                                              Notice Period:
Salary & Benefits:                                           Reason for leaving:



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    Employer Name & Address            Dates From / To                       Job Title & Description




Responsible to:                                              Notice Period:
Salary & Benefits:                                           Reason for leaving:

Why do would you like to work for D M Keith Limited? …………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

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Please detail your specific reasons for this application, your main achievements to date and the strengths you

would bring to the post? ……………………………………………………………………………………………………..…

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

Please give an example of when you have demonstrated excellent customer service in the workplace? ………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

What factors are most important to you in selecting your future employment? ………………………………………….

…………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………….

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Do you have any hobbies / interests or participate in any activities which may support your application? …………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

How did you hear of this role? ………………………………………………………………………………………………...

…………………………………………………………………………………………………………………………………….



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Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of

Offenders Act 1974?         Yes     No

If yes, please give details ...........................................………………………………………………………………………

…………………………………………………………………………………………………………………………………….

Do you have any disability, illness or health condition which may affect your application? Yes                  No

If yes, please tell us if there are any reasonable adjustments which we can make to assist you in your application,

or if there are any reasonable adjustments you wish us to consider in helping you carry out your job? ……………...

…………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………….....


Declaration

I certify that the above information is complete and correct and that any untrue, omitted or misleading may lead to
dismissal without notice.


Signed: ……………………………………..……………… Dated: ………………………………………..


D M Keith Limited will use the information provided on this application form to process your application for
employment. Information given will remain confidential and is protected under the Data Protection Act 1998. D M
Keith Limited is an equal opportunities employer and details of disabilities are requested to ensure that D M Keith
Limited complies with its obligations under the Equality Act 2010.


Equal Opportunity Policy

D M Keith Limited in an equal opportunities employer. The aim of our policy is to ensure that no job applicant or
employee receives less favourable treatment on the grounds of age, sex, marital status, creed, colour, race or
ethnic origin, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Selection
criteria and procedures are reviewed annually to ensure that individuals are selected and treated on the basis of
their relevant merits and abilities.

D M Keith Limited is committed to a programme to make this policy fully effective. To ensure that this policy is fully
and fairly implemented and monitored and for no other reason would you please provide this information below.

Male              Female

Single            Married            Divorced                    Separated                   Widowed

White British / Irish                         White European                        White Other

White & Black Caribbean                       White & Black African                 White & Asian

Indian                                        Pakistani                             Bangladeshi

Arab                                          North African                         Chinese

Any other                                     Please specify ……………………………………………….


                                                     D M Keith Limited
                 Registered Office Thwaite Gate, Hunslet, Leeds, West Yorkshire, LS10 1DY. Website www.dmkeith.com
                                        For quality and training purposes calls may be recorded.




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posted:9/17/2012
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