industrial, packing, farming, medical care, land labour, drivers (HGV), forklift drivers, factory workers, farm hand workers

APPLICATION FORM
Roberto Mac Ltd is fully licensed under The Gangmasters Licensing Authority (GLA) you can view us here.
http://laws.gla.gov.uk/Default.aspx?Menu=Menu&Module=PublicRegister 
We are fully licensed to supply Agriculture, Horticulture, Processing and Packaging Industries.

Job Reference
Name
Address
Town
County
Post Code
Telephone Number
Mobile Number
Nationality
Work permit
N.I. Number
Age
Date of Birth
Marital Status
Number of Children and age

AVAILABILITY
Start Date
Availability for work (please tick)
Days   Nights
Evenings   Shift Pattern
Saturdays   Sundays
How far are you willing to travel if using own transport
What type of work are you interested in? (please tick)
Office / Clerical   Production Staff
Drivers   Forklift Drivers/Tracktor
Cleaners   Industrial
Managerial   Nursing Home Staff
Other (please state)

DRIVING LICENSE
Groups/types held
Own Transport
How many years have you held the above license
Details of any endorsements and convictions and dates

HEALTH
Details of any illness or accident in the last 5 years
Physical disabilities or allergies 
 
Do you have a criminal record
If yes please give details

SECONDARY EDUCATION

Give details, dates and examinations passed

FURTHER EDUCATION

Give details of Colleges, dates and exams passed

Any other certificates, training courses attended, qualifications gained

If you have done any voluntary work please give details

CURRENT OR LAST EMPLOYMENT
Name and Full Address
Business
Hours of Work
Position Held
Description of Duties
Date Started
Present Wages (net) per/hour:
per/week:
per/month:
Date Left (if applicable)
Reasons for leaving
Period of notice required
Reference available from above employment

PREVIOUS EMPLOYMENT

Please give details of your previous employment. (i.e  Employer, dates, duties & reason left)

Have you any experience in the following: Forklift driving / Combine driving / sprayer operating
if so please give details of training courses and certificates obtained

REFEREE

Please give the name of an independent person, not a relative, who we can contact.
Name
Full Address
Telephone

ADDITIONAL INFORMATION

Give any other information which may support your application

Please sign below (if printing this form)
I hereby certify that the information contained within this application is to the best of my knowledge correct.
 
SIGNED............................................................................... Date............................................................................

©2006 Web Cambs - Website Design