Centrebus Driver Application
Your local bus service provider
  • Home Telephone:
    Mobile Telephone:
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  • If you passed your PVC Licence when did you pass?
    Is your licence clean? Give details of any points.
  • Health Questionnaire

    Please answer the questions below. Write YES or NO and give further details if required.
  • Give details of any criminal convictions in the past 5 years, together with ANY which have resulted in a prison sentence. If none, you must write NONE here (Exclude those spent under Rehabilitation of Offenders Act 1974)
  • Are you generally in good health?
    Are you receiving medical treatment for any condition?
    Are you registered disabled or do you suffer otherwise from any disability?
    Do you have outside commitments that could limit your working hours, such as being a JP, Councillor in local government or a member of the TA?
  • If currently employed, how much notice will you have to give your current employer?
    Do you have existing holiday commitments? If YES, please give all details.
  • Name of Establishment
    Dates Attended
    Qualifications Obtained
  • Name of Establishment
    Dates Attended
    Qualifications Obtained
  • Please give details of other skills and qualifications you have obtained.
  • Are you currently employed? If NO please give reason.
    Have you ever been dismissedby an employer? If YES please give details of what happened.
  • Company Name
    Address
    Position
    Rate of Pay
    Dates
  • Company Name
    Address
    Position
    Rate of Pay
    Dates
  • Do you ave any Part-time or evening jobs that you intend to continue? If YES give details.
  • 1) Name:
    Address:
    Telephone:
    How do you know this referee?
  • 2) Name:
    Address:
    Telephone:
    How do you know this referee?
    Please give the name and address of two people that we may contact for references. One reference must be from a previous employer.
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  • Ref. No
    Date:
    Position offered (subject to satisfactory health checks)
  • Equal Oppurtunities

    We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment because of age, disability, gender reassignment, marriage and civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation. Our recruitment selection criteria and procedures (including the areas or media sources which are used in the recruitment process) are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities and that no applicant or employee is disadvantaged by provisions, criteria or practices which cannot be shown to be justified. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:
  • Ethnicity & Sex

    I would describe my ethnic group and sex as : (Please tick one box for your ethnic group & one box for your sex).
  • Declaration

    I declare that the information I have given on this form is correct and that any misrepresentation by me may be sufficient grounds for my dismissal if i am employed. I give my permission for my previous employers and any references to be contacted.
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