EmailMe Form - Great Dorset Event Service

Name *

First Last

Maiden/Former name( list all previous first and surnames or alias's)

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Please attach your CV *

When did you move to you currant address *

MM / YYYY

If you have lived at your current address for less then 5 years, please state All Previous addresses where you have lived for the past six years.
Including the time at each address from/to.

Phone

mobile Number *

National Insurance Number *

Are you registered self-employed ?
Are you a student in full-time education?
Do you hold a full current driving licence?

If yes, please state driving licence number:

Do you hold a current SIA licence *

Yes

No

If yes, Which SIA licence do you hold.

Door Supervisor

Security Guard

CCTV

Close Protection

SIA Licence Number

Please supply all SIA licence numbers for the licences you hold.

Are you subject to to immigration Control? *

Yes

No

If yes, do you have an unrestricted entitlement to take up employment in the UK?

Yes

NO

Is there anything in your personal circumstances that would be detrimental to you working night shifts? *

Yes

No

If yes please give details here.

Have you ever been fined , cautioned,sentenced to imprisonment or placed on probation for a criminal act(subject to the Rehabilitation of offenders ACT?) *

Yes

No

Are there any alleged offences outstanding against you ?

Yes

No

If your CV dose not have a full 5 years work history or back to education. Please provide the additional information here.

please provide emergency / next of kin Contact details here,

Additional Comments:,

If you have any previous Experience or information that you feel relates to your application please provide it here.

Declarations *

I confirm I have read understood the following

I certify that to the best of my knowledge, the information that i have given in my application for employment is true an complete. I also understand that any false statement or omission to the company or its representatives may render lead to termination of employment without notice. 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 authorise the company or its agents to approach Government agencies,former employers , educational establishments, criminal justice agencies and personal referees for information relating to and verification of my employment/unemployment record. I further declare that any documents that i provide as proof of my identity, proof of address, proof of right to work and any other documents that i provide are genuine and give my consent for these documents to be examined under a UV scanner or similar device. I acknowledge that any falsified documents may be reported to the appropriate authority.

Date Protection Act 1998 *

I confirm i have read and understood the following

the company will use the information you have given on your application form(together with any information which we obtain with your consent from third parties) for accessing your suitability for employment. It may be necessary to disclose your information to our agents and other service providers.
By returning this form to the company you consent to us processing personal data about you where this is necessary, for example information about your credit status, ethnic origin or criminal offences. you also consent to the transfer of your information to your current and future employers.
your information will be held on our computer database and /or in our paper filing systems.by clicking to agree to this process and confirm that you do not have a criminal record subject to the current rehabilitation of offendesr Act and any amendments . you have the right to apply for a copy of your information (for which we may charge a small fee0 and to have any inaccuracies corrected.

Enter Electronic signature *

Date Time

DD / MM / YYYY