Ken Jervis Kia - The award winning team
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Visits since 11/2/2010


APPLICATION FOR EMPLOYMENT - Confidential
Please complete this application form carefully and click the button below to submit your application. A member of admin team will contact you in due course with details of any vacancies that may deem suitable.


Position Applied For:
Full or Part Time:


Personal Details

Title:
Name:
Date of Birth:
Address:
Postcode:

Telephone Numbers
(By submitting a business number you agree to allow us to contact you at work)
Private:
Mobile:
Business:
Email Address:
Current Driving License?


Education

Schools Attended (11yrs+) Year (From-To) Examinations/Grades
College/University Year (From-To) Examinations/Grades
Vocational Training Year (From-To) Examinations/Grades
Other Qualifications/Memberships Year (From-To) Grades/Membership No.


Employment History

Current Employment Status:
Present Employer:
Type of Business:
Job Title:
Date Started:
Current Salary:
Reason for Leaving:


Previous Employer:
Type of Business:
Job Title:
Date Started:
Date Left:
Salary:
Reason for Leaving:


Previous Employer:
Type of Business:
Job Title:
Date Started:
Date Left:
Salary:
Reason for Leaving:


Interests and Hobbies

Please list any interests / hobbies / volunteer experience you may have & please add anything that you feel may support your application.


Health
(This information will assist us in fulfilling our obligations under the Disability Discrimination Act)


Do you consider yourself to have a disability?
Do you have a medical condition or ongoing medical treatment of which we should be aware?
If Yes, Please Give Details:
How many sick days leave have you had in the last twelve months?
Please Give Details of Absence:


References
(Please give the names, occupations & addresses of two referees. One of the referees should be your current or most recent employer. Referees will not be approached without your permission.)


Name:
Address:
Occupation:
Contact Email:
Contact Telephone:
May we contact this referee in advance of a job offer being made?


Name:


Address:
Occupation:
Contact Email:
Contact Telephone:
May we contact this referee in advance of a job offer being made?


Disclaimer

I confirm that the information given on this form is to the best of my knowledge, true & complete. I understand that any false statement may be sufficient cause for rejection or if employed, dismissal.


Ken Jervis Limited - Cobridge Road, Hanley, Stoke On Trent, Staffordshire, ST1 5JU
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Tel: 0345 1258977






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