Giffords Way
Off Kelvin Way
West Bromwich
West Midlands B70 7JR

Tel +44 (0)121 553 1910
Fax +44 (0)121 500 4919
Email jobs@giffords.biz
www.giffords.biz

Job Application Form

Part 1: Your Details
Surname: * Other Names: *
Position applied for: *
Private Address: *
Postcode: *
Telephone (home): * Mobile:
Email Address: *
National Insurance No.:
Do you need a work permit to work in the UK? * YES NO

Part 2 : Driving License Details
Do you have a current driving license? * YES NO    (If NO. please move on to Part 2.1)  
License Type: (e.g. Car, HGV)
Do you have any endorsments? YES NO
If YES, please give details:

Part 2.1 : FLT Licence

If you have an FLT license please state which type:

Part 3 : How You Heard About This Vacancy

What prompted your application to Giffords Recycling Limited?
Agency Advertisement
Relative or Friend Walk in
Other Employee referral
If OTHER, please give details:

Part 4 : Criminal Record

If you have been convicted of any offence or if there are any proceedings pending against you, please give details and dates. (Under the Rehabilitation of Offenders Act 1974 only relevant convictions will be taken into account when asssessing your capability). (If none, please write "none").
Please note that we are unable to respond to all job applications If you do not hear anything from Giffords within 28 days please assume that your application was unsuccessful on this occasion.

Part 5 : Education

Please list any relevant educational, and other, qualifications held (including level and date obtained) or training received. Please also list any membership of professional / technical organisations.
Institution: *
(school/college etc) 		Entered: Left: Qualifications: *
+ click here to add details of more Schools, Colleges etc.

If you have any other professional qualifications, or have attended training or short courses that you think are relevant to this application please give details below:

Part 6 : Employment History

Please list below your complete employment history, from most recent employment to your least recent employment. Please include any periods of unemployment. We reserve the right to contact any of your previous employers to obtain a reference.

This section must be completed.

Your current employment details
Current Position: *
(If unemployed please write "unemployed")
Current employer: Your Salary:
Address of employer: Brief description of duties:
Start Date:
Notice required:
Reason for leaving:
Previous employment details (1)
Position Held:
Company Name: Your Salary:
Company Address: Brief description of duties:
Start Date: Leaving Date:
Reason for leaving:
Previous employment details (2)
Position Held:
Company Name: Your Salary:
Company Address: Brief description of duties:
Start Date: Leaving Date:
Reason for leaving:
Previous employment details (3)
Position Held:
Company Name: Your Salary:
Company Address: Brief description of duties:
Start Date: Leaving Date:
Reason for leaving:
Add more fields

Part 7 : Your References

Please provide the details of one current/previous employer that we may contact for a reference.
If you have no employment history, please provide the details of one college/training/school official.

Name: * Address:
Position: *  
Company: *  
Telephone Number: * Postcode:

May we contact this person at this stage without further reference to yourself? * YES NO
Do you have a relative or friend working at Giffords Recycling Limited? YES NO
If yes, who?
If your application is successful, will this be your only job? YES NO

Part 8 : Further Details

Giffords Recycling Ltd is concerned about the health and safety of its employees and every effort will be taken to minimise potential health risks to yourself and other workers.  The information you provide in this section will remain confidential.  Failure to disclose or the giving of false information could put yourself or others at risk.
Please answer the following questions in the space provided. Giffords ask this information purely for monitoring purposes, to assist applicants with arrangements for interview and to assess ability to do the duties intrinsic to the job applied for. Giffords do not discriminate against disabled applicants.

1: Please state whether you have any specific requirements or require any adjustments in order to attend the interview.

2: In relation to the job description of the role, do you have any physical, medical or health issue which may impact on your ability to carry out the role and detail any adjustments you feel would be required for you to be able to carry out the duties instinsic to this role.

3: We monitor diversity. Please confirm whether you have any physical, medical or health impairment which has an impact on your ability to carry out day-to-day activites or which may be a "disability" within the meaning of the Equality Act 2010

4: Please provide any information that you feel may support your application, e.g. personal qualities, experience gained in previous employment, training and development initiatives you have undertaken.

Part 9 : Declaration

Please tick this box to declare that the information on this form is correct to the best of your knowledge and belief. *

By ticking this box you agree and understand that false statements on this form may justify dismissal from Giffords Recycling Ltd.

Failure to agree to these terms and conditions will mean that you Job Application will NOT be accepted.

Please note: It is not Giffords Company policy to accept CV's.