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EMPLOYMENT APPLICATION FORM

Application for employment as Service Technician

Education and Training

Name of school, college etc. attended	Dates	Examinations passed and qualifications obtained
Schools (after age 11)

Further education (university, college, academic or vocational, evening classes etc.)

Professional or other training

Employment History

Please start with your present or most recent employment and work backwards; include any service with HM forces

Date

From

Name of employer and nature of business

Position held and brief details of duties

Reason for leaving

Current or leaving pay/salary


If successful when could you start work with us?

Do you hold a full driving licence?	Yes No

Do you have any points, if so how many?

Additional Information

What attracts you to a career in pest control?

Please include any additional information you wish to add in support of your application including any skills and experience you have acquired through interests outside the working environment.


Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act 1974)
	Yes No
Details

Do you have any disabilities that might affect your application?
	Yes No
Details

Please tell us if: a. There are any reasonable adjustments we can make to assist you in your application. b. There are any reasonable adjustments we can make to the job itself to help you carry it out
Details

Do you need a work permit to work in the UK?	Yes No

References

Please give the names and addresses of two persons as referees, other than relatives who we can approach for references.

No approach will be made to your present or previous employers before an offer of employment is made.

I confirm that to the best of my knowledge the above information is correct.