Application for Employment Please complete all sections below. Section 1: Personal Information Position Applied For (required) Title (required)Please Select...MrMrsMissMs Forename (required) Surname (required) Address (required) Post Code (required) Date Of Birth (required) Telephone (required) Email (required) Do you have a current driving licence? (required) Please Select...Provisional LicenceFull LicenceNo Are there any restrictions on you taking up employment in the UK? (required) Please Select...YesNo Section 2: Education History In chronological order (Schools/Colleges, type only eg. Grammar, Technical, and the Qualifications Gained): Section 3: Employment History Please give brief details of Employment History, including From-To Dates, Name & Address of Employer, Job Title, Duties, Rate of Pay and Reasons for Leaving. Section 4: Criminal Record Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders (Northern Ireland) Order 1978. If none please state. Section 5: Why are you interested in this position? Section 6: Declarations I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contracted offered. I agree that the organisation reserves the right to require me to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtain a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor).