APPLICATION FORM

 

Recruitment > Application Form

Please complete the form below

1

Job Reference Code

2

Name*

3

Address*

4

Email*

5

Telephone*

6

Mobile

7

Date of Birth*

8

Are you employed?*

yes no (if 'no' go to Section 13)

9

Current employer

10

Current job title

11

How long have you been with this employer?

12

Current Salary

13

Future Salary Expectations*

14

Qualifications*

15

Relevant experience*

16

Health and Safety training/courses etc*

17

Are you able to work throughout the UK away from home?*

yes no

18

Distance pepared to work away?*

19

Are you able to work weekends/nights etc?*

yes no

20

Do you posses a full valid UK driving licence?*

yes no

21

Are you ECS or CSCS Approved?*

yes no

22

Do you have up-to-date PASMA certification?*

yes no

23

Do you have up-to-date IPAF certification?*

yes no

24

Are you UKATA asbestos awareness certified?*

yes no

25

Do you have up-to-date insurance 2m or over*

yes no

26

CIS UTR Number*

 

*=compulsory field

Electrical contractors

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t • 01202 266200 | f • 01202 266201 |

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