Recruitment Form (Beta*)

Application for Employment

Section A: Contact Details

* Indicates required field

Full Name *

Please include all middle names.

Mobile Phone Number *

Home Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Have you lived at this address for more than 5 years? *

Yes No

If not, list your previous addresses at Section D.

National Insurance Number *

Section B: ID Details

Do you hold a full UK Driving Licence? *

Yes No

Driver Number: *

Do you have any motoring offences? *

Do you have your own transport? *

Do you hold a UK Passport? *

Yes No

Passport Number: *

Birth Certificate Number: *

Required if you do not hold both a Driving Licence and Passport.

Do you need a Work Permit to work within the UK? *

Yes No

Section C: Work Licences

Which current SIA Licenses do you hold? *

Door Supervisor Security Guard Close Protection CCTV PSS CVIT None

Licence Number (1): *

Expiry (1): *

Licence Number (2): *

Expiry (2): *

Do you hold a current Traffic Management Licence? *

TMCE Chapter 8

Do You hold a current First Aid certificate? *

Emergency First Aid at Work (1 day) First Aid at Work (3 day) FREC 3 Frec 2 Frec 1 None

Expiry date: *

Other current First Aid certificate? *

Type and expiry date.

Section D: Address History

Please list below all the address’s that you have lived at for the last 5 years. Start with the most recent address after your current address listed above.

Previous Address 1: *

From Date :: To Date *

Previous Address 2: *

From Date :: To Date *

Previous Address 3: *

From Date :: To Date *

Previous Address 4: *

From Date :: To Date *

Section E: Education History

Academic Qualifications: list all qualifications gained in school/college/university

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Add further info here: *

Training: list all training courses attended and certificates/qualifications obtained

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Month & Year *

Awarding Body / Provider *

Qualification *

Continue here: *

Section F: Financial History

List any Bankruptcy Orders, County Court Judgements, Debt Management Plans or IVA’S (including any pending)

Month & Year *

Court Name *

Details *

Month & Year *

Court Name *

Details *

Continue here: *

Section G: Criminal History

State any Criminal Convictions you have (subject to Rehabilitation of Offenders Act 1974). If none please state NONE.

List here: *

State any Cautions or Warnings you have received in the last 12 months. If none, please state NONE.

List here: *

Section H: Employment History

Start with current or most recent job first (continue in the text box if necessary). We must have a minimum, complete 5 years’ history (or to school leaving age). Please include details of any periods of unemployment, sickness or self-employment.

Start mm/yy *

Finish mm/yy *

Name of Employer *

Job Title *

Reason for Leaving *

Start mm/yy *

Finish mm/yy *

Name of Employer *

Job Title *

Reason for Leaving *

Start mm/yy *

Finish mm/yy *

Name of Employer *

Job Title *

Reason for Leaving *

Start mm/yy *

Finish mm/yy *

Name of Employer *

Job Title *

Reason for Leaving *

Continue here: *

References:

We require 2 WORK references: They must be persons NOT related to you or that live at the same address as you. Ideally these references will cover the last 5 years of your employment.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Start date mm/yy *

Finish date mm/yy *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Start date mm/yy *

Finish date mm/yy *

We require 2 PERSONAL character references: They must be persons NOT related to you or that live at the same address and you must have known them for over 5 years (these persons cannot be a previous employer or current employer).

Address *

Line 1

Line 2

City

State

Zip Code

Country

How long has this person known you? *

How does this person know you? *

Friend, former work colleague, from a social group or a club for example.

Address *

Line 1

Line 2

City

State

Zip Code

Country

How long has this person known you? *

How does this person know you? *

Friend, former work colleague, from a social group or a club for example.

Section I: General Information

In Case of Emergency (ICE) contact details:

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please give details of any holidays already pre booked:

Details: *

General Uniform: To allow us to supply you a uniform, please supply the following measurements:

Collar size (inches) / Female shirt size: *

Jacket size: *

XS, S, M, L, XL, XXL, XXXL, XXXXL.

Section J: Health History

Are you currently taking any medication or having any other treatment from a doctor, hospital or another medical practitioner?

If yes, please provide details: *

Have you ever suffered from any of the following:

Choose Any *

Depression, anxiety, stress-related illness or other mental ill-health Blackouts, fits, epilepsy or faints Heart Problems Diabetes Breathing difficulties such as asthma Back, neck or other problems with arms, legs and joints Alcohol or drug dependency or misuse

If yes, please provide details: *

Do you suffer from any medical conditions which significantly affect your:

Choose Any *

Sight? Hearing? Walking? Ability to climb stairs? Ability to bend? Ability to lift? Stamina?

If yes, please provide details: *

Have you been in contact with a significant infectious disease, for example; Covid-19, hepatitis or tuberculosis?

If yes, please provide details: *

If you are currently in employment, how many days sick leave have you taken in the past year?

Please provide details: *

Section K: Declaration by Applicant

I agree not to divulge any information however acquired relating to the Company, its Business or its Customers to any other Person, Company or Organisation without written consent from the Company either during or after employment is determined.

I have detailed my previous 5 years’ employment history and consent to the company contacting such persons including character references as necessary to verify those details.

I understand my present employer will be contacted after any provisional offer of a job is accepted by the applicant upon an offer from the Managing Director.

I understand that any offer of employment may be subject to the satisfactory 5-year screening process, and a credit reference check. Any offer of employment is subject to satisfactory screening, that I consent to being screened and will provide information as required. That the information provided is correct.

I understand that if any information I have provided on this form is subsequently found to be false or misleading I will be liable to disciplinary procedures that could result in dismissal without notice and may be reported to the relevant authorities. I understand that should my SIA Licence be revoked at any time I cannot be employed as a Security Officer.

I acknowledge that if I commence employment with your company and if I am registered as unemployed, I will immediately inform the relevant authorities of my revised employment status.

I agree to provide documentation when asked to confirm my criminality, identity and proof of residence. I understand these documents may be checked and should they appear to be forgeries the relevant authorities will be notified.

I declare that to the best of my knowledge, all of the information that I have given in this application form is correct.

I confirm the above declaration and understand I will be required to sign to that effect at interview, should I be called.

Name *

First

Last

Dated *

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Infinitus Security and Training Ltd
Registered in England and Wales: 8299887
52 Killigrew Street, Falmouth, Cornwall. TR11 3PP
VAT: GB 249 8530 69
info@infinitus1st.uk
01326 722 104