driver application form - blue text entry coloursullivanbuses.co.uk/pdf/appform.pdf · application...
TRANSCRIPT
Application for EmploymentDRIVER
Please answer all questions in fullApplications which are not completed in full will not be processed
Note: All fields / sections marked with an asterisk (*) are mandatory
PERSONAL INFORMATION
Title* Surname* Forename(s) / Given name(s)*
Previous name(s)
N.I. NumberAddress Line 1*
Address Line 2
Town*
County*
Postcode*
E-mail Address*
Home Telephone Number
Mobile Telephone Number
Work Telephone Number (if contactable)
For office use only
Application number:
Date received:
Application form checked by:
Signature Date
Suitable for interview: If 'No', reason:Yes No
Interview arranged:
Date: Time:
Written test Highway code test Driving assessment
Yes NoAre you eligible to work in the UK? *(please indicate review date if this is not indefinite)
Have you ever applied for employment with, or worked for Sullivan Buses? Yes No
Position applied for
This form must be completed, then sent electronically to [email protected] versions of this form should be posted to 6 Deards House, St Albans Road, South Mimms, Potters Bar, Hertfordshire, EN6 3NE
Applicant No.
Date: / /
Page 3 of 12
DRIVER LICENSE INFORMATION
Do you hold:
Other, please specify
Licence type: UK / EEC International
How long have you been driving continuously in the UKon a full valid licence?
Yes NoA current driving licence?
Expiry date
Driver number
Date passed test
Are there any endorsements on your licence?
Date of offence Convictions Penalty or No. of points Conviction code (eg SP30)
Yes NoAre you subject to any pending motoring offences?
Date of offence
If 'YES' please provide details...
Notice of offence
Have you ever been disqualified or banned from driving? If 'YES', on what grounds...Yes No
Yes NoHave you ever been refused a licence or entitlement?
If 'Yes' :
Yes NoUK PCV Entitlement?
Expiry dateDate passed test
If 'Yes' :
Yes NoProvisional PCV Entitlement?
Expiry dateDate passed test
If 'Yes' :
If you are a PCV licence holder, please provide details ofwhere PCV training was undertaken:
Yes NoA driver’s certificate of Professional Competence?
Partial
If 'Partial', please provide details of where trainingwas undertaken:
Course Reference
Yes No If 'YES' please provide details...
Please give details of any road accidents, blameworthy or otherwise, in which you have been involved in the last five years (include dates and details)
CONVICTIONS AND LEGAL PROCEEDINGSWith the exception of offences which are “spent” under the terms of the “Rehabilitation of Offenders Act 1974”, enter theexact details of any criminal or court martial convictions. Please enter details of any outstanding Summons or Prosecution.before answering the question you should note that if you have failed to give relevant particulars or should you give falseparticulars you will not be considered for employment or, if already engaged, you will be liable to instant dismissal. If youhave no convictions or outstanding summonses write “none”. We have a contractual requirement with some localauthorities to operate school services on their behalf which are exempt from the “Rehabilitation of Offenders Act 1974”(ROA). As a result, a Criminal Records Bureau (CRB) check will be undertaken in these locations prior to thecommencement of employment. If short listed, applicants may therefore be asked to complete a disclosure form. Fullguidance notes will be issued. Any information disclosed will be kept in strictest confidence and will only be used whenconsidering your suitability for the post that you have applied for. The CRB have produced a Code of Practice, whichwe have to adhere to. Should you wish to view the Code it is available on the CRB website, or alternatively, a copy can bemade available to you upon request. A criminal record will not necessarily prevent you obtaining the position.
Date of offence Nature of offenceDate of conviction Sentence or Court Order
Yes NoWould you object to a background check to ascertain "unspent convictions"?
GENERAL EDUCATION AND TRAININGPlease include any full/part time courses, including apprenticeships, correspondence and vocational qualifications.
Subjects studied/course title Qualification achieved Grade Course Date From Course Date To
EMPLOYMENT DETAILSPlease include details of present or most recent employment and all employment over the last seven years, as well asall previous PCV operation employment. Include any periods of voluntary work, caring, homemaking or unemployment inthis section, including work abroad, with dates. References will be sought from previous employers.
CURRENT OR MOST RECENT (STATE FULL ADDRESS AND POSTCODE)
Employer name
Employer address
Name and title of supervisor
Job title of position held
Duties
Date started Date finished
Reason for leavingSalary
PREVIOUS EMPLOYMENT (1) (STATE FULL ADDRESS AND POSTCODE)
If you have had more than five employers in the last seven years, please provide further details in the "FurtherInformation" box later in this form.
Employer name
Employer address
Name and title of supervisor
Job title of position held
Duties
Date started Date finished
Reason for leavingSalary
Employer address
Name and title of supervisor
Duties
Date started Date finished
Reason for leavingSalary
PREVIOUS EMPLOYMENT (2) (STATE FULL ADDRESS AND POSTCODE)
Employer name Job title of position held
PREVIOUS EMPLOYMENT (3) (STATE FULL ADDRESS AND POSTCODE)
Employer name
Employer address
Name and title of supervisor
Job title of position held
Duties
Date started Date finished
Reason for leavingSalary
Employer address
Name and title of supervisor
Duties
Date started Date finished
Reason for leavingSalary
PREVIOUS EMPLOYMENT (4) (STATE FULL ADDRESS AND POSTCODE)
Employer name Job title of position held
PREVIOUS EMPLOYMENT (5) (STATE FULL ADDRESS AND POSTCODE)
Employer name
Employer address
Name and title of supervisor
Job title of position held
Duties
Date started Date finished
Reason for leavingSalary
What length of notice will you be required to give to your present employer?
On what date could you begin employment with Sullivan Buses?
VOCATIONAL QUALIFICATIONS & OTHER SKILLS
Please use this space for additional information and/or outline the reasons you would like to work for us. You shouldalso use this space to give any relevant information, which may have a bearing on your suitability to be a PCV driver. Youmay like to include details of any experience of dealing with members of the public, handling cash, hobbies and interests,including memberships of clubs and societies and any personal achievements you are proud of.
FURTHER INFORMATION
How did you hear about this vacancy?
Please give details of any other skills/quali�cations (for example, Driver’s CPC or how many hours have been completed towards Driver CPC
REFERENCESWE WILL REQUEST REFERENCES FROM PREVIOUS EMPLOYERS. HOWEVER, IF YOU HAVE BEEN SELF-EMPLOYED, PLEASE GIVE DETAILS OF YOUR ACCOUNTANT(S) IN THE SPACE(S) PROVIDED BELOW.
Name of accountant
Address
Title / position
Company name
Telephone number
Name of accountant
Address
Title / position
Company name
Telephone number
At this stage, do we have permission to contact your referees?
If 'NO', please indicate when it would be acceptable (e.g. on provisional offer of job)
Yes No
INFORMATIONThe following two pages are the Medical and Diversity forms.
The Medical form is mandatory, and the Diversity form is optional.
Finally, you will be required to accept and validate a legal declaration before being able to submitthis entire form to Sullivan Buses.
SECTION AName
Age Height ft in m cm
Weight st lb kg
Imperial Metric
ORPlease choose imperialor metric measurements
SECTION BHave you ever in your life, including childhood, had any of the following?
Any heart conditionYes No
Loss of sight or cataract removed
Double or tunnel vision
Any epileptic attack, stroke or loss of consciousness
Drink problem
Drug addiction
SECTION CAre you being treated for any of the following?
AnginaYes No
Medical or nervous disorders
Diabetes with insulin injections
SECTION D
Have you stayed away from work or school in the past year?Yes No
Have you consulted a doctor in the past year?
Have you any permanent disability?
SECTION EIf you have answered YES in any of the boxes or if you have any other medical conditions whichmay affect your ability to work, please give particulars:
SECTION FIf you have any other medical condition not listed above which may affect your ability to work ordrive a bus (eg. hearing or eyesight impairment), please give particulars:
SECTION G
MEDICAL INFORMATION
DateYour e-mail address (previously entered)
Diversity Monitoringto be completed by all job applicants
Our vision is to be recognised as the leading transportservices organisation the UK. To support that vision, weare committed to delivering a better service and believe thata diverse workforce that more closely reflects our customerbase will create opportunities for all of us to share in oursuccess.The aim of our policy is to ensure that no job applicant oremployee receives less favourable treatment on grounds ofrace, colour, creed, nationality, ethnic or national origin,religious belief, political opinion or affiliation, sex, age, maritalstatus, sexual orientation or disability, or is disadvantaged byconditions or requirements which cannot be shown to bejustifiable.Our selection criteria and procedures are frequentlyreviewed to ensure that individuals are selected, promotedand treated on the basis of their relevant merits and abilities.All employees are encouraged and given opportunities toprogress within the organisation.To ensure that this policy is fully and fairly implemented andmonitored and for no other reason, would you please providethe following information:Choosing not to complete this form will in no way affect yourapplication.
Name
Postcode Date
Location of job applied forDo you already work for Sullivan Buses? Yes No
Ethnic OriginsWhich best describes your ethnic origin?
British
WhiteEnglish Scottish Welsh
Irish European
Other White, please state
White/Black Caribbean
MixedWhite/Black African
White Asian
Other Mixed, please state
Indian
AsianPakistani Bangladeshi
Other Asian, please state
Caribbean
BlackAfrican
Other Black, please state
RecruitmentWhere did you learn about this job vacancy?please tick appropriate box/es
Newspaper, Local
Trade Journal
Bus Advertising
Bus Ticket Advertising
Leaflet Drop
Internal Notice
Newspaper, National
Jobs Publication
Word of Mouth
Internet Site
Job Fair
Cold Call
Job centre
other, please state
Are you eligible to work in the UK?Yes No Not Sure
Which gender are you?Male Female
Date of Birth
Which age range applies to you?16 - 20 21 - 30 31 - 40
51 - 55 56 - 60 61 - 65
Please let us know if there are any special arrangements orfacilities we can provide, that you think you would need toattend the assessment day / interview or to take up the post.
Which job are you applying for? (previously entered)
FOR INTERNAL USE ONLY
Chinese
Chinese
Any other backgroundPlease state
41 - 50
66+
Job Category
Manager Recruiting
Job Locations
02/03
Your e-mail address (previously entered)
DECLARATION AND VALIDITY
I declare that the information provided on this application form is , to myknowledge true and accurate. I understand that if it is subsequently discoveredthat any statement is false or misleading, I may be discharged from employmentwith Sullivan Buses. With the exception of offences, which are “spent” under the terms ofthe “Rehabilitation of Offenders Act 1974”, I have included details of criminal orcourt martial convictions including driving convictions. I understand that it maybe necessary, at some locations, to undergo a Criminal Records Bureau check,which will ask exempted questions under the “Rehabilitation of Offenders Act1974” and will show offences that are “spent” under the Act. I agree to a pre-employment medical examination, eyesight and drugs testing in line withprocedure, and acknowledge that if I fail either of these tests my employment willbe terminated. I am legally entitled to take paid employment in the UnitedKingdom. I consent to Sullivan Buses seeking references from previous employers.
Tick 'YES' box to accept declaration
Date NameYes No
THANK YOU FOR COMPLETING THIS APPLICATION. YOU ARE ASSURED THAT IT WILL BE TREATED IN THE STRICTEST CONFIDENCE
For office use only
Printed name of applicant
Signature of applicant Date