RECRUITMENT APPLICATION FORM

www.dawnmeats.com

EMPLOYMENT APPLICATION FORM APPLICATION FOR EMPLOYMENT AS:

SITE / DEPARTMENT:

PERSONAL INFORMATION (BLOCK CAPITALS) TITLE:

SURNAME:

FIRST NAME:

MAIDEN NAME / PREVIOUS NAME:

KNOWN AS:

ADDRESS:

HOME TELEPHONE NUMBER:

MOBILE TELEPHONE NUMBER:

E-MAIL ADDRESS:

NI NUMBER:

E-MAIL ADDRESS:

MALE:

FEMALE:

PLEASE INDICATE WHICH HOURS/DAYS ARE ABLE TO WORK MONDAY AM:

TUESDAY AM:

WEDNESDAY AM:

THURSDAY AM:

FRIDAY AM:

SATURDAY AM:

SUNDAY AM:

MONDAY PM:

TUESDAY PM:

WEDNESDAY PM:

THURSDAY PM:

FRIDAY PM:

SATURDAY PM:

SUNDAY PM:

MEDICAL HISTORY The Company seeks to offer employment opportunities irrespective of physical or mental disabilities wherever possible. The questions set out below are asked in order to assist us in not discriminating against persons with a physical or mental disability and to ensure that any special arrangements or assistance are provided in relation to interviews. Do you consider yourself to have a disability which is relevant to the job for which you have applied?

YES NO

IF YOU HAVE ANSWERED ‘YES’ ABOVE PLEASE GIVE BRIEF DETAILS OF THE DISABILITY:

If you are requested to attend an interview please indicate whether you would require any special arrangements or assistance:

YES NO

State the number of days sickness/absence from work during the past 12 months:

EDUCATION (Please continue on a separate sheet if necessary) NAME OF SCHOOL / COLLEGE UNIVERSITY:

QUALIFICATION:

SUBJECT:

GRADE:

TRAINING COURSES ATTENDED OR RELEVANT STUDIES COURSE TITLE:

Are you prepared to attend training courses/sessions outside of normal working hours?

DATE:

YES

NO

PRESENT EMPLOYMENT EMPLOYERS NAME, ADDRESS AND NATURE OF BUSINESS:

POSITION AND DESCRIPTION OF RESPONSIBILITIES (Please continue on a separate sheet if necessary):

CURRENT SALARY AND OTHER BENEFITS:

WHY ARE YOU CONSIDERING LEAVING YOUR CURRENT EMPLOYMENT?:

WHEN COULD YOU COMMENCE EMPLOYMENT WITH US?:

DATE:

PREVIOUS EMPLOYMENT (Most recent first. Please continue on a separate sheet if necessary) DATE FROM:

TO:

DATE FROM:

COMPANY:

COMPANY:

POSITION:

SALARY:

REASON FOR LEAVING:

DATE FROM:

POSITION:

SALARY:

REASON FOR LEAVING:

TO:

DATE FROM:

COMPANY:

POSITION:

REASON FOR LEAVING:

TO:

COMPANY:

SALARY:

POSITION:

REASON FOR LEAVING:

CAREER OBJECTIVES WHY DO YOU FEEL SUITED TO THIS PARTICULAR ROLE AND WHAT ARE YOUR CAREER ASPIRATIONS?:

HIGHLIGHT ANY SKILLS OR ACHIEVEMENTS THAT YOU FEEL ARE RELEVANT TO YOUR APPLICATION:

OUTSIDE INTERESTS AND ACTIVITIES:

TO:

SALARY:

ADDITIONAL LANGUAGES Level of Proficiency (Fair, Good, Business Standard or Fluent) LANGUAGE:

ORAL:

WRITTEN:

READING:

PC SKILLS Which software packages have you used and how proficient are you at using them? PACKAGE:

PROFICIENCY:

REFERENCES Please give names and addresses of two referees. These must be your most recent employers. Any offer of employment is subject to two references deemed to be satisfactory to the Company.

REFERENCE 1 NAME:

OCCUPATION:

COMPANY NAME AND ADDRESS:

TELEPHONE NUMBER:

CAN THIS REFEREE BE APPROACHED PRIOR TO INTERVIEW?

YES

NO

YES

NO

REFERENCE 2 NAME:

OCCUPATION:

COMPANY NAME AND ADDRESS:

TELEPHONE NUMBER:

ARE YOU A MEMBER OF A PROFESSIONAL ASSOCIATION? IF YES, PLEASE SPECIFY:

CAN THIS REFEREE BE APPROACHED PRIOR TO INTERVIEW?

YES

NO

HOW DID YOU LEARN ABOUT THIS VACANCY?: Recruitment Agency

Friends / Family

University / College

Internet

Local / National Newspaper

Professional Journal

Job Centre

Other

Full

HGV

No

PLEASE SPECIFY:

LICENCE DETAILS DO YOU: HOLD A CURRENT DRIVING LICENCE?: Provisional OWN A CAR?: YES

HAVE ANY CURRENT ENDORSEMENTS?: NO

YES

IF YES PLEASE GIVE DETAILS:

NO

This section only applies to mobile personnel and candidates who may be required to relocate ARE YOU FULLY MOBILE AND PREPARED TO TRAVEL THROUGHOUT THE UK IN THE COURSE OF YOUR DUTIES?:

YES

NO

ARE YOU WILLING TO RELOCATE YOUR HOME IN ORDER TO ADVANCE YOUR CAREER WITH THE COMPANY?:

YES

NO

DO YOU KNOW OR ARE YOU RELATED TO ANYONE FROM THE COMPANY? (If yes please give details):

YES

NO

HAVE YOU PREVIOUSLY APPLIED TO DAWN MEATS FOR A JOB? (If yes please give details):

YES

NO

DO YOU REQUIRE A PERMIT TO WORK IN THE UK?: (The Company will need to see evidence of entitlement to work before a job offer is made)

YES

NO

YES

NO

YES

NO

DO YOU HAVE A CURRENT BANK ACCOUNT?:

PLEASE STATE YOUR NATIONAL INSURANCE NUMBER:

DO YOU HAVE ANY FORTHCOMING HOLIDAY COMMITMENTS?:

CRIMINAL HISTORY DO YOU HAVE A CRIMINAL RECORD?:

YES

NO

IF YES PLEASE PROVIDE DETAILS BELOW:

Please note that this position does not fall within the scope of the declaration of the Rehabilitation of Offenders Act 1974 and all criminal convictions must be declared.

EQUAL OPPORTUNITIES The Company actively promotes Equal Opportunities in employment and has a statement of policy to this effect. We are committed to monitoring the effectiveness of our Equal Opportunities Policy in respect of job applications and our employees in accordance with the Codes of Practice issues by the Equality and Human Rights Commission. Please answer the following questions by ticking the appropriate boxes. We guarantee that the information you provide in this section will not be used as part of the selection process. White (British/Irish)

Black (UK)

Black Caribbean

Black African

Black Other

Asian (UK)

Pakistani

Bangladesh

Indian

Chinese

Other (please specify)

DATE OF BIRTH:

To the best of my knowledge, all information contained in this form is accurate and complete. I understand that any attempt to falsify information or to deliberately omit relevant facts may lead to my dismissal. Certain information I have provided in this application form will be regarded as ‘personal sensitive information’ within the meaning of the Data Protection Act 1998. I understand that by completing this form I give my consent to the above information being held and processed by Dawn Meats for the purpose of the possible employment within the group. SIGNED:

DATE:

FOR EXISTING EMPLOYEES ONLY DEPARTMENT MANAGER’S SIGNATURE:

INTERVIEWERS COMMENTS

SIGNATURE OF INTERVIEWER:

DATE OF INTERVIEW:

COMPLETED APPLICATION FORMS SHOULD BE RETURNED TO THE SITE WHERE YOU WISH TO WORK OR TO

The Human Resources Department, Dawn Meats, Cross Hands Food Park, Cross Hands, Carmarthenshire SA14 6RF

Dawn Meats (UK) Cross Hands Food Park, WALES SA14 6RF

Dawn Meats (IRE) Grannagh, Waterford, IRELAND X91 HRR3 E: [email protected]

www.dawnmeats.com