Apply online: Road Maintenance Supervisor

    Part 1 - Vacancy Details

    Job Title

    Location

    Applying on a job share basis (specify preferred arrangements)

    Applying on a part time basis (specify preferred arrangements)

    Part 2 - Personal Details

    Title

    Forename

    Surname

    Home Address

    Postcode

    Telephone number 1

    Telephone number 2

    Email Address

    Part 3 - Criminal Convictions

    This is to assist you in disclosing any unspent convictions you may have under the Rehabilitation of Offenders Act 1974. The Company will consider applications on their merits, only taking into account convictions considered to be relevant to the job applied for.

    Do you have any unspent convictions?

    If Yes, please give details

    Part 4 - Present / Most Recent Employment

    Employers Name

    Job Title

    Date of Start

    Date of Finish

    Current Annual Salary / Weekly Wage

    Reasons for Leaving

    Notice Period

    Outline of Main Duties

    Part 5 - Previous Employment

    Employers 1

    Job Title

    Dates

    Reasons for Leaving

    Employers 2

    Job Title

    Dates

    Reasons for Leaving

    Employers 3

    Job Title

    Dates

    Reasons for Leaving

    Employers 4

    Job Title

    Dates

    Reasons for Leaving

    Part 6 - Education

    Relevant qualifications gained at school/college/univeristy

    Subject

    Grade

    Pass Date

    Subject 2

    Grade

    Pass Date

    Subject 3

    Grade

    Pass Date

    Part 7 - Other Skills/Training

    Relevant training courses not leading to qualification

    Subject

    Training Provider

    Date

    Subject 2

    Training Provider

    Date

    Subject

    Training Provider

    Date

    Part 8 - Membership of Professional Bodies

    Details

    Part 9 - Driving License Details

    Type

    Date Test Passed

    Endorsements

    Part 10 - Supporting Evidence

    Please give reasons for making this application. You need to read the job desciption and person specification carefully, and then explain how your skills, abilities and experience fit you for the post. These may have been gained through paid employment, voluntary/community work, domestic responsibilities, spare time activies and training.

    Part 11 - Referees

    At least one referee must be your current or most recent employer. Please note, we will only contact in the event that an offer is made and accepted.

    Referee 1 : Name

    Referee 1 : Address

    Referee 1 : Postcode

    Referee 1 : Email

    Referee 1 : Relationship to Applicant

    Referee 2 : Name

    Referee 2 : Address

    Referee 2 : Postcode

    Referee 2 : Email

    Referee 2 : Relationship to Applicant

    Part 12 - Equal Opportunities Form

    Have you been previously employed within the construction industry?

    Are you a veteran of any of the British Armed Forces? (Cadet or retired)

    Position applied for

    Name

    Date Applying

    Date of Birth

    Age

    Gender

    Marital Status

    Do you have any disability defined within the Equal Opportunities Act 2010? If you do please indicate the nature of your disability.

    Ethnic Origin

    Nationality

    Religious Belief (if applicable)

    Where did you hear about the vacancy? (If this was an employee referral, please state who referred you)

    Please confirm you have the right to work in the UK in line with current guidelines, proof must be provided at interview stage.

    Attach any supporting documentation

    Part 13 - Authorization

    By clicking the 'Submit' button, I declare that the information I have given in this form is correct. I understand that by giving false information or withholding information that may be relevant I may be excluded from the recruitment process or dismissed if appointed to the job.

    Once the submit button has been pressed, the information contained in this form will be submitted and no further editing of this application will be possible.