Apply online Roadworker

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?

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?

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.