Application Form

POSITION APPLYING FOR: Security Officer Supervisor Utility Officer Receptionist Controller

(Please complete all sections in BLOCK CAPITALS)

PERSONAL DETAILS

We are an equal opportunities employer (*DOB required for SIA Licensing purposes)

Surname: First Name(s): Surname (at birth if different) Address Email Postcode Previous Address Postcode Contact Tel No. *Date of Birth National Insurance Number Next of Kin Full Driving Licence Yes
No Endorsements *Yes
No Do you have your own transportation? Yes
No * If YES, please give further details including dates Are you required to have a work permit or visa to take up employment in the UK? Yes
No If YES, please state the type of work permit or visa you hold If YES, what is your permit’s expiry date? If YES, how many hours per week are you permitted to work? Are you involved in any activity, which might limit your availability to work or your working hours Yes
No If YES, please give full details Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974 Yes
No If YES, please give full details Do you have any criminal allegations outstanding against you? Yes
No If YES, please give full details Have you any convictions or criminal allegations outstanding against you outside of the UK? Yes
No If YES, please give full details Do you have any Count Court Judgements or bankruptcy proceedings against you or pending? Yes
No If YES, please give full details Have you ever been suspended, dismissed or asked to resign from any position? Yes
No If YES, please give full details You may be required, if offered employment to complete a Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination prior to employment? Yes
No Are you registered under the Disabled Persons (Employment) Act 1995? Yes
No If YES, please give full details Have you applied for employment with this Company before? Yes
No Do you hold a valid SIA security licence? Yes
No If Yes please provide with your SIA Licence No. How much notice are you required to give to your current employer?

MILITARY OR CIVILIAN FORCES SERVICE RECORD

ROYAL NAVY
ARMY
RAF
FIRE
POLICE
TA Please provide dates Unit or Regiment Service Number Rank on Leaving

EMPLOYMENT DETAILS

Please give details of your past employment stating the most recent first. A five year work history must be provided including any periods of unemployment, giving details of the Benefits Agency attended and any periods of self employment.

Are you currently employed? Yes
No Name of previous employer Address Telephone No Fax No Email Nature of business Job title and a brief description of your duties Reason for Leaving Length of Service From To ----------- Name of previous employer Address Telephone No Fax No Email Nature of business Job title and a brief description of your duties Reason for Leaving Length of Service From To ----------- Name of previous employer Address Telephone No Fax No Email Nature of business Job title and a brief description of your duties Reason for Leaving Length of Service From To ----------- Name of previous employer Address Telephone No Fax No Email Nature of business Job title and a brief description of your duties Reason for Leaving Length of Service From To

EDUCATION HISTORY

Please provide full address details including telephone and fax numbers.

School, College or University Subject From To Date ----------- School, College or University Subject From To ----------- School, College or University Subject From To ----------- School, College or University Subject From To Job related Training Courses Name of Organisation

SUPPLEMENTARY INFORMATION

Please set out below any further information to support your application, e.g. past achievements, future aspirations, personal strengths, languages spoken.

DECLARATION

I give explicit consent for a personal financial probity check to be carried out and understand that any offer of employment is subject to a satisfactory report.

I declare that the information given in this form is complete and accurate.  I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal

I give explicit consent to the Company processing my personal data and sensitive personal data as defined by the Data Protection Act 1998 for the purposes of assessing this application, ongoing personnel administration and payroll administration (where applicable).

Date

REFERENCES

In accordance with the British Standards for Security Companies, the Company is required to take up references covering a full 5 year period.

Please give the names of two people whom we may approach for personal (character) references in addition to the 5 year history.

Please be aware that official documents produced as forms of identity may be examined under a UV Lamp or other method used to confirm authenticity.  Any suspect document may be reported to the appropriate authority.

Can we approach your past employers / current employer before any offer of employment is made? Yes
No Name Position Address Telephone Number Email Address ----------- Name Position Address Telephone Number Email Address

SOURCE OF APPLICATION

How did you hear of this vacancy?

Please return completed application form to: Human Resources Department, UniTrust Protection Services (UK) Ltd, Unitrust House, Heather Park Drive, Wembley, Middlesex, HA0 1SS.  020 8903 8303.

REFERENCES
ENSURE THAT YOU READ THIS ADVICE THOROUGHLY BEFORE COMPLETING THE APPLICATION FORM, FAILURE TO DO SO WILL PREVENT THIS APPLICATION FROM BEING PROCESSED.      

Completing the application form accurately is extremely important and missing information or inaccurate addresses, telephone and facsimile numbers wastes a great deal of time.  Unfortunately, due to the vast numbers of applications we receive and interviews we carry out, any application form that is not completed properly will be rejected prior to interview.

WHEN COMPLETING YOUR APPLICATION PLEASE CONSIDER THE FOLLOWING: -

1. There must be no gaps in the application.
2. Information given must be detailed and accurate.
3. You MUST include 2 personal referees in addition to employment references, with their FULL addresses and if possible, their telephone numbers and email addresses.
4. The employment history is very important and must be detailed.

• Full employer’s addresses with telephone, facsimile numbers and email addresses where possible.
• Accurate employment dates showing month and year, these dates will be checked.
• Periods of unemployment must be included together with address of Benefit Office.
• The period covered MUST be 5  years, even if this goes back to periods of full time Education (in which case the full address, telephone number and facsimile number of the College, School or University must be stated).
• Type of visa held (if applicable).

NOTE:  PLEASE BE AWARE THAT, DUE TO OUR INVOLVEMENT IN BS 7499/7858 ALL REFERENCES ARE CHECKED THOROUGHLY.  IF REFERENCE CHECKING IS NOT COMPLETE WITHIN 12 WEEKS OF COMMENCEMENT OF EMPLOYMENT, WE WILL BE FORCED TO TERMINATE OUR EMPLOYMENT RELATIONSHIP.  IT IS FOR THIS REASON THAT WE ASK YOU TO GIVE FULL DETAILS OF PAST EMPLOYERS AND COLLEGES ETC. AND TO FIND AND INCLUDE TELEPHONE NUMBERS, FACSIMILE NUMBERS AND EMAIL ADDRESSES.

EQUALITY MONITORING

Unitrust Protection Services (UK) Ltd has a policy of non discrimination and therefore treats every employee the same regardless of their sex, sexual orientation, age, race, ethnic origin, religion or disability.

To help us monitor this, we would be grateful if you would please provide details as below.

The information you provide will be treated in the strictest confidence, and used only for the purposes detailed above in compliance with the Data Protection Act 1998.

Please tick the appropriate box:

1. How would you describe your ethnic origin? White
Black Caribbean
Black African
Black Other (Please specifiy)
Indian
Pakistani
Chinese
Other (Please specify) 2. Gender Male
Female 3. To which of the following age groups do you belong: Under 23
24-30
31-45
46-50
Over 60 4. Do you have a disability? Yes and Registered
Yes and Not Registered
No 5. Marital Status Single
Married
Seperated/Divorced

PRE – EMPLOYMENT MEDICAL QUESTIONNAIRE

Data Protection Notice: -

The Company requires certain information prior to you commencing employment, to ensure you will be able to perform the requirements of the job and give reliable service, and to ensure compliance with relevant Health and Safety regulations.  The information is also required in order to establish whether any reasonable adjustments may need to be made to assist you in performing your duties, in accordance with the Disability Discrimination Act 1995.

The information you provide will be treated in the strictest confidence, and used only for the purposes detailed above in compliance with the Data Protection Act 1998.

Full Name Address Contact No. Name of G.P. G.P. Address

We will not contact your doctor without your prior written consent.

1. How many days’ absence have you had from work in the last three years? 2. Are you currently on medication (excluding contraceptives)? Yes
No If YES, please give further details. 3. Have you spent time in hospital in the last three years? Yes
No If so, why? 4. Do you suffer from any injury, illness, medical condition or allergy that might affect your ability? Yes
No If YES, please give further details. 5. Do you consider yourself to have a disability? Yes
No If YES, please give further details