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Current or Most Recent Employment

Details Of Previous Employment

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CRYSTAL CLEAR CLEANING APPLICATION FORM

Position Applied For Where Did You See The Job Advertised?

1. Personal Details

Title Maiden Name Surname Forename(s) Date Of Birth Address Postcode

National Insurance No. Home Tel. No. Mobile Tel. No. Work Tel. No. E-mail Do you hold a full drivers license? UK Issued From DVLA? Car Available? Car Insured For Business Use?

2. Education & Training - Please give details of qualifications gained, including professional qualifications. Proof of any professional qualifications gained may be sought where relevant.

School/College/Uni

Subjects Studied

Qualification And Grade

Date Passed

3. Details Of Current or Most Recent Employment

Employer Name Address Postcode

Your Job Title Salary Reason for leaving Employed From Employed Until Notice Required

4. Details Of Previous Employment

Employer

Title & Desc.

From & To

Reason For Leaving

Current or Most Recent Employment - Please describe your current or most recent post in more detail, highlighting skills, duties and responsibilities, or experience you feel are relevant. Supporting Statement Of Ability - Please summarise your skills and experience gained from employment and any other activities outside of employment, and give any other information you consider relevant to your application, including your reasons for applying. Hobbies/Interests/Voluntary Work - If you wish to, give details of your interests outside of work, details of any voluntary/community work that you are involved with.

8. References - Please give the names of two people who may be approached for a reference. These should include your present employer, or college/recognised charity/community organisation if you have not been in employment. Please do not include friends or relatives. N.B References may be sought before the interview unless clearly indicated otherwise in the spaces below.

Reference - A Name Address Postcode

Relationship to you How long known Telephone No. May Be Contacted Before Interview?

Reference - B Name Address Postcode

Relationship to you How long known Telephone No. May Be Contacted Before Interview?

Have you applied for a post with Crystal Clear previously? If you have, was it more than six months ago? Have you any relatives working for Crystal Clear?

9. Disability Discrimination Act 1995 The DDA defines a person as having a disability if he/she “has a physical or mental impairment which has a substantial and long-term adverse effect (over 12 months) on his/her ability to carry out normal day to day activities”

Do you have a disability?

Wherever possible we will make adjustments and offer alternatives to help a person with a disability through the application process.

10. Medical Issues

Do you or have you ever suffered from contact dermatitis? Do you or have you ever suffered from breathing difficulties, asthma, bronchitis, or any other respiratory condition?

11. The Rehabilitation of Offenders Act 1974 (Exemptions [Amendments] Order, 1986 Crystal Clear Cleaning aims to promote equality of opportunity for all with the right mix of talent, skills and potential, and welcomes applications from diverse candidates. Some assignments and contracts that Crystal Clear Cleaning are engaged to carry out may require a standard or enhanced Criminal Records Bureau check where workers are likely to come into contact with children or vulnerable adults (i.e schools, nurseries, sheltered accommodation, etc). If applied for this will include details of cautions, reprimands or final warnings as well as convictions, for enhanced disclosures we will also need to know about other non-conviction information such as police enquiries and pending prosecutions. Please complete the statement below:

Please confirm (yes) whether the statement that applies to you.

“I have no convictions and/or cautions and/or pending cases” “Details of my convictions and/or cautions and/or pending cases are enclosed” (Please E-Mail Details to us at operations@crystalteam.com)

Do you have a current CRB check? If so, are you willing to disclose it for the purposes of working in any of the areas described above? Are you willing to undergo a CRB check if Crystal Clear Cleaning offers you an assignment that requires one?

12. Proof Of Identity And The Prevention Of Illegal Working - Compliance With The “Immigration, Asylum and Nationality Act 2006” All workers will be required to provide specific original documents to confirm their identity which will be inspected and copies of which will be held in their personnel file. The worker is also obliged to provide valid specified documents to establish that he or she is permitted to work in the U.K. Refusal to provide such documentation in a timely manner will be considered grounds for the withdrawal of any job offer previously made verbally or in writing and will result in instant dismissal if an “assignment” (work offered by Crystal Clear) has already commenced.

13. Declaration For the purpose of the Data Protection Act 1998 I give my consent to this form and related information being processed and retained on file and to Crystal Clear Cleaning verifying the information I have provided with relevant third parties in administering its recruitment process. I certify that the information given in this application is correct and understand that any misleading information or deliberate omissions will be regarded as grounds for withdrawal of an offer or, if appointed, subsequent disciplinary action which could result in dismissal.

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