Application Form Position Applied For: Where did you hear of this position? Email Address: Personal Information First name(s): Surname(s): National Insurance No: Telephone No: Mobile No: Do you require a Permit to work in the UK?: Home Address: Previous Address (if resident at current address less than 5 years): Postcode: Postcode: Time at this Address: From: To: Time at Previous Address: From: To: Driving Licence SIA Licence Do you hold a current Driving Licence? Yes No Do you hold a current SIA Licence? Yes No Do you have your own Transport? Yes No Is this licence for a Front Line Operative? Yes No Do you have any Licence Endorsements? Yes No Type of Licence Held (eg. Security Guarding): If YES, please detail: Licence No: Expiry Date: Education Name and Address of Secondary School/College/University: From/to Yr/Mth: Examinations Gained: Other relevant qualifications/training (most recent first): From/to Yr/Mth: Training Provider: Employment History Employer Name, Address & Tel. (most recent first): From Yr/Mth: To Yr/Mth: Position: Reason for Leaving: Gaps in your Employment History From Yr/Mth: To Yr/Mth: Reason for gap in Employment History (exclude periods covered by education or training): Character References Please supply us with details of two people who have personally known you for at least the last FIVE years (not relatives). Name: Name: Nature of Relationship: Nature of Relationship: Address: Address: Postcode: Postcode: Telephone No: Telephone No: Professional References Please supply us with details of two professional references if you are, or have been, self-employed. Name: Name: Nature of Relationship: Nature of Relationship: Address: Address: Postcode: Postcode: Telephone No: Telephone No: Background Information The Rehabilitation of Offenders Act 1974 set up a system whereby people who have been sentenced for criminal offences are entitled to have those convictions disregarded and treated as 'spent', after a certain period of time. The length of that period, known as the 'rehabilitation period' differs according to the type of sentence imposed and the age of the person when convicted of the offence. Please note, some convictions are never deemed to be spent. Please provide details of any 'unspent' convictions, prosecutions, bankruptcies or other offences: Date: Offence Sentence: Have you ever been dismissed for misconduct by an employer? Yes No If YES, please detail: Additional Information What attracted you to apply for this position? What qualities do you think you could bring to this role? What would you say your biggest area for improvement is? Personal Interests and Hobbies: Availability Dates on which you are unavailable (ie pre-booked holidays etc). From Yr/Mth: To Yr/Mth: Reason: Notice period required by current employer (if applicable) weeks/months: Declaration In completing and signing this application form, I consent to Northern Security Limited using and keeping information about me provided by either myself, or by third parties. If my application is successful I understand that data collated during the recruitment process will form the basis of any personnel record held. This information will be processed in accordance with the Data Protection Act 1998. I confirm that the information I have given is true and accurate. I understand that any false statement or deliberate omission of information supplied to the Company or its representatives may render me liable to dismissal without notice. I understand that employment with the Company is subject to satisfactory references and security screening in accordance with BS 7858. I undertake to co-operate with the Company in providing any additional information required to meet these criteria. I authorise the Company and/or its nominated agent to approach previous employers, education or training provider, character referees or Government Agencies to verify that the information I have provided is correct. I authorise the Company and/or its nominated agent to approach previous employers, education or training provider, character referees or Government Agencies to verify that the information I have provided is correct. I understand that some of the information I have provided in this application will be held on a computer and some, or all will be held in manual records. I consent to the Company's reasonable processing of any sensitive personal information obtained for the purposes of establishing a medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Records Act 1988, I consent to the results of such examinations being provided to the Company. I understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment. I authorise the company and/or its nominated agent to approach my current employer to verify the information I have provided prior to an offer of employment being made. Please confirm : Yes No I have read and understood the declaration Yes Date Equal Opportunities Monitoring Form: Northern Security's procedures are reviewed frequently to ensure that individuals are selected, trained and promoted on the basis of their relevant skills, qualifications, experience, merits and abilities. All employees are given an equal opportunity to, and are encouraged to, progress within the Company. To help us monitor this, please provide responses to the information requested below. The following information will be treated as confidential and will be used for monitoring purposes only. Your application will not be affected by the information you provide. This form will be detached from your application upon receipt and will be retained in a central store for use in monitoring purposes only. Applicant Name: Position Applied For: Date of Application: Personal Information Please select ONE answer in each of the following: Marital Status? Civil Partnership Married Unmarried What is your gender? Male Female Age in Years: Do you have any dependent Children? Yes No Date of Birth: Nationality (please specify): White Black Scottish English Caribbean Welsh Irish African Other White (please specify): Other Black (please specify): Asian or Asian British Mixed Indian Pakistani White and Black Caribbean Bangladeshi Chinese White and Asian White and Black African Other Asian (please specify): Other Mixed (please specify): Other Ethnic Background (please specify): All information treated in Strictest Confidence Important things to bring with you and what to expect at your Interview: The recruitment and employment of quality staff is our biggest investment. Our employees represent the public face of Northern Security and without them we would not exist. That is why your first meeting is SO important; it will help you decide if Northern Security is right for you... and of course if you are right for Northern Security. To help you get the most out of your interview, we have prepared the following guidelines and tips, take special note of the additional documents you MUST bring with you: Preparation The first step is to complete the application form. We receive your application form by email, with a version sent to you for your records. Please print a copy of your completed aplication that you receive by email and bring with you ensuring that your full five year work/back to school history is included, as this information is an essential requirement under the vetting and screening procedures required for our industry. Important! You MUST also bring following documents with you to confirm your identity: Either TWO documents from the Group A options below, or ONE document from the Group A options below and TWO documents from the Group B document options listed below. Group A Documents Valid passport (whatever nationality you are). UK Identity Card (issued only by the UK Home Office). UK adoption certificate. Signed UK Photo Driving Licence (BOTH parts of the licence are required, whether it is full or provisional). UK original birth certificate (issued within 12 months of birth). Valid SIA Licence. Group B Documents Valid EU Photo ID Card. Valid UK Firearms Licence with photo. Signed UK paper Driving Licence. A Marriage Certificate. UK birth certificate (issued more than 12 months after your date of birth). Birth Certificate issued in a country other than the UK. P45 statement of income for tax purposes issued in the last 12 months. P60 Annual Statement of Income for Tax Purposes issued during the last 12 months. Bank or Building Society statement issued to your current address within the last three months. Mortgage statement issued in the last 12 months. Current TV Licence in YOUR name with your CURRENT address. Utility Bill (Gas, Electric, Telephone, Water, Satellite or Cable TV, or Mobile Phone Contract) issued to your CURRENT address within the last three months. Pension, Endowment or ISA Policy Statement issued in the last 12 months to your CURRENT address. Certificate of British Nationality. British Work Permit or Visa issued in the last 12 months. Letter from HM Revenue & Customs, the Department of Work and Pensions, the Employment Service, or a Local Authority issued within the last three months. Credit Card Statement sent to your CURRENT address within the last three months. Court Summons issued in the last 12 months. Child Benefit Book issued in the last 12 months. Payslip, with your CURRENT address and the Employer's Name or Logo that is less than three months old. Important Notes: All documents must be original, not photocopies. All combinations must confirm your correct name, current home address and date of birth. If any of your documents are not in English you must provide us with both the original and an English translation from an approved translator. All personal data will be used for the purposes of security screening and any documents presented to establish your identity and proof of residence may be checked using an ultra violet scanner or other method to deter theft and fraud. Any documents which appear to be forgeries will be reported to the relevant authority. On the Day... The interviewer will use your completed application form as the basis for discussion. From the information you have provided, together with the face-to-face interview, they will be able to find out if you: Can successfully do the job, or be trained to carry it out. Have the attitude, appearance and communication skills required by Northern Security for this position. Understand what the job entails and Northern Security's Terms and Conditions of Employment. Don't Forget! Be ON TIME. Consider your appearance; first impressions DO count. Think about any questions you want to ask. If you require Glasses for reading and/or distance, then please bring them with you. We look forward to meeting with you!