Operator Recruitment 1. How did you hear about this opportunity? Please give details 2. Personal details Mr/ms/mrs/miss Marital status Age of any dependants Full address Postcode Do you own or rent this home? Date of birth Do you hold a current drivers licence Telephone numbers Day Evening National insurance number If you are a foreign national, you will need to provide evidence that you have a legal right to work in the uk. Please indicate here the nature of the evidence you are providing... Have you previously been employed by snax 24? Have you ever been refused a position with this company? If you have lived at your current residence for less than three years please provide details of Your previous address Postcode 3. Education and qualifications Name of school/ college/ university Subject and courses followed Results 4. Training - are you currently undertaking a course of study? If yes please provide details Name of school/ college/ university Subject and courses followed Results 5. Current activity A) if self employed Business name and trading address Postcode Industry category Period of operation Number of employees If you have ceased trading, why? B) if employed - current employment Start date Name/ address/ tel no. Of head office Present location of employment Position held and main duties Current salary Why are you considering leaving? Period of notice to terminate Other benefits of employment 6. Previous appointments (past ten years) 1 Start/ end date name/ address/ tel no. Of head office Present location of employment Position held, main duties and reason for leaving Final salary 2 Start/ end date name/ address/ tel no. Of head office Present location of employment Position held, main duties and reason for leaving Final salary 3 Start/ end date name/ address/ tel no. Of head office Present location of employment Position held, main duties and reason for leaving Final salary 4 Start/ end date name/ address/ tel no. Of head office Present location of employment Position held, main duties and reason for leaving Final salary 7. Referees State the name and address of two persons who could provide a character reference. These will not be taken up until such a time as you are short-listed for a position. 1. Name Position Address Telephone 2. Name Position Address Telephone 8. Experience Give details of relevant experience which you feel would be helpful in the role of commission operator. Also, state what personal attributes you believe you possess which will enable you to succeed in this role. 9. Financial data Are you aware of any reasons why you should be refused credit? Do you have any pending county court judgements against you? Do you have any objections to us making a credit check? Please indicate your current financial position below: Liabilities Bank overdraft House mortgage Loans Other creditors Total liabilities Balance Assets Cash (inc bank balance) House valuation Other property Vehicles Share & investments Total assets Please explain how you will fund (min. £15k) commissioned operator start up costs Please supply details of three credit references - either trade or, if you have not previously been self-employed, credit card or department store card. 1. Name Address Telephone 2. Name Address Telephone 3. Name Address Telephone Please provide the name and address of your: Bank or building society Name Address Telephone Account number Solicitor Name Address Telephone Accountant Name Address Telephone 10. Mobility / work location Please indicate where you would consider working in england, scotland and wales 11. Reference checks It is our intention to check references and information offered by an applicant on this form should it progress to an offer. If it is found that the applicant is unsuitable or that information supplied is inaccurate, the training/ operating contract may be terminated without notice. A reference from your current employer will only be requested once an offer is accepted. 12. Data protection act All personal information will be held confidentially in accordance with the data protection act. However, a copy of this form may be provided, upon request, to nominated suppliers of stock and services for the purposes of credit account administration. 13. Declaration I hereby declare that all the information given by me and contained herein is true and i agree that snax 24 limited may seek confirmation from any source provided to check its accuracy. If any of this information is found to be false or incorrect, any contract made between myself and the company is likely to be terminated forthwith and without notice. Signed Date
