Woodlands Garden Centre and Twig & Spoon - Online Employment Application Form
Please complete all sections of the form that apply to you. All information is confidential.

Position applied for?
Where did you see this position advertised?
Have you applied before?	Yes No
Availability
Preferred Working Days: Mon Tue Wed Thur Fri Sat Sun I Don’t Mind:	Full Time Work: Part Time Work:
Personal Details
Title:	Mr Miss Mrs Ms
Surname:
Forname(s):
Address:
Postcode:
Email Address:
Home Telephone:
Daytime Telephone:
Mobile Number:
N.I. Number:
Education
School/College (1):
Qualifications (1):
School/College (2):
Qualifications (2):
School/College (3):
Qualifications (3):
School/College (4):
Qualifications (4):
Employment History (paid or voluntary work)
Current/Most Recent Employer:
Employer Address:
Job Title, Duties:
Start Date:
End Date:
Reason for Leaving:
Rate of pay on Leaving:
Previous Employer (1):
Employer Address (1):
Job Title, Duties (1):
Start Date (1):
End Date (1):
Reason for Leaving (1):
Rate of pay on Leaving (1):
Previous Employer (2):
Employer Address (2):
Job Title, Duties (2):
Start Date (2):
End Date (2):
Reason for Leaving (2):
Rate of pay on Leaving (2):
General
Do you know anyone employed by Woodlands Garden Centre? If yes, please give thier name and relationship:	Yes No
How soon will you be available for work if appointed?
Interests and Pastimes
Please give details of your interests and pastimes, and any clubs and societies that your belong to, along with any responsibilites or offices held:
References
Personal Reference (name):
Personal Reference (relationship):
Personal Reference (address):
Personal Reference (telephone):
Employment Referee (name):
Employment Referee (position):
Employment Referee (address):
May we contact them now?
Rehabilition of Offenders Act 1974
Have you ever been convicted of a criminal offence?	Yes No
Do you have any criminal charges or summonses pending against you?	Yes No
Equal Opportunities Woodlands Garden Centre is an equal opportunities employer. All job applicants and employees receive equal treatment regardless of sex, pregnancy, marital or civil partner status, sexual orientation, gender reassignment, race, colour, nationality, ethnic or national origin, age, disability, part time or fixed term status, religion or similar belief or union activities. By completing the section below you can help us monitor and promote our equal opportunity policy. This section will not form part of the short-listing process in any way and will be separate from your application form.
Sex:	Male Female
Date of Birth:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
How would you describe your ethnic origin? These categories were used for the 1991 census by the Office of Population Census and Surveys and are recommended by the Commission for Racial Equality. They do not refer to place of birth, citizenship or nationality, but to the ethnic group to which you feel belong.
	White Black - African Black - Caribbean Black - Other Indian Pakistani Bangladeshi Chinese Asian - Other Other - Not Listed Would prefer not to say
Would you describe yourself as having a disability?	Yes No
Are you registered under the Disabled Persons (Employment) act 1997?	Yes No
Declaration I declare that the information that I have given in support of my application is true and complete. I understand that if the information set out in this application form is found to be false or misleading, Woodlands Garden Centre reserve the right to withdraw any offer made. I understand that if the information set out in this application form is subsequently discovered to be false or misleading, I may be dismissed. I understand also that the appointment, if offered, will be subject to satisfactory references. I understand the terms and conditions above: The information contained in the application form will be used for the selection of candidates. Should you be successful in your application, the information on this form will be used in the preparation of contracts and filed in a personal file. The equal opportunities form is strictly confidential and will be used solely for monitoring purposes. I consent to the processing of the enclosed information by Woodlands Garden Centre in accordance with the Data Protection Act 1998. I understand the terms above: