How To Apply

Vacancies » Online Application

Please fill this form out as completely as possible in order to ensure there is no delay in processing your application.

Title:

Forename(s):

Surname:

Address:

Telephone Number:

Mobile Number:

Email Address:

Current Driving License:

Yes
No

Expiry Date (dd/mm/yy):

Details of Endorsements:

Do you have access to a car?

Yes
No

Car Registration Number:

Education History

Please give details of schools / colleges attended and qualifications gained

Schools / College Name

Qualifications Gained

Employment History

Dates	Name & Address of employer	Job Title	Duties	Rate of Pay	Reason for Leaving

Notice required in current post:

References

Please note here the names and addresses of two persons from whom we may obtain both character and work experience references.

Other Employment

Please note any other employment you would continue with if you were to be successful in obtaining this position.

Leisure

Please note here your leisure interests, sports and hobbies, other pastimes etc.

Criminal Record

Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state.

Health Details

If you are disabled, please give details and specify any special needs in relation to your disability.

Please list any diseases, disorders, allergies, muscular or muscular skeletal injuries from which you have suffered or do suffer.

Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.

Please list all absences from work in the past 12 months and the reasons for such absences.

Equal Opportunities Monitoring

Lowri Beck has a policy of equal opportunity. Everyone who works for us or who wishes to join the company whatever their sex or marital status, age, disability, race, colour, ethnic or national origins will receive equal treatment when applying for jobs.
In order to ensure that Equal Opportunities is being applied effectively, all job applicants are asked to provide the following information.
Information obtained from monitoring:

will be treated in strict confidence
will be used simply to provide a statistical profile of applicants for each jobs
will not be made available to any person who is in the selection process, as this form will be separated as soon as we receive it and will be for monitoring

Thank you for your co-operation.

Date of Birth (dd/mm/yy):

Sex:

Male
Female

Do you consider yourself to be disabled?

Yes
No

If YES, please state the nature of your disability:

Ethnic Origin

How would you describe yourself?

White	Black African	Black Caribbean	Black Other (please specify)
Indian	Pakistani	Bangladeshi	Chinese
Other (please describe)

Further Information :

Declaration

By submitting this form to Lowri Beck Recruitment,

You confirm that the above information is complete and correct and that any untrue or misleading information will give your employer the right to terminate any employment contract offered.
You agree that the organisation reserves the right to require you to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor).