First Name Surname Address Postcode Telephone Email How much notice do you have to give your present employer Are there any restrictions to your right to take up employment in the UK YesNo
Please give details
Driving Licence YesNo
Which licence is it FullProvisionalLGVPSV Any endorsements YesNo
Do you have any unspent criminal convictions other than minor driving offences You are not obliged to include any spent convictions under section 4 (2) of the Rehabilitation of Offenders Act 1974 (should your role require you to drive please disclose any minor driving convictions) YesNo
Are there any adjustments that may be required should you be invited to attend an interview? If so, please state here
Start Date End Date School, College, University Qualification
Include Additional Educational History
Details of other relevant qualifications
Start Date End Date Name and address of company Post Held Final Rate of Pay Reason for Leaving
Include Additional Employment History
Have you previously been employed by Gray & Adams Ltd YesNo Details of Apprenticeship or equivalent qualification
Please use the space below to record any information which you feel may support your application
Please provide two people who you are happy for us to contact to provide references – one of whom should be your present / most recent employer.
Name Address Telephone
The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment, the personal information that you have given us will be used in a confidential manner to help us monitor our recruitment process.
Upon my employment, I agree to familiarise myself promptly with all company rules and to abide by them. I understand that I am at risk of dismissal if it is established that I have given false information in this application form or at any stage of the recruitment process.
I understand that that providing false or misleading information on this form may result in my application not being considered further or the Disciplinary Process being instigated. Please see full details of our GDPR policy on www.gray-adams.com
Signature Date
We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.
Please complete this form. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process.
Thank you for your assistance.
Where did you hear about this job? FriendRecruitment CompanyCompany WebsiteNewspaperOther
Please specify
What is your gender? (If you are undergoing gender reassignment, please use the gender you intend to acquire.) MaleFemalePrefer not to say
What is your age? 16-1718-2122-3031-4041-5051-6061-6566-7071+Prefer not to say
How would you describe your sexual orientation? Hetrosexual / straightBisexualGay manGay woman / lesbianPrefer not to say
How would you describe your nationality and /or ethnicity? WhiteMixed RaceAsian or Asian BritishBlack or Black BritishChinese and Other Groups
British - English, Scottish or WelshMixed RaceIrishOther White Background
White and Black CaribbeanWhite and Black AfricanWhite and AsianOther Mixed background
IndianWhite and Black AfricanPakistaniBangladeshiOther Asian background
CaribbeanAfricanOther Black background
ChineseOther Ethnic Group
Please describe your religion or other strongly-held belief: I have no particular religion or beliefPrefer not to say
The Equality Act 2010 (applicable in Scotland, England and Wales) and the Disability Discrimination Act 1995 (DDA – applicable Northern Ireland) defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.
Do you consider that you have a disability under the EqualityAct 2010 / DDA? YesNoUsed to have a disability but have now recoveredDon't knowPrefer not to say
THIS SECTION IS MANDATORY FOR APPLICANTS FOR POSITIONS IN NORTHERN IRELAND. GRAY & ADAMS CANNOT CONSIDER APPLICANTS FOR POSITIONS IN NI IF THIS SECTION IS NOT COMPLETED
Gray & Adams (Ireland) Ltd. is required by The Fair Employment and Treatment (NI) Order 1998 to monitor the perceived religious affiliation and/or community background of its employees and applicants.
In accordance with the Monitoring Regulations 1999, we are asking you to indicate the community to which you belong by ticking the appropriate box below: I am a member of the Protestant communityI am a member of the Roman Catholic communityI am a member of neither the Protestant nor the Roman Catholic community
