Bells Of Lazonby

Application For Employment

Please complete this form in your own handwriting.
Please return to: HR, Bells of Lazonby, Edenholme Bakery, Lazonby, Penrith, Cumbria, CA10 1BG
01768 898437

Position Applying For:

Surname: Age if under 18yrs:

Other Names: National Insurance No:

Address:

Post Code:

Telephone No: (Home) (Mobile) Work:

(if convenient)

If you have a disability please tell us about any adjustments we may need to make to assist you at interview.

Are you willing to undergo a Medical Examination? YES/NO

Do you hold a full clean driving license? YES/NO Do you have your own transport? YES/NO

Please give details of any endorsements:

Have you ever been convicted of a criminal offence?

If yes, please give details:

(Declaration subject to the Rehabilitation Act 1974)

EDUCATION AND QUALIFICATIONS:

DATE: NAME OF SECONDARY SCHOOLS, EXAMINATIONS ACTIVITIES &

FROM - TO COLLEGES & UNIVERSITIES PASSED POSITIONS OF
ATTENDED RESPONSIBILITY HELD

Please give details of:

Other Training & Qualifications (include part-time study) Any Hobbies & Leisure Interests.___________________
_______________________________________________ ______________________________________________
_______________________________________________ _____________________________________________

Issue 4 HR app.form J K 17/11/201912:08:39 HRR020

EMPLOYMENT DETAILS

Dates of employment should be continuous with current or most recent employment. Any breaks in employment
should be explained in the section below.

DATE NAME & ADDRESS OF POSITION HELD, REASON FOR SALARY/WAGE

FROM - TO EMPLOYER DUTIES AND LEAVING
RESPONSIBILITIES

*Use another sheet of paper if required.

Please explain any breaks in employment:

Period of notice required in current employment:

Please give details of any personal qualities, skills, qualifications or experience which you feel are relevant to the
position applied
for:__________________________________________________________________________________________
__________________________________________________________________________________________

Please tell us if there are any dates when you will not be available for interview:
Please supply the names and addresses of two persons, other than relatives, who will supply references. No
approach will be made to your present employer before an offer of employment is made to you.

Name: Name:
Address: Address:

Tel. No. Tel. No.

I certify that the information given on this form is accurate. I accept that providing deliberately false
information could result in dismissal.
Signed: Date:

FOR OFFICE USE:

Holiday requirements
Uniform Chest Size: Waist: Leg Length:

Shoe Size: Jacket: Shirt:

Issue 4 HR app.form J K 17/11/201912:08:39 HRR020