Title: Mr Mrs Ms Miss Dr (Choose)

Last Name: *

First Name: *

Middle Initial:

Gender: (Choose) Male Female

Date of Birth:

Home Address:

Address:

City:

County:

Post Code:

Home Phone Number:

Work Number:

Mobile Number:

Driving License: (Choose) None Provisional Full Clean Full Points Full Ban Full DD (in last 5 yrs)

Details

Date available for work:

Geographical area you are most interested in: Any Location Bedfordshire Berkshire Buckinghamshire Cambridgeshire Derbyshire Dorset East London Essex Gloucestershire Hampshire Herefordshire Hertfordshire Kent Leicestershire Lincolnshire North London East London South East London South London West London Norfolk Northamptonshire Northern Ireland Nottinghamshire Oxfordshire Peterborough Scotland Shropshire Somerset Staffordshire Suffolk Surrey East Sussex West Sussex Warwickshire Wales Wiltshire

How did you hear about Perfect Placement?:

Preferred Hourly Rate:

Pay Preference Any Hourly Flat Rate Commission (Choose)

Are there any limitations on the hours you will work?: Yes No (Choose)

If yes, why?

Do you have any CCJ's pending: (Choose) Yes No

Do you Smoke: (Choose) Yes No

Do you object to a criminal background check: (Choose) Yes No

Do you object to a credit background check: (Choose) Yes No

Do you object to aptitude or skills testing: (Choose) Yes No

Do you have any holidays booked: (Choose) Yes No

If yes, please give dates:

Tools: Full Set (Choose) Top Box Only Partial Set No Tools at this time

Education

Highest academic qualification: (Choose) NVQ (SVQ) Level1 G.C.S.E/ Scottish Standard Grades A.S Level/ Scottish Nat. Quals/NVQ (SVQ) Level2 A-Level/Scottish Highers/NVQ (SVQ) Level3 Undergraduate Degree/NVQ (SVQ) Level 4 Masters Degree/NVQ (SVQ) Level 5 Doctorate Other Postgraduate qualification None of These

Technical qualifications:      (you may select more than one. To select more than one: PC Users - hold in the ctrl key and click with the mouse. Macintosh Users - hold in the command key and click with the mouse.): NVQ / SVQ in Vehicle Fitting level 1 NVQ / SVQ in Vehicle Fitting level 2 NVQ / SVQ in Vehicle Fitting level 3 NVQs/SVQs in Vehicle Maintenance and Repair.level 2 NVQs/SVQs in Vehicle Maintenance and Repair.level 3 BTEC National Certificate/Diploma in Vehicle Repair and Technology. BTEC/SQA City & Guilds Certificate/Diploma in Vehicle Maintenance and Repair (4101) NVQs/SVQs in Vehicle Maintenance and Repair (Auto Electrical) HNC/HND. Degree in Engineering (Choose)

Other qualifications:

Employment

1. Current or Last Employer

Employer:

Position (s) held:

Date Employed from:

Date Employed to:

Duties:

Average Hours per Week:

Hourly Rate:

Reasons for Leaving:

May we contact this employer: (Choose) Yes No Employer phone number:

2. Prior Employer

Employer:

Position (s) held:

Date Employed from:

Date Employed to:

Duties:

Average Hours per Week:

Hourly Rate:

Reasons for Leaving:

May we contact this employer: (Choose) Yes No Employer phone number:

3. Prior Employer

Employer:

Position (s) held:

Date Employed from:

Date Employed to:

Duties:

Average Hours per Week:

Hourly Rate:

Reasons for Leaving:

May we contact this employer: (Choose) Yes No Employer phone number:

4. Prior Employer

Employer:

Position (s) held:

Date Employed from:

Date Employed to:

Duties:

Average Hours per Week:

Hourly Rate:

Reasons for Leaving:

May we contact this employer: (Choose) Yes No Employer phone number:

5. Prior Employer

Employer:

Position (s) held:

Date Employed from:

Date Employed to:

Duties:

Average Hours per Week:

Hourly Rate:

Reasons for Leaving:

May we contact this employer: (Choose) Yes No Employer phone number:

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Professional References

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