The Crystal Building Langston Road Loughton Essex IG10 3TH Tel: 020 8502 8204 Fax: 020

8502 8282 E-mail: hr@clintoncards.co.uk

GUIDELINES FOR COMPLETION: Please answer all questions. * Delete as appropriate. Completion of Religion and Ethnic Origin are optional and data are held for monitoring purposes only. STAFF & HEAD OFFICE APPLICATION FOR EMPLOYMENT CONFIDENTIAL. Please complete this form in BLOCK CAPITALS POSITION APPLIED FOR: LOCATION: Full or Part Time: Salary Expected: PERSONAL DETAILS: Mr/Mrs/Miss/Ms: Maiden Name: Address: Permanent or Temporary: Ref. No: (From bottom of advertisement) Date Available From:

First Names: Date of Birth:

Surname: Religion:

Post Code: Home Tel: N.I. No: Country of Birth: Work Tel: E-mail address: Nationality: Ethnic Origin: Mobile:

Under the Asylum and Immigration Act 1996, are you eligible to work in the UK? *YES/NO Please note that ALL prospective employees, including those born in the UK, are now required by law to provide proof of eligibility to work in the UK . If you are short listed for interview we will advise you which documents you need to provide. Are you available to work extra hours? Are you available to work: Saturdays? Sundays? Evenings? Newspaper Advert Clinton Cards Website *YES/NO *YES/NO *YES/NO *YES/NO Do you have any relatives currently employed with Clinton Cards? *YES/NO If YES, please give name, relationship and their place of employment: Have you ever been convicted of a criminal offence, which is not spent under the Rehabilitation of Offenders Act 1974? *YES/NO Please give details: Have you a current Attachment of Earnings? Please give details: *YES/NO

How did you hear of this vacancy? Please tick as appropriate. Notice in Shop Window Other

Have you previously worked for Clinton Cards? *YES/NO Please give date, location and position:

Do you have a disability? *YES/NO

If Yes, do we need to make any adjustments to accommodate you at interview?

If you feel you may need extra help with our recruitment process, please contact our Recruitment Hotline on 0208 502 8207 for advice and information. Are you in good health? *YES/NO How many days sickness have you had in the past 12 months? Please give details of any health problems, giving dates and relevant information:

To the best of your knowledge are you fit to perform the tasks involved in the position applied for?

*YES/NO

EMERGENCY CONTACT:
Name: Daytime Tel. No:
Mobile No: Relationship to you:

Address:

EMPLOYMENT DETAILS: Please list employment, the most recent first. PLEASE COMPLETE ALL SECTIONS TO ENABLE THE COMPANY TO OBTAIN REFERENCES and use space to give previous employment details and any periods of unemployment. Please explain any gaps in employment in the space provided. The Company reserves the right to approach all former employers, educational institutions and other referees. The Company will not approach a current employer until your resignation has been confirmed. Clinton Cards retains the right to terminate your employment should references prove to be unobtainable or unsatisfactory to the Company. Current/Last Employer: Full address: (Including postcode) Type of Business: Reporting to: (Name, Job Title) Tel. Number: Date Employed from: Your Job Title: Duties and Responsibilities: (Please include hours worked)
Current Last / Salary:

to:

Reason for Leaving: Previous Employer: Full address: (Including postcode)

Notice Period: Type of Business: Reporting to: (Name, Job Title) Tel. Number: Date Employed from: to:

Your Job Title: Duties and responsibilities: (Please include hours worked)

Leaving Salary:

Reason for Leaving: Previous Employer: Full address: (Including postcode) Type of Business: Reporting to: (Name, Job Title) Tel. Number: Date Employed from: Your Job Title: Duties and responsibilities: (Please include hours worked) Leaving Salary: to:

Reason for Leaving: We require a full record of your employment for the last 3 years up to the present day. Please continue on another sheet of paper if required ... Please explain any gaps in employment. Dates: From: To: From: From: To: To: Please state reason for gaps in employment:

EDUCATIONAL AND PROFESSIONAL QUALIFICATIONS Please give details of secondary school and further education, including training courses. Full Name and Address of Dates attended: Name of Course/Exams Passed (with grades): School/College/University:

INTERESTS: Please give details:

SPECIAL SKILLS/QUALIFICATIONS/RELEVANT EXPERIENCE: e.g. NVQ Customer Service. Do you have any commitments which might limit working hours? *YES/NO Please give details: Do you have any other jobs? *YES/NO Please give details of employer, hours/days worked: How would you travel to work? Please give details of any holidays booked: From: How long would your journey take? To: No. of days:

PERSONAL REFERENCES: available.

To be given where full continuous employment details for the past three years are not

Please give the full names and addresses of two character referees, who have known you for the past two years, and whom you have seen in the last six months, neither of whom should be a relative or previous employer. Name: Relationship to you: Occupation: Address: Name: Relationship to you: Occupation: Address:

Post Code:

Post Code:

PLEASE READ THIS SECTION BEFORE SIGNING: I understand that, as part of any offer of employment from Clinton Cards, I may be required to work hours in addition to those specified in my contract of employment. I affirm that the information given in this application is correct to the best of my knowledge and I understand that any deliberate mis-statement, or non-disclosure of information, may result in the termination of my employment. I understand that any offer of employment is subject to receipt of references satisfactory to the Company and receipt of proof of eligibility to work in the UK. Under the Data Protection Act 1998, I hereby give Clinton Cards permission to obtain references from any details supplied on this application form and to securely store any personal or sensitive data on my personnel file. Signature: Date:

FOR COMPLETION BY INTERVIEWER ONLY: This interview record MUST be completed for EVERY candidate. Date of Interview: 1 2
st nd

Name of Interviewer:

Job Title of Interviewer:

Result of Interview:

Interview Notes: Appearance Communication Experience Intelligence Co-operation General Impression

1 1 1 1 1 1

2 2 2 2 2 2

Better 3 3 3 3 3 3

Other Comments: 4 4 4 4 4 4 5 5 5 5 5 5

IMPORTANT INFORMATION REQUIRED Asylum and Immigration Act 1996 As the person responsible for recruiting this applicant, you need to check that they are permitted to work in the United Kingdom, before an offer of employment is made. Please obtain the relevant proof by acquiring the specified documents from either list one or list two below . For more detailed information refer to BOSS Human Resources, Recruitment. You must have sight of the ORIGINAL documents and take two copies. Send one copy to HR with this application form. Keep second copy in the branch. OR LIST TWO: Take two copies of TWO of the following LIST ONE: Take two copies of ONE of the following documents and tick appropriate boxes: documents and tick appropriate box: UK Passport EEA Passport or national ID card UK Residence Permit from the Home Office Application Registration Card from Home Office, issued to asylum seeker confirming permission to work OR: A Work Permit along with A Passport or a letter from the Home Office EITHER: An official document bearing NI No along with A birth certificate or a letter from the Home Office or an immigration status document

IF A JOB OFFER IS MADE, PLEASE COMPLETE THE FOLLOWING BEFORE SENDING TO THE HR DEPARTMENT: Verbal reference obtained from: Date of commencement: Job Title (incl. Temp or Perm):

Copy attached?

Please tick to confirm.

Branch Name: Hourly rate:

Branch Number: Hours/Days per week:

Weekly/annual salary:

HAVE YOU CHECKED THE FOLLOWING? Please tick boxes to confirm: Has the candidate completed the application form fully? Are all reference details fully completed with contact names, post codes etc? Have you photocopied and enclosed all the necessary documents regarding Asylum and Immigration? Once all boxes have been ticked, please send this form immediately to the Human Resources Department at Head Office for processing. Thank you. IF JOB OFFER HAS NOT BEEN MADE, HAVE YOU SENT A REGRET LETTER? Please enter date regret letter sent: Signature of Interviewer: (Branch/Area Manager) Branch/Area Managers Name: (Please print) *YES/NO Date: