Job Application Form

Please complete this form and return it on or before the closing date specified in the
advertisement. Late applications will not be considered. Only information provided on
this application will be considered by the panel. Curriculum vitae will not be accepted.
All information given will be treated with the strictest confidence.
Speculative applications will be kept on file for a 6month period.
Date of Application:
Position Applied For:
!Select from the list below"or as detailed on the advert#
$. Suma %rial &ember
'. %emporary (arehouse (orker
). (ork *+perience Placement
,. Other !please specify#
Please note that-
Suma &ember recruitment is sometimes specific to certain skills. this does not mean
that successful candidates will be restricted to this area of work. Suma encourages
multitasking for all workers across all areas of the cooperative.
1. PERSONAL DETAILS
Surname- /orenames-
Address-
Postcode- *mail Address-
0ome %elephone 1umber- &obile %elephone 1umber-
1ational 2nsurance 1umber- 3o you hold a 3riving Licence4 5es"1o
!1.6. 2t is not an essential re7uirement#
Please provide details of your driving entitlement-
!Provisional. up to ).8t. !" up to 9.8t. ! up to )'t. !#E up to )'t with trailer#
Please provide details of any driving
offences-
(here did you learn of this vacancy4
2. E$PLO%$ENT RE!ORD
!Please list chronologically starting with current or last employer#
1ame and
Address of
*mployer. and
1ature of
6usiness-
3ates
/rom-
%o-
:ob %itle-
:ob /unction";esponsibilities-
Salary-
;eason /or
Leaving-
3. ED&!ATION
3ate
/rom-
3ate
%o-
1ame of
School-
*+aminations %aken and <ualifications =ained.
!Specify =rades#
4. F&RT'ER('I)'ER ED&!ATION
3ate
/rom-
3ate
%o-
1ame of
2nstitution-
Sub>ects %aken and <ualifications =ained.
!Specify =rades or 3egree Class Obtained#
5. TRAININ)
3ate
/rom-
3ate
%o-
1ame of
2nstitution-
3etails of %raining Courses Attended. and
Awards Achieved.
6. S&ITAILIT% FOR T'IS POSITION
Please provide e+amples of your e+perience of the headings below. !Categories are
general headings associated with working at Suma. e+perience of all categories is
not e+pected.#
Cooperative and"or %eam (orking-
Sales and &arketing-
6usiness Skills and"or Accounts and /inance-
People &anagement and Leadership-
Pro>ect &anagement-
(arehouse 3istribution-
Computer Skills and 2nformation %echnology-
L=? 3riving and"or &ultidrop 3eliveries-
7. INFOR$ATION IN S&PPORT OF %O&R APPLI!ATION
Suma is a workers@ cooperative. &embers of the cooperative collectively own the
business. and are responsible for the operation. management. and therefore the
health of the business. &embers must be both workers. doing their daily >obs. and
managers. organising the business.
Please use this ne+t section to clearly tell us how you will add value to our business.
2nclude any skills or e+periences that you have ac7uired that will support this
application whether within the working environment or outside.
8. REFEREN!ES
Please provide the details of two work related referees. including your current or
most recent post. ;eferees will not be contacted without your prior approval
1ame- 1ame-
Position- Position-
Company- Company-
Address-
%elephone 1umber-
Address-
%elephone 1umber-
;elationship- ;elationship-
9. E*&ALIT% A!T +,",
%he *7uality Act 'A$A states that a person has a disability if-
%hey have a physical or mental impairment
2f the impairment has a substantial and longterm adverse effect on their ability to
perform normal daytoday activities.
Bsing this definition. would you consider yourself to be disabled4 5es 1o
2f yes. do you re7uire any special arrangements to be made to assist you if called for
interview4
Please provide details-
10. RE'AILITATION OF OFFENDERS A!T "-./
0ave you ever been convicted of a criminal offence4
!3eclaration sub>ect to the ;ehabilitation of Offenders Act
$C9,#
5es 1o
11. AS%L&$ AND I$$I)RATION A!T "--0
3o you have the right to work in the BD4
1ote- Suma will re7uire proof of this right before an offer
of employment can be confirmed E eg. 6irth certificate
and"or any other appropriate document re7uired to confirm
your right to work in the BD.
5es 1o
12. A1AILAILIT%
Please tell us if there any dates that you will not be available for interview.
2f you are applying for %emporary (arehouse (ork please provide us with the date
that you could potentially start work. the days of the week that you are available to
work. and the times of day that you are available to work.
Available /rom- 3ays of the (eek Available-
Available %o- %imes of 3ay Available-
13. 1ERIFI!ATION OF INFOR$ATION
2 can confirm that to the best of my knowledge the above information is correct. 2
accept that providing deliberately false information could result in my dismissal.
Signature- 3ate-
Please return completed applications to-
Personnel Department2 S3ma 45olefoods2 Lac6 4a62 Lo7fields 3siness Par82
Elland2 4est %or8s5ire2 '9: -D;
/or additional information contact Suma Personnel 3epartment on A$,'' )$)FF'.