Employee Application Form

Please clearly fill in all areas of this application form – only fully completed forms can be
considered – and post to the address at the end of this document.

Personal Details

Surname:

First Name:

Current Home Address:

Post Code:

Home Tel No. / Mobile Tel No.:

Email Address:

Date of Birth:

Male / Female:

Employment Details

1. When are you available for work? (daytime / evening / both)

2. Will this be your only job? YES / NO

3. How far are you prepared to travel for work?

4. Are you a car driver with a valid UK driving licence? YES / NO

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 5. Please state if you have ongoing entitlement to work in the UK, or if there are
time-limit restrictions on your entitlement to work in the UK?

6. You will need to show one specified document or a specified combination of two
documents that prove your entitlement to work in the UK. The following
documentation is acceptable:

• A passport showing that you, the holder, are a British citizen, or a citizen of the the UK
and Colonies having the right of abode in the UK.

• A national passport or national identity card showing that you, the holder, are a
national of a European Economic Area country or Switzerland.

• A residence permit, registration certificate or document certifying or indicating

permanent residence issued by the Home Office or the UK Border Agency to a national
from a European Area country or Switzerland.

• A biometric immigration document (identity card) issued by the UK Border Agency to

you, the holder, which indicates that you are allowed to stay indefinitely in the UK,
have the right to abode or have no time limit on your stay.

• A passport endorsed to show that you, the holder, is exempt from immigration control,
can stay indefinitely in the UK, or have no time limit on your stay in the UK.

• If you are from one of the ‘A8’ countries you may also need to register with the Worker
Registration Scheme if you have not already done so.

• If you are from Romania or Bulgaria (an ‘A2 worker’) you will also be required to
provide evidence that you are authorised to work in the UK.

7. Please state your National Insurance Number:

8. Are you registered as a disabled person? YES/NO

9. If yes, please state registration number:

10. Do you suffer from any disability which your employer should be aware of? YES/NO

11. If you answered YES to question 9, please provide details:

12. Please provide name and contact details of person to contacted in case of sickness or
emergency:

13. Please provide 2 x work references in the space provided below. These must be the
last two employers worked for:

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 14. Please provide current hourly rate of pay:

15. Please write any additional information below to help support your application (such as
details of health and safety training, other qualifications etc.):

16. Read each statement below carefully. Sign each one that applies to you. If none of
them apply, do not sign the statement.

This is my first regular job since leaving full-time education. I have not claimed Jobseekers
Allowance, or income support paid because of unemployment since then.

Signature: Date:

This is my only or my main job.

Signature: Date:

This is a secondary job and I am actively employed with another employer.

(Please provide details of any other employment (including hours of work), together with
employer’s name and address.)

Signature: Date:

17. Please ensure you can present the following original documentation at your interview
stage, to support your application for employment:

• Right to Work in the UK documentation (as listed above)

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 • National Insurance Card

• 2 x utility bills (no older than 3 months) in your name/ showing current home

address

• 1 x bank / building society statement – showing account in your name

• 2 x passport sized photos

• Valid driving licence issued by the UK Drivers and Vehicle Licensing Agency
(only required if you are applying for a job where driving is necessary).

• P45 issued by your last employer, or P60 if you are currently employed.

If your application is successful, you will be contacted and asked to attend an interview at our
office. Please note that all of the above documentation needs to be submitted before
employment can be considered.

Signed:

Printed Name:

Date:

Please send completed application form to:

Granite Support Services Limited

1a Station Road
London
SE25 5AH

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