Eirscot Civil Engineering Ltd-Application for Employment
     | 
  
   
    | Oaklands Industrial Estate, Essex Road, Hoddesdon, Herts. EN11 0BX
	 | 
  
   
    |  
      Tel:01992 470404, Fax: 01992 479009  E-mail:mail@eirscot.co.uk
     | 
  
   
    |   | 
  
   
    |  
      Pre-Employment Questionaire - All Information Confidential 
     | 
  
   
    |   | 
  
   
    | Personal Information - Please complete 
      in block capitals | 
    Date of Birth | 
      | 
      | 
      | 
  
   
    | Present Address: | 
      | 
      | 
    Age | 
      | 
  
   
    |   | 
      | 
      | 
    Nationality | 
      | 
  
   
    | Phone No: | 
      | 
    Mobile: | 
      | 
    Marital status | 
      | 
  
   
    |   | 
  
   
    | Employment Desired | 
      | 
  
   
    |   | 
  
   
    | Position applied for: | 
      | 
    Date you can start: | 
      | 
      | 
      | 
  
   
    | Ever applied to this company before? | 
      | 
    Yes | 
      | 
    No | 
      | 
    When? | 
      | 
      | 
      | 
  
   
    | CIS 4  | 
    Yes | 
      | 
    No | 
      | 
      | 
    Confined Spaces | 
    Yes | 
      | 
    No | 
      | 
  
   
    | CIS 6 | 
    Yes | 
      | 
    No | 
      | 
      | 
    360 Degrees CITB/CTA | 
    Yes | 
      | 
    No | 
      | 
  
   
    | Vat Registered? | 
    Yes | 
      | 
    No | 
      | 
      | 
    CSCS Card | 
    Yes | 
      | 
    No | 
      | 
  
   
    |   | 
  
   
    | NRSWA | 
    Yes | 
      | 
    No | 
      | 
      | 
    Abrasive wheels | 
    Yes | 
      | 
    No | 
      | 
  
   
    | Driving Licence | 
    Yes | 
      | 
    No | 
      | 
      | 
    Any other certificates | 
      | 
  
   
    |   | 
  
   
    | Are you registered disabled | 
    Yes | 
      | 
    No | 
      | 
    Registered Disabled No | 
      | 
    Expiration Date | 
      | 
  
   
    |   | 
  
   
    | Name & location of School and 
      Further Education & Training | 
    Yrs Attended | 
    Exams passed & Grades | 
  
   
    |   | 
      | 
      | 
  
   
    |   | 
      | 
      | 
  
   
    |   | 
      | 
      | 
  
   
    |   | 
      | 
      | 
  
   
    |   | 
      | 
      | 
  
   
    | Professional membership/ Qualifications | 
    Yrs Attended | 
    Exams passed & Grades | 
  
   
    |   | 
      | 
      | 
  
   
    |   | 
      | 
      | 
  
   
    | Employment History-(List below last 
      four employers, starting with most recent employer) | 
  
   
    | Date/month/year | 
    Name & Address of Employer | 
    Rate | 
    Position | 
    Reason for leaving | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
      | 
  
   
    | References-Give below the names of three persons not related to you, whom you have known at least 
      one year | 
  
   
    | Name | 
    Address | 
    Business | 
    Years Known | 
  
   
    |   | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
  
   
    |   | 
      | 
      | 
      | 
  
   
    | Information to support your application: | 
  
   
    |   |