Recruitment

Position Applied For:

Title: First Name/s: Surname:

Contact Telephone No: Email Address:

Address:
Town:	PostCode:

NI Number: Date of Birth:

Religion: Nationality: Marital Status:

Are you eligible to work in the UK:

PLEASE NOTE: To fulfil the criteria for employment within the Call Centre you must be available ANY five days out of seven. Shift times do vary, are on a rota basis and cannot be scheduled for each individual.

Please indicate your preferences:

Which Call Centre are you applying to work in:
Hartlepool Middlesbrough Stockton South Shields Any

Shift Options Available: Customer Service Representative

Full Time Shift: 37.5 Hour AM Part Time Shift PM Part Time Shift
Weekend Shift Night Time Shift (Middlesbrough Only)

Shift Options Available: Customer Sales Advisor
Full Time Shift: 37.5 Hours

Training schedule:
Full Time Training Part Time Training (If Available)

How did you hear about Garlands Call Centres?

Newspaper Advert:

Radio Advert:

Third Party Agency:

Word of Mouth: Passing Shop: Recommend by a friend:

Internet Website - Which one?

Press Article: Which publication:

Education and Qualification Gained

Secondary School Attended:

Educational Qualifications and Dates Achieved:

Further Education/Training Courses Completed and Dates Achieved:

Are there any other skills that are relevant, or that you think will be useful, when we consider your application:

Have you previously worked for Garlands Call Centres: NO YES
If YES please provide the following details: Dates Position Direct Manager Reason for Leaving:

Failure to disclose relevant information will result in termination of employment

Do you know anyone who works for Garlands Call Centres? No Yes
If YES,Who?

Employment Details

Current Employment Status: Employed Unemployed Student

Current Employer:

Address:

Telephone Number:

Start Date: Current Salary: £

Job Title:

Main Duties and Responsibilities:

Minimum Notice Period Required:

Please Give Details Of Previous Work History

Previous Employer:

Address:

Telephone Number:

Start Date: Finish Date: Salary: £

Job Title:

Main Duties and Responsibilities:

Reason for Leaving:

Please provide below details of the rest of your employment history, explaining any gaps in employment.

Medical Declaration - Strictly Confidential

Do you have any Medical Conditions, Disabilities or Special Needs? No Yes
If YES give details:

Are you receiving any Medical Attention? No Yes
If YES give details:

Are you taking any medication?: No Yes
If YES give details:

Where can this medication be located:

Have you ever had a serious illness, or have had more than 4 weeks consecutive sick leave? No Yes
If YES please give approximate dates and reasons:

How many days absences from work due to sickness have you had in the last three years:
Please provide details of the nature and length of sickness:

Your Doctors Details:

Name:

Address:

Town: Postcode:

Telephone Number:

Night Shift Only: If you are applying to work on a shift with a finish time
after 11.00pm we need to ask you additional questions.

NIGHT SHIFT QUESTIONAIRE:

Diabetes No Yes

Heart or circulatory disorders No Yes

Stomach or intestinal disorders No Yes

Any condition which causes difficulties sleeping No Yes

Fainting attacks, blackouts, epilepsy or fits No Yes

Chronic chest disorders, especially if night-time symptoms are troublesome No Yes

Any medical condition requiring medication to a strict timetable No Yes

Any other health factors that might affect fitness work:

If you have answered YES to any of the questions above please provide further details:

Referees

Give details of two referees who can comment on your performance and abilities:

Name:

Occupation:

Company:

Address:

Postcode:

Telephone:

Name:

Occupation:

Company:

Address:

Postcode:

Telephone:

Declarations

Do you have any holidays Booked? No Yes
If YES when:

Have any pending appointments, eg, Doctors, Dentist, Hospital? No Yes
If YES when:

Do you have any Criminal Convictions? No Yes
If YES give details below: