Employment Application Form

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1 Office Use Only Employment Application Form We welcome applications from all people with the relevant skills and potential for the job. Please answer the questions in this form as honestly and fully as possible, incomplete forms will not be considered and CV s will not be accepted as a substitute for incomplete forms. The information given in part one, which contains personal information, will be detached from the rest of the form and only the information given in part two will be used for short-listing purposes. Should your application be successful, you will be required to provide certain documentary evidence before commencing employment (e.g. birth certificate, educational qualifications, national insurance and income tax details, passport). PART I Surname Nearest Railway Station to your home Date of Birth* Age* Forenames (First names) / / Title Miss Mrs Ms Mr Other (please specify) National Insurance No. Address Do you need a working permit to work in the UK? Yes No Are you able to provide your own transport to travel to work? Yes No Job Applied for Job reference number ATW Location of job Postcode Full time Part time Telephone number and , where you can be contacted Home Telephone Mobile Telephone Are you able/ willing to work shifts (including nights and weekends) if the job requires it? Yes No Have you previously been interviewed/ worked for this company or another Rail Industry company? Yes No If yes, which company? Work Telephone Location Position Address 1 of 7 * Age limits apply to certain types of work. Please ask if you are unsure how these may affect your application.

2 Diversity Monitoring - Equal Opportunities It is Arriva s vision to become Europe s leading transport organisation. We believe that a diverse workforce, that more closely reflects our customer base, will help to shape this vision. In line with our equal opportunities policy, we are committed to base our selection decisions on merit alone, irrespective of ethnic origin, nationality, age, sex, marital status, sexual orientation, religious belief, political opinion or disability, where this is not clearly justifiable. For us to be able to monitor that this policy is fully and fairly implemented, please provide the information below (choosing not to complete this section will not affect your application): Gender Please indicate your gender Male Female Ethnic Origin Ethnic origin questions are not about nationality, place of birth or citizenship. They are about colour and broad ethnic groups UK citizens can belong to any of the following groups. Please indicate which ethnic group most closely resembles yours. Disability Do you consider yourself to have a disability? Yes No If yes, please give brief details of the nature of your disability: White English Welsh European Other white, please state Scottish Irish Arriva Trains Wales is a Positive About Disabled People employer. Please give details below of any special arrangements you may need for interview, or to carry out the job effectively. Mixed White/Black White/ Black African Other mixed, please state Carribean White/ Asian Language ability Please indicate which languages you consider yourself fluent in: Asian English Welsh Indian Bangladeshi Other Asian, please state Black Caribbean Other black, please state Chinese Pakistani African Other, please state If the job you are applying for specifies that fluency in Welsh is required, this section will also be used at shortlisting stage. Military Reserve Are you a member of the military reserve? Yes No Other, please state 2 of 7

3 Recruitment Where did you learn about this job vacancy? Please tick the appropriate box/es. Newspaper, local* Newspaper, national* Trade Journal* Jobs Publication* Word of Mouth Internet Site* Arriva Open day Radio Cold Call Internal Notice Job Centre *Please give details References Please give full contact details of two referees. One referee must be your current / most recent employer. The second referee should be from your previous employer. Where this is not possible, we will accept a personal reference from someone who has known you for at least five years and is neither a family relative nor a friend. Name: Position: Company name: Relationship to you: Address: Name: Position: Company name: Relationship to you: Address: Postcode: Postcode: Telephone number: (Home) (Mobile) Fax Number: Telephone number: (Home) (Mobile) Fax Number: Please give an indication of your non availability for interview over the next two months. Rehabilitation of Offenders Act Have you been convicted of any criminal offence*? Yes No If Yes, please give details: Date of conviction: Nature of Offence: Any false statement could disqualify your application, or in the event of employment, render you liable to dismissal. *You are not required to disclose convictions now spent under the Rehabilitation of Offenders Act of 7

4 Job refernce number ATW Office Use Only Employment History/Work Experience Please specify your employment history covering the past 10 years, beginning with your current/ most recent employment and working backwards. Please continue on a separate sheet if necessary. This section should include an outline of your job duties, key responsibilities and achievements PART II Start Organisation/ Company Position held / Finish Reason for leaving Date: (including address) Nature of work Date: What is your current notice period? 4 of 7

5 Education and Training Please give details of any qualifications you have achieved or courses you have attended. Please continue on a separate sheet if necessary. School, Secondary Education, Higher Education Type of qualification and Subjects Grade Name and address of school, From/ College or University To Further Education (eg. technical college, trade qualifications and qualifications attained in work) Type of qualification and Subjects Grade Name and address of From/ awarding body To Personal Development, including evening classes, any craft or other training Type of training or Course title Name and address of institution From/To 5 of 7

6 Reason for applying Please use the space below to tell us why you think you are suitable for the job and why you are interested in it. Before you answer this section, please ensure you carefully read all the information provided about the company and the job. It is a good idea to spend some time to prepare this section. Please continue on a separate sheet if necessary. 6 of 7

7

8 Train Driver Supplementary Application Form Please complete the sections below. What you write below will form part of your application and will be used at the short-listing stage. On a normal day, how long would it take you to get from home to the place of work you have applied for? Minutes. 1. Have you ever done shift work? Yes No If yes, what were the shifts? Please give details of weekend & bank holiday working experience you have. 2. Have you ever had to work on your own or do you regularly spend longer periods of time on your own in your private life? Yes No If yes, what were the circumstances? How do you / did you feel about spending time on your own? Continued over page

9 3. Describe a time when you have had to work closely with rules and procedures. (You can use an example from your work or private life.) What were the rules and procedures? How did you feel about having to follow the rules and procedures? Why did you feel this way? 4. Give an example of when you were faced with an emergency/unexpected and high-pressure situation and had to think and act on your feet. (You can use an example from your work or private life.) What happened? Why were you under pressure? What did you do and why? What was the outcome?

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