CANARY WHARF MANAGEMENT LIMITED

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1 CANARY WHARF MANAGEMENT LIMITED SECURITY DEPARTMENT APPLICATION FORM The information provided on this application form will help us to assess your suitability for employment with Canary Wharf Management Limited. Please answer all questions as fully and clearly as possible. On the last page of this application form is a questionnaire designed to enable us to monitor our Diversity and Equal Opportunities Policy. This questionnaire will be detached upon receipt of the application. The Equal Opportunities information provided will be treated in the strictest of confidence and will not be used in any way when assessing your suitability for employment. Please note that following successful application, references for the last 5 years will be requested. Any offer made will be subject to satisfactory references, which will be obtained once an employment offer is made. Please note that as part of the pre-employment check, we will undertake a World Check search, which is a database containing publicly available Intelligence information. IF YOU HAVE A CV, PLEASE ATTACH IT TO THIS APPLICATION POSITION APPLIED FOR VACANCY REFERENCE NUMBER PERSONAL INFORMATION Title: Mr, Miss, Mrs, Ms (for correspondence) Previous Surname (including Maiden Name) Current Address Forename(s) Surname Please confirm the duration spent at current address. Years Months Telephone. Day/Eve Mobile. National Insurance. ELIGIBILITY TO WORK IN THE UK Are you eligible to work in the UK? Yes If no, unfortunately we will be unable to process your application under the Immigration, Asylum and Nationality Act However should you require a work permit, please provide further details below and complete this application. If yes, you will need to provide original documentation at your interview to confirm your eligibility to work in the UK. This documentation can include a United Kingdom passport or a national identity card issued by a state which is in the EEA or Switzerland. These documents can also include an application registration card issued by the Home Office or by the Border and Immigration Agency (if produced with evidence of verification by the Border and Immigration Agency Employer Checking Service), or a UK residence permit issued by the Home Office or by the Border and Immigration Agency to a family member of a national of an EEA country or Switzerland. These documents will require checking every 12 months. Colleagues from the A8 countries (members of the EEA on 1st May 2004) will also be required to register under the Government s Workers Registration Scheme unless they are exempt and will be required to produce evidence of this. Colleagues from the A2 countries (Bulgaria and Romania) must be authorised by the Home Office (unless exempt) and will be required to produce such evidence from Home Office or evidence of exemption. Please tick to confirm you have reached school leaving age, to ensure you are eligible for employment 1

2 If offered employment would you require a work permit? Yes If Yes, please provide further details EDUCATION Please note at interview you may be required to produce certificates to verify your qualifications. NAME AND LOCATION HIGHEST LEVEL COMPLETED COURSE/EXAM RESULTS Secondary Education Further Education ADDITIONAL SKILLS AND TRAINING Include technical, vocational, professional and other. e.g Health & Safety and First Aid. SIA LICENCE Do you have an SIA Licence? Yes If Yes, please state SIA Licence. Type of licence (e.g. Manned Guarding, Door Supervisor) Date of expiry 2

3 SERVICE RECORD (Please circle where appropriate) Royal Navy / Army / RAF / Police / Fire Service / Merchant Navy Dates from to If service in the Army please state Regiment or Corps If service in the Police / Fire Brigade state name of force or brigade Service. Conduct Record Are you a member of any reserve involving annual training? Yes Rank attained Reason for leaving EMPLOYMENT HISTORY (Previous 5 years of employment or to secondary school as appropriate) Please begin with stating your most recent employment below. You should also include details of education placements and any gaps in your employment. Please complete on a separate sheet if necessary. EMPLOYER NAME AND ADDRESS POSITION HELD AND RESPONSIBILITIES FROM YEAR TO REASON FOR LEAVING YEAR TYPE OF BUSINESS EMPLOYER NAME AND ADDRESS POSITION HELD AND RESPONSIBILITIES FROM YEAR TO REASON FOR LEAVING YEAR TYPE OF BUSINESS EMPLOYER NAME AND ADDRESS POSITION HELD AND RESPONSIBILITIES FROM YEAR TO REASON FOR LEAVING YEAR TYPE OF BUSINESS 3

4 SPECIFIC QUESTIONS The following questions are to help us to understand the personal qualities and skills you possess relevant to the security role. You may wish to consider a situation or project you have dealt with in previous relevant roles. COMMUNICATION What communication skills do you consider essential to the role you have applied for? (Please provide an example of when you have used these communication skills). CONFLICT MANAGEMENT Please give an example of a time you have dealt with a confrontational situation? TEAMWORK Tell us about a time when you have effectively worked as part of a team. What was your contribution and what did the team achieve? CUSTOMER FOCUS Tell us about a time when you have delivered exceptional customer service (e.g. handling a difficult customer, resolving customer issues etc). If you do not have any relevant examples, please detail what you would consider to be good customer service in relation to the role you are applying for. 4

5 YOUR CONTRIBUTION Please state briefly why you have applied for this post. Indicate past achievements, experience and personal qualities relevant to your application (not necessarily in employment or education). What contribution would you expect to make in the post? (Please continue on a separate sheet if necessary). SUPPLEMENTARY QUESTIONS (PLEASE TICK) Are you prepared to work 12 hour shifts, including days and nights? Yes Can you travel to Canary Wharf, whereby your earliest shift would commence at 6.45am (including Sundays)? Yes Security Officers are required to spend the majority of their time working on exterior patrols, access barriers and in all weather conditions. Please confirm whether you are willing to do this. Yes ADDITIONAL INFORMATION Do you have any criminal convictions (Military or Civil) which are not spent under the Rehabilitation of Offenders Act 1974? Yes If Yes, please provide further details. Do you have any prosecutions pending? Yes If Yes, please provide further details. Please give details below or contact the Security Recruitment Manager on should you require adjustments for any part of the recruitment process e.g. information in an alternative format. DATA PROTECTION If unsuccessful, for administrative purposes, your details will be processed and retained for a period of 6 months and then destroyed. Please tick the box if you do not wish your details to be retained. 5

6 REFERENCES Please provide details of two personal referees known to you in excess of 5 years. These should not be relatives or previous employers. NAME NAME ADDRESS ADDRESS PLEASE STATE IN WHAT CAPACITY YOU KNOW THIS INDIVIDUAL PLEASE STATE IN WHAT CAPACITY YOU KNOW THIS INDIVIDUAL DECLARATION I certify that the facts stated are true. I agree to the Company verifying the information given. All employment is subject to the receipt of satisfactory references and, where applicable, to a satisfactory medical report. Please note: if you have served within the Armed Forces, an Army Testimonial will be requested prior to your start date. This document will be obtained within the probationary period. In the event the Testimonial is not received within 6 months, or any extension of the probationary period, the Company reserves the right to take this into consideration when reviewing the probation. I understand the Company may rely upon this information in making any subsequent offer of employment and that, if in the opinion of the Company, I am found to have provided false information or omitted significant information, this may result in any such offer of employment being withdrawn or any subsequent employment being terminated. Signature Date Please complete and return this form to: or Phil Bird Security Recruitment Manager, 10th Floor, One Canada Square, Canary Wharf, London, E14 5AB Contact number:

7 DIVERSITY AND EQUAL OPPORTUNITIES QUESTIONNAIRE Canary Wharf Group plc is committed to promoting a diverse workforce and is an Equal Opportunities employer. It is Canary Wharf Group s policy not to discriminate on the basis of age, sex, race, colour, nationality, ethnic origin, sexual orientation, religious belief, disability or marital status. Canary Wharf Group plc is committed to monitoring its policies effectively. Your answers will provide statistical information which may be used to review the company s policies and procedures. This sheet will be detached before your application is considered and viewed only by the Personnel Department. Any information given will be held in strict confidence and will not be taken into account in selection. Job title: Vacancy Ref.. Where did you hear about the vacancy? Internal advertisement Job Centre Employment agency Internet Job Fair Word of Mouth Industry Magazine Other Please specify website Please specify location Please specify whom this relates to Please specify name Postcode Your gender Male Female YOUR ETHNICITY These are based on the 2001 census categories and are listed alphabetically. Please choose ONE section, then tick the appropriate box to indicate your cultural background: Asian (Asian British, Asian English, Asian Scottish or Asian Welsh) Bangladeshi Indian Pakistani Any other Asian background (specify if you wish) Black (including Black British, Black English, Black Scottish or Black Welsh) African Caribbean Any other background (specify if you wish) Chinese (including Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other ethnic group) Chinese Any other ethnic background (specify if you wish) Continue on back page 7

8 Mixed White and Asian White and Black African White and Black Caribbean White and Chinese Any other Mixed background (specify if you wish) White British English Irish Scottish Welsh Any other White background (specify if you wish) DISABILITY Do you have either a long term health condition, injury or disability? Yes YOUR AGE Please tick OTHER INFORMATION If you wish, you may disclose information about yourself in this section about your: Religion Sexual orientation 8

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