THE VINE HOTEL (SKEGNESS) LIMITED

APPLICATION FOR EMPLOYMENT

PLEASE COMPLETE IN BLOCK CAPITALS AND DELETE WHERE APPROPRIATE

SURNAME:__________________________ FIRST NAMES:_______________________________________

ADDRESS:________________________________________________________________________________

____________________________________POST CODE __________________________________________

POSITION APPLYING FOR:_________________________________________________________________

OWNER / TENANT / LIVING WITH PARENTS

TELEPHONE NUMBER: HOME___________________ BUSINESS______________________________

DATE OF BIRTH:____________________ PLACE OF BIRTH______________________________________

MALE / FEMALE SINGLE / MARRIED / DIVORCED / WIDOWED

NUMBER AND AGES OF DEPENDENT CHILDREN ____________________________________________

DO YOU HOLD A CURRENT DRIVING LICENCE YES / NO

HAVE YOU EVER BEEN DISQUALIFIED FROM DRIVING YES / NO

IF YES - PLEASE GIVE DETAILS

ARE YOU DISABLED YES / NO. IF REGISTERED - NUMBER________________

HEALTH: Please give details of any illness which you have had together with dates of any periods spent in hospital.

_________________________________________________________________________________________

DO YOU SMOKE, DRINK OR NEED TO TAKE DRUGS OR OTHER MEDICATION ( Prescribed or otherwise ) YES / NO IF YES PLEASE GIVE DETAILS:

_________________________________________________________________________________________

Do you have any medical condition or conditions that may limit the normal range of duties required to be undertaken or may endanger health if the condition is not disclosed at the start of employment, eg. colour blindness, dyslexia, epilepsy, pregnancy etc

(NB: the above list is not exhaustive) YES/NO IF YES PLEASE GIVE DETAILS:

_________________________________________________________________________________________

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EDUCATION: Please give details of schools, colleges etc and examinations passed.

Dates

From To Name & Address of school etc Examinations / Qualifications

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PLEASE GIVE ANY FURTHER INFORMATION WHICH YOU FEEL IS RELEVANT TO THIS APPLICATION E.G. SPECIAL SKILLS, TRAINING ETC.

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HAVE YOU EVER BEEN CONVICTED BY A COURT FOR ANY OFFENCE YES / NO

IF YES GIVE NAME OF COURT, DATE AND TYPE OF OFFENCE.

_________________________________________________________________________________________

IF NO ARE THERE ANY PROCEEDINGS PENDING AGAINST YOU YES /NO

IF YES GIVE DETAILS

_________________________________________________________________________________________

HAVE YOU ANY OBJECTION TO ENQUIRIES BEING MADE TO CONFIRM YOUR DECLARATIONS

YES /NO

PREVIOUS EMPLOYMENT: Please give details of positions held starting with the most recent ( include dates, describe duties, rates of pay and give reason for leaving.

Dates Reason for

From To Name & Address Position Duties Pay Leaving

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WHAT ARE YOUR MAIN INTERESTS, SPORTS OR HOBBIES ?

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WHICH CLUBS OR SOCIETIES DO YOU BELONG TO ?

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WHAT PROFESSIONAL BODIES DO YOU BELONG TO ?

_________________________________________________________________________________________

DO YOU HAVE ANY PART-TIME JOBS WHICH YOU WISH TO CONTINUE ? YES / NO

DO YOU HAVE ANY OTHER COMMITMENTS WHICH MIGHT LIMIT YOUR WORKING HOURS ?

IF YES, PLEASE SPECIFY __________________________________________________________________

HAVE YOU EVER BEEN DISMISSED FROM EMPLOYMENT ? YES / NO

IF YES - PLEASE GIVE DETAILS

Please indicate here if you have asked someone else to complete this form on your behalf YES / NO

REFERENCES: One of these should be from your manager in your present / most recent employment and not from family or close friends.

1. Name: 2. Name:

Company: Company:

Address: Address:

Tel No: Tel No:

_________________________________________________________________________________________

DECLARATION Please read this carefully, then sign and date your application.

I confirm that the information I have given in this application form is true and complete. I understand that providing misleading or false information may result in my dismissal.

Applicants signature: Date:

For Employers use only

Date of Interview: --------------------------------------- Signature:--------------------------------

Summary of References obtained - 1. Name of Person giving reference -

2. Name of Person giving reference -

Applicant Engaged: Yes / No

Offer Letter Sent: Date:

Start Date: