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Title* MrMrsMissMsMxDrOther

Name*

Surname*

Email Address*

Please retype Email Address*

Home Address*

Postcode*

Mobile*

Our times of employment include:
Evenings 18:15-21:45
Tue, Thu & Sat Aft 11:30-15:00

How many hours are you looking to work a week?

Which shifts would you be available to work?

Mon eveTue aftTue eveWed eveThu aftThu eveFri eveSat aftSat eveSun eve

Education and training? (subject/qualifications/where achieved)

Any craft or other training?

Any hobbies?

What appealed to you about this job?

What are your strongest qualities that would make you an asset to our club?

And your weakest?

Present employer

Address

Job title

Duties

Rate of pay

Date employed
From:
To:

Do you intend to remain employed by your current employer?

How many hours per week do you intend to work with them?

Reason for leaving (if applicable)?

Present employer

Address

Job title

Duties

Rate of pay

Date employed
From:
To:

Do you intend to remain employed by your current employer?

How many hours per week do you intend to work with them?

Reason for leaving (if applicable)?

Please complete at least one of the reference boxes below.

If you have work experience please complete the 1st reference. If you have no previous work experience please complete the 2nd reference.

Reference 1

Employer

Name

Address

Telephone

Reference 2

School/College

Name

Address

Telephone

Declaration Subject to Rehabilitation of offenders act 1974.
Have you ever been convicted of a criminal offence?

YesNo

Declaration:
I can confirm that to the best of my knowledge the above information is correct. I understand that any employment with the New Coronet Bingo Club is subject to a probationary period, satisfactory references and documentary evidence of my right to work in the UK.
Due to Gaming legislation – I confirm that I am over 18 years of age.
I accept that providing deliberately false information could result in my dismissal.

Name

Date

We will never share your information with anyone and will only retain your info on file for up to 6 months.

Please note that you will receive an automatic reply from us when we have received your details. If you do not see a reply please check your spam folder before contacting us. Thanks