Vacancies Application Form

Application Form for Employment

Position applied for:
Surname Forname Mr/Mrs/Miss
Local Address
Postcode
Home Address
Postcode
Date of Birth Telephone

Current Driving Licence Details of endorsments
Yes | No
National Insurance Number

Big Lukes is open 7 days a week, 10am - 11pm (approx).

To work at Big Lukes you must be prepared to work when others can't. We expect you to be flexible.
If you are a student, do you go home in the holidays? Have you any future holidays booked?

Education History

Schools/Colleges Qualifications Gained

Employment History

From/To Name & Address of
employer		 Job Title Duties Rate of Pay

References

Please complete the names and addresses of two persons from whom we may optain both characters and work experience references.

Interests

Please note here your lesiure interests, ie sports, hobbies and other pastimes.

Criminal Records

Please note any criminal convictions. If none, please write none.

Health Details

Are you registered disabled?
Yes | No

If Yes, registration No
Please list any diseases, disorders or allergies from which you suffer or have suffered in the past.
Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.
Please list all absences from work in the past 12 months and the reasons for such absences.

Declaration

  1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate by employment contract offered.
  2. I hereby give my authority for Big Lukes to contact my own doctor for any further details of my state of health.
  3. I agree that Big Lukes reserves the right to require me to undergo a medical examination.
Verification (Type what you see):

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