Fiddleford Mushrooms

Application for work

Please complete all sections of this application form. If the application form is not complete you will not be considered. (Bulgarian and Romanian Applicants please be aware that Home Office restrictions unable us to apply for work permits for those over 30 years of age).



Department you wish to work in
Production
Picking
Packing

Your details
Title
Surname*
First name*
Date of birth
Marital status*
single	married	divorced
Nationality*
Home address*
Postcode*
Telephone (home)
Telephone (mobile)
Email address*
Do you hold a current UK or EU driving licence?*
Yes	No
Do you own or have access to a car?*
Yes	No
Are there any time restrictions regarding your employment?*
Yes	No
If 'yes' please give details here

Do you require a Work Permit?*
Yes	No
How much notice do you need to give your current employer?*

Which airport or coach station will you arrive at when you enter the UK?*

What level of English do you speak?*
None	Moderate	Good
Will you be travelling to the UK on your own?*
Yes	No
If no, please tell us who you will be travelling with.

Are they applying for a job at Fiddleford Mushrooms too?*
Yes	No

Education and training
Name of school/college/university*

Subject studied*

Qualification/level attained*

Dates of attendance*

List any training you have recieved or courses which did not lead to a qualification but which you feel are relevant to the jobs advertised. Examples: First Aid, Fork-lift, Tractor Driving, Supervisory Skills, etc.* Please include the dates of the training


Employment record
You must give at least one record of employment.
1. Most recent employment
Name of company*

Industry or Sector*

Job title*

Brief description of duties*

Reason for leaving*

Dates of employment*

2. Previous employment
Name of company

Industry or Sector

Job title

Brief description of duties

Reason for leaving

Dates of employment

3. Previous employment
Name of company

Industry or Sector

Job title

Brief description of duties

Reason for leaving

Dates of employment

4. Previous employment
Name of company

Industry or Sector

Job title

Brief description of duties

Reason for leaving

Dates of employment


Health Declaration
How many absences from work or education through sickness have you had in the last two years?*
Number of days
Do you have or have you had any medical condition which we, as a responsible employer, would need to be aware of?*
Yes	No
If 'yes' please give details here

Under the Disability Discrimination Act 1996 we are required to ask if you require any special assistance (in terms of special transport arrangements or to make reasonable adjustments to our working environment) for us to accommodate you.
Do you require any special assistance?*
Yes	No
If 'yes' please give details here

Thank you. Now please submit the form by clicking the submit button below.

Enter the capital characters below into the next field and then submit the form*