Application for the post of Date of Application
Hours of work applying for 8.30am to 5.00pm
1.00pm to 5.00pm 		8.30am to 1pm
6.00am to 2.00pm / 2.00pm to 10.00pm (rotational)
Have you worked for UPL before Yes     No If 'yes' when
Salary expectation Notice period from current employer

Personal Details
Title Surname First Name (s)
Address Home Tel
  Mobile Tel
Postcode Email

Secondary Education
School Name & Address
Examinations (subject/result etc)

Further Education & Training
University / College
Type of Course
Subjects
Qualifications or class

Occupational Qualifications
College / Institute or other name
Qualification / Level
Membership of Professional Organisations

Employment
  List below your present and past employment, beginning with the most recent.  
1
 Name & Address
of Company		 Type of Business  
  Tel No:      
  From - - DD/MM/YR Starting Salary £   
  To - - DD/MM/YR Leaving Salary £   
  Describe the work you did Reasons for leaving  
 
 
  List below your present and past employment, beginning with the most recent.  
2
 Name & Address
of Company		 Type of Business  
  Tel No:      
  From - - DD/MM/YR Starting Salary £   
  To - - DD/MM/YR Leaving Salary £   
  Describe the work you did Reasons for leaving  
 
 
  List below your present and past employment, beginning with the most recent.  
3
 Name & Address
of Company		 Type of Business  
  Tel No:      
  From - - DD/MM/YR Starting Salary £   
  To - - DD/MM/YR Leaving Salary £   
  Describe the work you did Reasons for leaving  
 
 

Supporting Information
  Please use this section to support your application by describing any particular skills, knowledge or experience you may have gained and how they would assist you with the position you are applying for. Include any experience such as domestic, temporary, unpaid and voluntary work. Also include any personal achievements whether relevant to the position or not.  
   
         

Hobbies & Interests
     
   
         

References (Employment)
  Please give details of both current and previous employer (if unemployed 2 most recent)
  Current Employer: Previous Employer:
  Address: Address:
  Telephone No: Telephone No:
  Fax No: Fax No:
  Contact Name: Contact Name:


References (Character)
  Please give details of 1 character referee (relatives may not be used)
  Name:
  Address:
  Telephone No:
  Fax No:
  Capacity known
  How long known

Data Protection Act 1998
  Information provided on this application form will be used by UPL to assess your suitability for employment with us and for recruitment and other related HR purposes only.  You are requested to provide sensitive information such as disability or ethnic origin for the purpose of equal opportunity monitoring.  We will not provide this information to any third party unless required to do so by law or other regulatory purposes or with your consent.  You have a right to request a copy of any information we hold on you.  

Recruitment Policy
  It is the company’s policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of their gender, race, colour, nationality, ethnic or national origin, age, disability, religious or political beliefs, sexual orientation or any other irrelevant distinction.  

  I hereby declare that the information given on this application form is correct and true, and realise that
if I am employed by the Company and it is discovered that any of this information is found to be false,
I may be liable to dismissal.