Employment Application

Please Select The Position You're Applying For (required)
Tipper DriverGrab DriverHIAB DriverRoad Sweeper DriverMachine Driver

Personal Details

Surname (required)

First Name (required)

Middle Name

Address (required)

Post Code (required)

Home Tel (required)

Mobile (required)

Email (required)

Title (required)

Right To Work In The UK

Are you legally entitled to work in the UK? (required)
We will require evidence of this, prior to commencing employment
YesNo

Nationality (required)

Driver Details

IF THIS POSITION REQUIRES DRIVING COMPANY VEHICLES – PLEASE COMPLETE THE FOLLOWING:

Do you have a Driving Licence?
YesNoFull

If YES, what kind of Licence?
ProvisionalFullHGV

If HGV
N/AClass 1Class 2

Endorsements?
YesNo

Code (required)

Date (required)

Code (required)

Date (required)

Code (required)

Date (required)

Have you ever been disqualified from Driving?
YesNo

If YES please give further details:

Employment History

Please give details of relevant previous employment/key achievements that might help us assess your suitability for the job for which you are applying, starting with the most recent employment, working backwards

Current / Last Employer (required)

Name (required)

Address (required)

Post Code (required)

Email (required)

Telephone (required)

Please Note: We will NOT contact your present employer for a reference without your permission. However, any job offer made will be subject to receipt of satisfactory references. It is our policy to contact TWO named referees for which you will provide details on this application form.

May We Contact Your Current Employer For A Reference? (required)
YesNo

Current Position(s) (required)

Salery/Wage (required)

Outline of current duties & key achievements (required)

Reason For Leaving (required)

Notice Period Required (required)

Previous Employer 1

May We Contact Your Current Employer For A Reference? (required)
YesNo

Name (required)

Contact For (required)

Address (required)

Post Code (required)

Email (required)

Telephone (required)

Position(s) Held (required)

Salery/Wage (required)

Outline of current duties & key achievements (required)

Reason For Leaving (required)

Previous Employer 2

May We Contact Your Current Employer For A Reference? (required)
YesNo

Name (required)

Contact For (required)

Address (required)

Post Code (required)

Email (required)

Telephone (required)

Position(s) Held (required)

Salery/Wage (required)

Outline of current duties & key achievements (required)

Reason For Leaving (required)

Please tell us here what skills and personal qualities you have that suit the role you seek: (required)

Education

Please give brief details of all Secondary Education, including examinations taken (with results). Be sure to mention the School/College, Courses/Exams, and the Qualifications (required)

Any Other Qualifications Relevant To The Roll You're Applying For:(required)
(Please note we may ask that you provide proof of valid qualifications)

Intrests, Hobbies And Sports:(required)
Please give details of spare time interests and hobbies, including details of membership of bodies, committees, voluntary work, etc.

Criminal Record

Please give details of any criminal convictions except those spent under the Rehabilitation of Offenders Act 1974.

Your Health

Do you suffer from any permanent or long-term medical conditions?
YesNo

If yes, please provide details:

Please give details of any medication you currently take:

SECTION 1:
HGV APPLICANTS ONLY

Details of driving experience:
(Please expand on the type of experience, vehicle, work etc. )

Are you familiar with tachographs, driver's hours and relevant driving regulations?
N/AYesNo

Provide details of any other relevant driving qualifications?
(i.e. PSV, FLT, HIAB, ADR, CPC etc.):

Please indicate how many weeks/years Class 1 / Class 2 driving experience you have:

Do you have a drivers digital tacho card?
N/AYesNo

Do you have a drivers qualification card?
N/AYesNo

If yes, state expirey date:

How many CPC hours have you gained? ( ……. / 35 Hours):

SECTION 2:
MACHINE OPERATOR APPLICANTS ONLY

Do you hold a CPCS card?
N/AYesNo

If yes, state expirey date:

Have you passed a H,S&E test in the past 2 yrs?
N/AYesNo

Provide details of any other relevant driving qualifications
(i.e. PSV, FLT, HIAB, ADR, CPC etc.):

Do you have your own transport?
N/AYesNo

Do you have your own transport?
N/AYesNo

Please select the machines you are qualified to drive
Machines 360 <10TMachines 360 >10TMachines 180 (JCB)DozerSkip HandlerGrab LorryTipperDumper (Artic/F/t/tracked/wheeled)RollerWheeled/Tracked Loading shovelCrusher/ScreenerTelescopic HandlerForklift

Other:

Machine Operator's site experience
(Please expand on your type of experience, vehicle, work etc. )

SECTION 3:
SITE OPERATIVES/ADMIN ROLES/OTHER

Position applied for:

Previous experience and suitability for role

Do you hold a CSCS or CPCS CARD?
N/AYesNo

CSCS expiry date:

CSCS type of card:

CPCS expiry date:

Categories held:

Have you passed a H,S&E test in the past 2 yrs?
N/AYesNo

Other accreditations:

Do you have your own transport?
N/AYesNo

Details of your experience & suitability for the role:

Please upload a picture of your driving license, tachograph card and cpc card
Drivers Licence:
Tachograph Card:
CPC Card:

DECLARATION

I confirm the above information is complete and correct and any untrue or misleading information will give my employer the right to terminate any employment contract offered. If my Application for Employment is successful, I authorise you to contact my doctor for further details and confirmation of my state of health if deemed necessary by the Company. I AUTHORISE THE COMPANY TO CONTACT TWO NAMED REFEREES NOMINATED ON THIS

GDPR

I give consent for Leedale to process, collect and store my data from this form in a secure and protected manner which is GDPR compliant. I understand that I have the right to withdraw it any time. (See our privacy policy for more information)