NI employment application form

    Position applied for

    Personal Details








    Are there any restrictions to your right to take up employment in the UK

    Driving Licence

    Which licence is it

    Any endorsements

    Do you have any unspent criminal convictions other than minor driving offences
    You are not obliged to include any spent convictions under section 4 (2) of the Rehabilitation of Offenders Act 1974 (should your role require you to drive please disclose any minor driving convictions)

    Full Time & Further Education













    Employment History





















    Have you previously been employed by Gray & Adams Ltd

    References

    Please provide two people who you are happy for us to contact to provide references – one of whom should be your present / most recent employer.

    Referee One



    Referee Two



    Data Protection Statement

    The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment, the personal information that you have given us will be used in a confidential manner to help us monitor our recruitment process.

    Upon my employment, I agree to familiarise myself promptly with all company rules and to abide by them. I understand that I am at risk of dismissal if it is established that I have given false information in this application form or at any stage of the recruitment process.

    I understand that that providing false or misleading information on this form may result in my application not being considered further or the Disciplinary Process being instigated. Please see full details of our GDPR policy on www.gray-adams.com


    Equal Opportunities

    We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

    Please complete this form. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process.

    Thank you for your assistance.

    About the vacancy

    Where did you hear about this job?

    Personal Information

    Gender

    What is your gender? (If you are undergoing gender reassignment, please use the gender you intend to acquire.)

    Age

    What is your age?

    Sexual Orientation

    How would you describe your sexual orientation?

    Ethnic Group

    How would you describe your nationality and /or ethnicity?

    Religion or Belief


    Disability

    The Equality Act 2010 (applicable in Scotland, England and Wales) and the Disability Discrimination Act 1995 (DDA – applicable Northern Ireland) defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.

    Do you consider that you have a disability under the EqualityAct 2010 / DDA?

    Religious Affiliation and / or Community Background

    THIS SECTION IS MANDATORY FOR APPLICANTS FOR POSITIONS IN NORTHERN IRELAND. GRAY & ADAMS CANNOT CONSIDER APPLICANTS FOR POSITIONS IN NI IF THIS SECTION IS NOT COMPLETED

    Gray & Adams (Ireland) Ltd. is required by The Fair Employment and Treatment (NI) Order 1998 to monitor the perceived religious affiliation and/or community background of its employees and applicants.

    In accordance with the Monitoring Regulations 1999, we are asking you to indicate the community to which you belong by ticking the appropriate box below: