Ensignbus Application

Ensignbus Application for Employment Engineering Department Purfleet

Please be sure to select the vacancy you are applying for from the drop-down menu on the form. If you are sending in a speculative application - please select speculative option from the drop-down menu.
Position Applied For (Don't use this form for PCV Driving Applications)*
Full Name*

First NameMiddle NameLast Name
Date Of Birth*

DayMonthYear
Age*
Address*

Street Address

Street Address Line 2

CityCounty - e.g. Essex

Postal / Zip CodeCountry/Optional
Home Phone Number
Mobile Phone Number*
E-mail*

Confirmation Email
Do you have the right to work in the UK? This may mean that you are a UK national, A citizen of another country with the right to work in the UK or have an application in progress to allow you to work in the UK - please select ONE from the list.*

I hold a UK passport?I am a citizen of another country with a valid permit/visa or Share Code to allow me to work & reside in the UKI am currently waiting for the outcome of an application to work in the UKI DO NOT have the right to work or reside in the UK
Educational Qualifications*
Please state School/College Qualifications
Do you hold a FULL UK driving licence?*

YesNo

List below any MOTORING convictions, past or pending during the past 5 years.

	Date of conviction	Offence code	Date of offence	Fine £	Disqual Period
1.
2.
3.
4

Do you hold a PCV/PSV or LGV/HGV licence?*

YesNo
How will you get to work (please choose ONE)*

Car / MotorbikeWalk/CycleTaxi/Uber/CarShareDon't Know
Do you have any UNSPENT criminal convictions?*

YESNO

List below any criminal convictions that are not considered spent by the rehabilitation of offenders act, 1974

	Offence	Court	Date of Conviction	Penalty
1.
2.
3.

Please provide details of previous employment & periods of unemployment for last 5 years - This MUST include your most recent employment.*

	Employers Name	From	To	Job Tittle	Reason for Leaving
1.
2.
3.
4
5

Is there any period between jobs (or long absence from work whilst in employment) due to ill health? Give details
Do you have any pre-planned holiday commitments?

If yes - please provide detail below
Do you have any Pre-Booked holiday?*

Yes (Please provide detail below)No
From

DayMonthYear
To

DayMonthYear
Vocational Qualifications and Other Skills
Please give details of any other skills/qualifications (E.g. Fork Lift truck accredited licence, first aid certificate etc)
Upload a copy of your CV (Optional)

Browse Files

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How did you hear about this vacancy?*
Medical Information
Height (ft.Ins)*
Weight (Stone.lbs)*
Are you registered/ consider yourself as disabled?*

YesNo
If yes, please specify your Registered Disabled Number?
Only required if you answered YES to the Question above
Date of Expiry (Current Certificate)

MonthDayYear
Required only of you have a Registered Disabled Number
Nature of Disability
Only required if you have a disability
Have you suffered from an of the following health conditions?*

Dermatitis/EczemaDeafnessHeart TroubleDiabetesFits (e.g EpileticFainting Attacks/GiddinessBack TroubleMigraineNone
If you have ticked any of the above, please give dates and brief details (e.g. isolated or recurring complaint)
Do you wear spectacles/contact lenses at work?*

YesNo
If Yes, please specify
Have you had any serious accidents at work?*

YesNo
If Yes, please specify
Are you currently receiving any medical treatment?*

YesNo
If Yes, please specify
Doctor / GP

Please provide details of your GP/Doctor
Family GP (Name)*
Practice*
Address
Do you give your consent for your G.P. to supply details of you relevant medical history?*

YESNO
Would you be willing to have a medical examination if deemed necessary?*

YESNO
Further Information

Please use this space for additional information and/or outline the reasons you would like to work for Ensignbus. You should also use this space to give any relevant information which may have a bearing on your suitability to the position you have applied.
Further Information
Please upload a copy of your current CV here:

Upload a File

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References
1. Referee 1

This should be your most recent employer - We will not contact your referee's without your prior consent (this section MUST be completed fully)
Name of Referee:*
Title/Position*
Company Name*
Address:*
Tel*
Fax or Email Address
2. Referee 2

We will not contact your referee's without your prior consent (this section MUST be completed fully)
Name of Referee:*
Title/Position*
Company Name*
Address:*
Tel*
Fax or Email Address*
At this stage do we have permission to contact your referees?*

YesNo
If No, please indicate when it would be acceptable (eg, on provisional offer of job)
I declare the above information is true. I understand that any job offer made on the basis of untrue or misleading information may be withdrawn or my employment terminated.*

I Agree
Date*

DayMonthYear
Date
Enter the message as it's shown*
Should be Empty:

Ensignbus Application for Employment Engineering Department Purfleet

Do you have any pre-planned holiday commitments?

Vocational Qualifications and Other Skills

Medical Information

Doctor / GP

Further Information

References

1. Referee 1

2. Referee 2