Application Form - Recruitment

APPLICATION FORM
PERSONAL INFORMATION
Personal details
Family name
First name
Contact details
Home postal address
(including postcode and country)
Home email address
Home telephone number
Mobile telephone number
IMMIGRATION STATUS
Nationality
Do you require a work permit to work in the UK?
POSITION APPLIED FOR
Vacancy
Have you applied to R&Q before?
If yes, when and for what position?
CURRENT / MOST RECENT EMPLOYMENT
Current / most recent employer
Current / most recent salary
Date current / most recent employment commenced
Please give details off your current role
ACADEMIC QUALIFICATIONS
Highest level of academic qualification
Level / GCSE or equivalent; AS Level; Undergraduate degree; postgraduate degree; other
Details of qualification achieved
DIVERSITY MONITORING
This information is required for us to monitor our equal opportunity policies. We encourage you to complete these questions with your application. The information is used solely for monitoring in statistical reports.
Male / Female / Decline to answer
Ethnic origin (*)
White
British
Irish
Mixed
White and Black Caribbean
White and Black African
White and Asian
Asian or Asian British
Indian
Pakistan
Bangladeshi
Black or Black British
Caribbean
African
Chinese
Decline to answer
Other ethnic group
Any other background, please provide details below
DISABILITY INFORMATION
I identify myself as having a disability, i.e. a physical or mental impairment which has a substantial and long-term adverse effect on my ability to carry out normal day to day activities. These details are required by the company so that we may comply with Section 6 of the Disability Discrimination Act 1995.
Disability
Yes
No
If yes, please provide details below
CRIMINAL CONVICTIONS
Have you any Court convictions other than a spent conviction under the Rehabilitation of Offenders Act, 1974, or do you have any proceedings pending?
Yes
No
If yes, please provide details below
Please indicate below if you have been referred by a current employee of R&Q.
Yes
No
If yes, please provide details