Job Application | Medlock Electrical Distributors

1Personal Details

Your Details

Prefix

First Name

Surname

Email Address

Post Code

Address Line 1

Address Line 2

Address Line 3

Town

County

Contact Telephone Number

Position Applying For

I am applying for

Branch Location

Do you hold a Full Driving License

Yes

Vehicle Owner

Yes

Permission to work in the UK

Are there any restrictions to your residence in the UK that might affect your right to take employment within the UK?

Permission to work in the UK

Yes

Please attach your CV

Accepted file types - word .doc, .docx & PDF

2Education

Education Details - Since Age 11

MM/YY

Name & Address of School

Subject

Grade

MM/YY

Name & Address of School

Subject

Grade

MM/YY

Name & Address of School

Subject

Grade

MM/YY

Name & Address of School

Subject

Grade

+ Add another Education Field

Further Education & Training

Please give details of any studies or training you have undertaken since leaving school. Please state qualifications gained and dates.

Further Education & Training

Are you a member of any professional Bodies or Institutions? Please give details

3Employment History

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving / wanting to leave

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

Present /Last Employer

Type of business

Salary

Date Started

Date Left

Address

Reason for leaving

+ Add another Employment History Field

Can we contact any of the above past employees?

Yes

4References

References not available

Not Applicable - References not available

If you have no references at this time then please select Not Applicable and we’ll be in contact soon.

Reference. 1

References Prefix

Firstname

Surname

Company Name

Postcode

Address Line 1

Address Line 2

Address Line 3

Town

County

Telephone

Reference. 2

Prefix

First Name

Surname

Company Name

Postcode

Address Line 1

Address Line 2

Address Line 3

Town

County

Telephone

+ Add another Reference Field

5Additional Information

Please use this section to express any skills, experience that will help support your application (max 2500 words).

If selected, when would you be able to take up your appointment?

Do you have any friends or relatives in our company?

How were you made aware of this vacancy?

Are there any dates you cannot attend an interview?

Please give details of any criminal convictions

Tick Box

Please tick this box if you are happy for us to keep your details on record for any future employment opportunities. Your information will not be shared with any third parties or used for marketing purposes.

By clicking submit, you agree that if you are offered an appointment, references will be taken up and a medical examination may be required if asked to do so. You also understand that deliberate falsified information may lead to dismissal.