Jobs - SBM

Join Our Compassionate Team at SBM Optimum!

Position Applied for: *

Name *

First

Last

Preferred Name

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Education and Qualifications (recent first) Please explain all gaps in education. *

School/College/University Qualifications Obtained Dates (mm/yy)

Other Relevant Qualifications and Training courses

Employment history (present or recent first) Please explain all gaps in employment. *

Employer & Address | Post Held & Duties | Date Employed (From To) | Reason for Leaving *No approach will be made to your present employer or past employer before an offer of employment is made to you.

Please tell us about other jobs you have done and about the skills you used and/or learned in those jobs. *

Please tell us why you applied for this job and why you think you are the best person for the job. *

Do you consider yourself to have a disability? *

Please tell us if there are any ‘reasonable adjustments’ we can make to assist you in your application or with our recruitment process

References *

Please give the names and addresses of two persons as referees - other than your present employer or relatives - who we can approach now for references. No approach will be made to your present or previous employers before an offer of employment is made. *No approach will be made to your present employer or past employer before an offer of employment is made to you. Name: Title/Position: Address: Contact Telephone and Email Relationship to applicant:

REHABILITATION OF OFFENDERS ACT:

Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4.2 of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are therefore, not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relation to an application for positions in which the Order applies and should be entered at the end of any particulars you furnish in support of your application. A criminal record will not necessarily bar you from obtaining a position with us.

BDS Information

Have you ever been convicted of a criminal offence? (NB. The Rehabilitation of Offenders Act 1974) *

If yes, please give details or delete as appropriate:

Do you have any previous convictions, whether or not they are “spent” within the Act, including any cautions, reprimands, final warnings, bind-overs or any convictions from overseas? *

If yes, please give details or delete as appropriate:

Do you hold a Disclosure and Barring Service (DBS) or Criminal Record Bureau (CRB) check? *

If yes, please provide the reference number and date.

Certificate number: Date of issue:

Are you currently on the annual DBS update service? *

If yes, please provide details.

DBS update reference number: Certificate number: Date of issue:

OCCUPATIONAL HEALTH ASSESSMENT:

As part of our policy to ensure that all employees are in good health and able to carry out their duties, we are required to ask questions about your occupational health.

Are you in good health? *

How much time have you lost from work due to illness in the last five years?

Please state month and years here

Have you ever been treated in hospital for serious illness or surgery? *

Have you been treated in hospital during the last 12 months? *

Do you have any physical or mental disabilities that could affect your ability to carry out your assignment? *

If so, please explain

EQUAL OPPORTUNITIES MONITORING

SBM Optimum has an equal opportunities policy that complies with the provisions of antidiscrimination legislation and means that candidates are selected without discrimination. In order to measure the impact of this policy, we would appreciate it if you could complete the following questions. You are under no obligation to provide this information, however it will greatly assist us in monitoring adherence to policy. Please note that all responses will be handled in strictest confidence. They will only be used for statistical monitoring and will not form part of any job application. We may provide summary data to our clients to assist them with their own equal opportunity policies. However, this data will remain anonymous and will be independent to any recruitment activity. In line with legislation, data is retained in accordance with the Data Protection Act (2018).

reprimands, (present OCCUPATIONAL

Gender *

Male
Female

Attach your CV/Resume' *

Drag & Drop Files, Choose Files to Upload

I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal.

Name *

First

Last

Put your name to confirm the above statement.

Date (dd/mm/yyyy) *

Join Our Compassionate Team at SBM Optimum!

SBM-Optimum Limited