COVID19 Installer Code Kelio Login Team Viewer Download About Us Windows Doors Blog Contact Brochures 01942 843586 MEMBERS LOGIN Application Form Please complete the below form. Position Applied For* Personal Address First Name(s)* Surname(s)* Address* City Postcode* Email Address* Home Telephone Number* Mobile Telephone Number Are you currently unemployed?* Yes No Are you currently in receipt of benefits i.e Universal Credit ?* Yes No Do you have a bank account?* Yes No Do you have a valid passport?* Yes No Do you have a full driving license?* Yes No Endorsements* Yes No If YES, please give dates Have you any convictions (other than spent convictions under the Rehabilitation of Offenders Act 1974)?* Yes No If YES, please give full details Are you involved in any activity which might limit your availability to work or your working hours e.g. local government?* Yes No If YES, please give full details Are you subject to any restrictions or covenants which might restrict your working activities?* Yes No If YES, please give full details Are you willing to work overtime and weekends if required?* Yes No Please give details of any hours you would not wish to work Do you smoke?* Yes No You may be required as part of your Application to complete the attached Pre-Employment Medical Questionnaire. Are you prepared to undergo a medical examination prior to employment?* Yes No Have you ever worked for this business before?* Yes No If YES, please give full details Are you related to or do you know any person employed by the business?* Yes No If YES, please give full details Have you ever applied for employment with this business before?* Yes No Do you need a work permit to take up employment in the UK?* Yes No How much notice are you required to give to your current employer?* Do you have your own transport* Yes No Qualifications Please list your qualifications* Experience Do you have specific windows and doors experience* Yes No If YES please give full details Previous Employment (last 2 positions) Company Name* Start Date* End Date Reason for leaving* Duties* Company Name Start Date End Date Reason for leaving Duties References By completing this section you consent to the Company taking up references. Reference 1 - Name and Address of Contact at previous employer Reference 2 - Name and Address of Contact at previous employer Pre-Employment Medical Questionnaire Please answer the following questions. If the answer is YES then please provide full details. Name of Doctor Address City Postcode Allergies Allergies* Yes No Asthma* Yes No Hay Fever* Yes No Cardiovascular Chest Pain* Yes No Heart Disorder* Yes No High Blood Pressure* Yes No Palpitations* Yes No Rheumatic Fever* Yes No Digestive System Hernia* Yes No Jaundice* Yes No Peptic Ulcer* Yes No Rectal Bleeding* Yes No Neurological Dizzy Spells* Yes No Epilepsy* Yes No Fainting Attacks* Yes No Paralysis* Yes No Severe Headaches* Yes No Genito-Urinary Kidney Stones* Yes No Pain on Urination* Yes No Sugar/Albumin Urine* Yes No Respiratory Chronic Cough* Yes No Pleurisy* Yes No Pneumonia* Yes No Sinusitis* Yes No Tuberculosis* Yes No Musculoskeletal Arthritis* Yes No Backache* Yes No Back Injury* Yes No Disc Disorder* Yes No Gout* Yes No Joint/Tendon Disorder* Yes No Rheumatism* Yes No Senses Colour Blindness* Yes No Ear Disorder* Yes No Eye Disorder* Yes No Nose Disorder* Yes No Throat Disorder* Yes No Speech Disorder* Yes No Dyslexia* Yes No Miscellaneous Anaemia* Yes No Anxiety* Yes No Blood Disorder* Yes No Cancer* Yes No Depression* Yes No Diabetes* Yes No General Debility* Yes No Insomnia* Yes No Skin Disorder* Yes No Dermatitis* Yes No If YES, please give full details I understand that misrepresentation, falsification or omission of information requested on this application form may be a reason for dismissal SUBMITRESET Download our FREE APP today JOIN OUR NEWSLETTER SUBSCRIBE COMPANY Contact Us About Us Job Vacancies T&Cs Members Area Discover our App DOORS French Doors Residential Doors Stable Doors Bi-Fold Doors ModLok Patio Doors Alumina Bi-Fold Doors Composite Doors WINDOWS Casement Windows Flush Sash Windows Bi-Fold Windows Tilt and Turn Windows French Windows Bow and Bay Windows Copyright © Pearl Window Systems 2021 | Designed and Developed by Lantec We use cookies on this site to ensure the best service possible More Information OK, Got It