Application Form | Regency Pizza

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About You

GENDER*

DATE OF BIRTH*

Email*

CONTACT PHONE NUMBER*

NATIONAL INSURANCE NO:*

DRIVING LICENCE*

DRIVING ENDORSEMENTS?*

DRIVING ENDORSEMENT ADDITIONAL INFO

THE JOB ROLE

JOB ROLE - select*

STORE- select*

TYPE OF JOB- select*

HOW WILL YOU GET TO WORK - select*

IS YOUR STORE LOCATION FLEXIBLE? Y/N- - select*

WHAT ARE YOUR AVAILABLE TIMES TO WORK?

MONDAY HOURS FROM - select*

MONDAY HOURS TO - select*

TUESDAY HOURS FROM - select*

TUESDAY HOURS TO - select*

WEDNESDAY HOURS FROM - select*

WEDNESDAY HOURS TO - select*

THURSDAY HOURS FROM - select*

THURSDAY HOURS TO - select*

FRIDAY HOURS FROM - select*

FRIDAY HOURS TO - select*

SATURDAY HOURS FROM - select*

SATURDAY HOURS TO - select*

SUNDAY HOURS FROM - select*

SUNDAY HOURS TO - select*

YOUR HEALTH

DESCRIBE YOUR OVERALL HEALTH*

HOW MANY SICK DAYS TAKEN IN THE LAST YEAR*

ANY OTHER ILLNESSES?

CONVICTIONS

DO YOU HAVE A CRIMINAL RECORD? - Y/N*

PLEASE GIVE DETAILS

YOUR EXPERIENCE & QUALIFICATIONS

QUALIFICATIONS*

PREVIOUS JOBS*

EQUAL OPPORTUNITIES

MARITAL STATUS - select*

ETHNIC ORIGIN*

DISABILITY STATUS - select*

SIGNATURE

SIGNATURE*

TODAYS DATE*