Apply for a position at Flightcare

Driving Record
Do you have regular use of a car?*
Make / Model / Year
Current Driving Licence
Driving Licence From/To
Current Driving Licence Endorsements
Do you have any driving-related prosecutions / fixed penalties / endorsements or similar currently pending?
Provide brief details
Have you ever been disqualified from driving?
Please provide brief details
Have you ever had insurance refused?
please provide brief details

Languages
Language (Other than English) SPOKEN / FLUENT / WRITTEN / READ
CRIMINAL RECORD CERTIFICATES
If the position you are applying for (whether paid or voluntary) is listed in Schedule 1, Part II of the Rehabilitation of Offenders Act (Exceptions) Order 1975, we are entitled to ask Exempted Questions as defined by Section 113(5) of the Police Act 1997 about you. We are required to acquire a Criminal Record Certificate in relation to any person who is a Care Manager or Care Worker. This means that if your application is successful we will obtain from the Disclosure and Barring service a Criminal Record Certificate relating to you before your appointment is confirmed. Having a criminal record will not necessarily bar you from working with us. This will depend upon the nature of the position and the circumstances and background of your offences. We observe the “Code of Practice for Registered Persons and Other Recipients of Disclosure Information” published by the Criminal Records Bureau on behalf of the Home Office, and we will provide you with a copy of it upon request.
Do you have a criminal conviction?*
Details

Employment History
Details
Date To/From Employer Salary Position(s) held Reason For Leaving
VOLUNTARY & COMMUNITY WORK EXPERIENCE
Date To/From Organisatoin Position(s) held Duties
Job Flexibilty
Prepared to work
If PART-TIME please indicate preferred hours
Details of any other work which you will continue to undertake if you are offered this Job Position
Please provide details of any outstanding holidays to be taken
AVAILABLE TO TAKE UP EMPLOYMENT FROM

References

Please provide details of 2 referees who we may approach with regards to this Job Application. These referees must not be members of your family, and one must be your present or most recent employer
Details
Name Address Telephone Number Occupation
May we contact your referees prior to making a job offer?

DECLARATION BY JOB APPLICANT

ANY PERSON, UPON SUBSEQUENT EMPLOYMENT, THAT IS FOUND TO HAVE KNOWINGLY SUPPLIED FALSE OR MISLEADING INFORMATION, OR HAS DELIBERATELY WITHHELD RELEVANT INFORMATION, MAY BE SUBJECT TO DISCIPLINARY PROCEEDINGS WHICH MAY RESULT IN DISMISSAL

I have read and understood the information supplied to me in relation to this Job Position, and the information requested in this Job Application Form. I confirm that all information supplied by me is true and correct to the best of my beliefs. I give the prospective employer the right to follow up all references and to make any other job-related enquiries as may be deemed necessary.
Sign Here (PRINT FULL NAME)*
Todays Date*

Driving Record