Application Form


Note: the completion of this form does not indicate that there is any obligation on the company to engage the applicant. Please answer the following questions in relation to your application for employment, which will assist us to assess your suitability for the position. The questions being asked are relevant to the nature and type of work undertaken in Ashcroft Mitchell McGregor and comply with the rights and obligations under legislation, including the Immigration Act 2009, the Health and Safety at Work Act 2015, and the Human Rights Act 1993. The information will be used by Copeland Ashcroft to assess you for this purpose only.

Employment Application Form

SECTION 1: GENERAL DETAILS

SECTION 2: QUALIFICATIONS AND EMPLOYMENT HISTORY

Provide details of your present and previous employment. Please include: name and address of employer, between what dates you were employed there, your position and main duties, reason for leaving and whether we can contact the employer for a reference.

List all formal qualifications you have achieved which are relevant to this position. Include the qualification, dates of study and revelevant papers/subjects.

SECTION 3: LEGAL REQUIREMENTS

SECTION 4: DISABILITIES OR MEDICAL CONDITIONS

Note: The Human Rights Act 1993 defines disability as: physical disability or impairment; physical illness; psychiatric illness; intellectual or psychological disability or impairment; the presence in the body of organisms capable of causing illness; any other loss or abnormality of a body or mind function; and reliance on a guide dog, wheelchair or other remedial means.

SECTION 5: CRIMINAL AND BANKRUPTCY HISTORY

I understand that any record of criminal convictions I might have will automatically be concealed if I meet the eligibility criteria stipulated in Section 7 of the Criminal Records (Clean Slate) Act 2004.

DECLARATION AND ACKNOWLEDGEMENT

This information is being collected to enable Ashcroft Mitchell McGregor to assess your suitability for this position and will be used for this purpose only. If you fail or refuse to provide the information requested, then your application may be rejected by Ashcroft Mitchell McGregor. If you provide false or inaccurate information, this will be considered serious misconduct and may result in dismissal should you be employed by Ashcroft Mitchell McGregor. Please also note that any false information given in Section Four, entitled Disabilities or Medical Conditions, may result in your loss of entitlement to earnings related compensation. The Privacy Act provides you with the right to request access to and/or correct the personal information about you held by Ashcroft Mitchell McGregor.

EVALUATION OF RECRUITMENT ADVERTISING

Please tell us how you found out about this position.


CONSENT TO CONTACT REFEREES FORM:

I consent to Ashcroft Mitchell McGregor or its representative seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to Ashcroft Mitchell McGregor for the purposes of ascertaining my suitability for the position I am applying for. I understand that the information received by Ashcroft Mitchell McGregor is supplied in confidence as evaluative material and will not be disclosed to me.