Merchandising Application Form Full Name (Including Surname) Address Postcode Telephone Email Address Email Date of Birth National Insurance Number Do you hold a UK Driving Licence? Please Select Yes No Do you have access to a car? Please Select Yes No Are you happy to stay away for work? Please Select Yes No Do you give permission for The Merit Group to perform random DVLA check? Please Select Yes No N/A Do you have any Criminal Convictions? Please Select Yes No Please list any details of Criminal Convictions we legally need to be made aware of Do you suffer any medical conditions? Please Select Yes No How did you hear about us? Please Select Search Engine Word of Mouth Advert Other Availability (Please tick as applicable) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday Sunday Have you or do you still work for any of the following companies? (Deeset, Momentum, CJ Services, RMS, The Shore Group, Site Retail Group, Sarko, QCR, Bluestone, Lignum, Best Recruitment Network, K Recruit) Please Select Yes No Do you still work for them, if yes who? How many merchandising shifts have you completed? Please Select 0-10 11-20 21-40 41,-60 61-75 75+ Merchandising experience DIY Clothing Grocery Make Up Home & Fashion Other Please give details of your qualifications. Next of kin details (Full name, address and contact numbers) Bank Details You will need the following to attend work, please confirm if you have these? Plain black polo, plain orange high-vis, and safety boots Please Select Yes No Legal Obligations I agree that in line with data protection, I confirm I am happy for you to share my personal data such as name, contact details, address with clients, and bank details with our payroll company. I agree that the WTD regulations 1998, requires the company to limit my working hours to 48 per week. I may agree to opt out. The company proposes an agreement with you that will apply until terminated by notice I agree that the Information I have provided is correct and I agree to the company's guidelines, health and safety policies and uniform policies Tick if you are you Human? Submit