Warehouse Application Form Full Name (Including Surname) Address Postcode Telephone Email Address Email Date of Birth National Insurance Number 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 Please list any other medical conditions that may affect you undertaking this type of work. How did you hear about us? Please Select Search Engine Word of Mouth Advert Other Do you hold a UK Driving Licence? Please Select Yes No Do you have access to a car? Please Select Yes No 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 Qualifications (Please tick only those in date) First Aid at Work SSSTS CSCS FLT Please give details of any other qualifications. Please list any companies you have work for via agency. Bank Details PPE Do you have safety boots and high vis? 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 Tick if you are you Human? Submit