*Title:

*First Name:

Middle Name(s):

*Surname:

Date of Birth:

*Nationality:

Marital Status:

NI Number:

*Line 1:

Line 2:

*Town:

*County:

*Country:

*Postcode:

*How long have you lived
at this address:

Line 1:

Line 2:

Town:

County:

Country:

Postcode:

How long did you live
at this address:

Email Address:

*Home Tel:

Mobile:

*Position Applied For:

*Location:

*Can you Work evenings/Weekends:

Where did you hear about us:

*Have you ever experienced ill health whilst using display equipment?

If you answered Yes please supply details:

*Do you Smoke?

If you answered Yes, how many cigarettes do you smoke a day?

*Do you have a fear of heights?

If you answered Yes please supply details:

*Do you have a fear of working in confined spaces?

If you answered Yes please supply details:

*Are you Colour Blind?

If you answered Yes please supply details:

*Do you have a UK Driving Licence?

If you have any driving points on your licence, please use this space provided below to give details and dates received.

Date:

Points Received:

Reason:

Date:

Points Received:

Reason:

Date:

Points Received:

Reason:

Date:

Points Received:

Reason:

Clearwater Technology Ltd looks after many thousands of sites across the UK, many of which are Government Buildings, education and healthcare premises or a similar security status. Our employees may need to have security vetting prior to visiting these sites.

*Do you have any civil, criminal, military, financial convictions, been formally cautioned (declaration of criminal convictions is subject to the Rehabilitation of Offenders Act 1974) or have any pending prosecutions against you?

If answered Yes please supply details:

*Number of Sick days in the last 2 years requiring time off work?

If more than 15 days please state why?

Starting with the current/most recent, please outline the details of your previous position. If you have never worked before then just click the next button to continue with your application.

Employer:

Job Title:

Type of Business:

Salary p.a.:

Benefits:

Duration:

Key Responsibilities/Duties:

Reason for Leaving:

Employer:

Job Title:

Type of Business:

Salary p.a.:

Benefits:

Duration:

Key Responsibilities/Duties:

Reason for Leaving:

Employer:

Job Title:

Type of Business:

Salary p.a.:

Benefits:

Duration:

Key Responsibilities/Duties:

Reason for Leaving:

Please can you give reasons for any gaps in your employment e.g. Maternity, Redundancy, Travelling,etc.

Have you ever worked for Clearwater previously?

If Yes please state what site and who you worked for:

Do you give us permission to carry out a 3rd party Reference check? If yes, the references will only be retrieved upon being offered a position.

Please provide details of your last two employment referees

*Reference Type:

*Company Name:

*Title:

*First Name:

*Surname:

*Address:

*Town:

*County:

*Postcode:

*Relationship:

*Reference Type:

*Company Name:

*Title:

*First Name:

*Surname:

*Address:

*Town:

*County:

*Postcode:

*Relationship:

Please tell us about your qualifications. For each entry, we would like to know the place, the level of qualification, the subject and the grades you got.

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

School/College/University:

Qualifications:

Subject(s):

Result/Grade(s):

Diversity in the workplace is really important to us. To help us make sure that we're getting it right we'd like to know more about you. This information will not be used as part of the recruitment and selection process.

Ethnic Origin:

Other Please Specify:

Do you have a disability?

If Yes, what is the nature of your disability?

Do you have any Medical Condition(s)?

If Yes, please provide details of the nature of the Medical Condition(s)?

Application Confirmation

Dear Applicant,

Due to the large volume of electronic correspondence our company receives on a daily basis, please accept this automated response as confirmation that your application has been received. Your application form will be forwarded to Clearwater’s Recruitment Department who will carefully review your application/correspondence and will be in contact with you within 7 working days of receipt of your application.

In the meantime should you have any urgent questions regarding career opportunities at Clearwater, please do not hesitate to contact us on 01276 21155. We also encourage you to regularly visit our website www.clearwater.eu.com for updates.

Thank you again for your interest.