Personal Details

First Name(s)

Surname

Address

Town / City

Postcode

Contact Number

Mobile Number

Email Address

Current Employment Status

1. How far are you prepared to travel to work?

 Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

2. What type of opportunities are you most interested in at NW Bicester?

(please tick all those that apply)
 Bricklaying Carpentry Plumbing Electrical Roofing Landscaping Dry Lining Labouring Forklift driving PV installation Groundwork Catering Timber Framing Admin Security Painting / Decorating

3. Are you interested in:

Undertaking an Apprenticeship?
 Yes No Maybe

Job Opportunities on site?
 Yes No Maybe

Work Experience Opportunities (unpaid)?
 Yes No Maybe

4. What qualifications do you have?

(Please tick all those that apply to you)
 GCSEs or equivalent A Levels or equivalent City and Guilds Graduate Degree Postgraduate Degree NVQ Diploma

Do you currently hold a CSCS Card?
 Yes No

5. Which of the following age brackets relates to you?

 Under 16 16-18 18-24 25+

6. What work related experience do you have?

7. Please give a brief explanation of why you would like the chance to work on this project:

8. Any other relevant information?

In submitting this form you are agreeing that your details may be recorded on our database and subsequently shared with potential employers from across the project team.

Please be aware that some trades will be required on site earlier than others, so you will only be contacted when appropriate opportunities arise in the trades that you have expressed an interest in.

Equal Opportunities Monitoring

This section of the application will be detached and used solely for monitoring purposes.

We are committed to providing opportunity to all employees regardless of race, gender, disability, age, sexual orientation, religion or belief. We therefore welcome applications from all sections of the community.

How would you describe your ethnic origin? Please tick the relevant box.

 White: British White: Irish White: Other Mixed: White & Black Caribbean Mixed: White & Black African Mixed: White & Asian Mixed: Other Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Bangladeshi Asian / Asian British: Other Black / Black British: Caribbean Black / Black British: African Black / Black British: Other Chinese Other Not known Undisclosed

Gender

 Male Female Transgender Intersex Undisclosed

Date of Birth

The Disability Discrimination Act defines disability as ‘a physical or mental impairment which has a substantial and long-term effect on the person’s ability to carry out normal day-to-day activities.’

Under this definition, do you consider yourself to have a disability?
 Yes No

What age group do you belong to?
 Under 20 21-30 31-40 41-50 51-60 61-65 65+

How would you describe your sexuality?
 Heterosexual Lesbian Gay Bisexual Undisclosed

How would you describe your religion or belief?
 Buddhist Christian Hindu Jewish Muslim Sikh None Undisclosed

In submitting this form you are agreeing that your details may be recorded on our database and subsequently shared with potential employers on later phases of the development.