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LGV Application Form

Please note: all fields are required except for Date of Birth. If no fields are applicable, then please enter "N/A"

Section 1 - Applicants Personal Details

Forename(s)
Surname
Home Address
Date of Birth (DD/MM/YYYY) (Optional) / /
Nationality
Home Tel No. (incl. STD code)
Mobile Tel No.
Email Address
Marital Status
Number of dependants


Section 2 - Previous Employment History

a) Employer Name
Period of Employment from

to
Reason for leaving
Position held
How many months tanker experience gained?
Name of Referee
Referee's Tel. No. (incl. STD code)
   
b) Employer Name
Period of Employment from

to
Reason for leaving
Position held
How many months tanker experience gained?
Name of Referee
Referee's Tel. No. (incl. STD code)
   
c) Employer Name
Period of Employment from

to
Reason for leaving
Position held
How many months tanker experience gained?
Name of Referee
Referee's Tel. No. (incl. STD code)

IF YOU DO NOT WANT US TO CONTACT ANY OF THE ABOVE REFEREES UNTIL YOU ARE OFFERED A POSITION THEN PLEASE INDICATE THIS ABOVE.



Section 3 - Relevant Qualifications
Please note any relevant qualifications such as First Aid Cert, CPC, Road Safety Course etc

a) Course Name/Award
Dates of Study from

to
Place of Study
   
b) Course Name/Award
Dates of Study from

to
Place of Study


Section 4 - Other Information

Driving Licence No.
LGV Expiry Date (DD/MM/YYYY) / /
Details of any endorsements
Hazchem Certificate No. (if held)
Expiry Date / /
Details of any criminal convictions (Declaration subject to the rehabilitation of Offenders act 1974)
When you are available to start with ART?


Section 5 - Accident History
This information will be validated with previous Employers & Motor Insurance Database

Date of accident (DD/MM/YYYY) / /
Were you liable? Yes No
Brief details of accident
Date of accident
Were you liable? Yes No
Brief details of accident


Section 6 - Your Job Preferences
This information will be used to assess your suitability for positions available and the suitability of the job to you.

Please tick relevant boxes.

 
NOT ME
DON'T MIND
PREFER
a) Regular nights out (i.e. 3-5 per week)
b) Some nights out but not many (1-2 per week)
c) Local Work with NO nights out
d) Shift Work (i.e. rolling 4 days on 4 days off)
e) Work overtime on weekends
f) Long distance work (i.e. over 200 mile radius from Base)
g) Bulk Liquid Distribution work (Road Tanks)
h) Packed Goods Distribution work


Section 7 - Medical Questionnaire
The information in this section will be kept private & confidential and will be used to protect the health of yourself and others.  Any points of uncertainty can be discussed at your interview.

Please tick relevant boxes

 
YES
NO

a) Any circulatory problems such as varicose veins, phlebitis or thrombosis?
b) Any heart problems such as angina, high blood pressure or heart attacks?
c) Any chest problems such as asthma?
d) Diabetes?
e) Epilepsy or fainting attacks?
f) Skin disorders?
g) Recent operation or fractures?
h) Are you currently taking any medications?
i) Back trouble, arthritis, rheumatism?
j) Injury to bones, joints, tendons, including wrist tendons?
k) Any other work related upper limb disorders?
l) Any claims for work related injuries, illness etc in the past?
m) Coughing fits?
n) Have you worked in an industry with high noise levels?
o) Have you or any member of your family had a history of mental disorder?
p) Any other significant health problems?


Please select depot you prefer to work from

I confirm that the details on this Application Form are true and understand that submission of false information may lead to instant dismissal if employment is offered.  I also confirm receipt of the Headline Terms (shown below) under which employment would be offered.

Headline Terms

This section highlights key terms which will be relevant to you should you be successful in applying for a position with ART.  These are in your Contract of Employment which will be issued during the induction process,

We want to recruit the right people and to do this, we need to make sure that you are right for the job.

  1. You will initially be employed on a 3 month probationary period.
  2. The notice period we require from you to end your employment is 1 weeks notice in the first 3 months and 4 weeks notice thereafter.
  3. ART will give you 4 weeks notice to end your employment after your 3 month probationary period and no notice within the 3 month trial period.
  4. If your employment ends, for whatever reason, the following deductions will be made (these are the non-standard deductions & the list is not exhaustive);
    1. The cost of providing training to you at £85.00 per day if you leave within the first 6 months.
    2. The cost of providing uniform to you at £100.00 if you leave within the first 12 months.
  5. You may join the companies Stakeholder Pension scheme after 6 months of continuous employment with the company.  Full details available from the Payroll Manager.
  6. Your wages will be paid 2 weeks in arrears.  i.e. start Monday 2nd October, you will be paid for this weeks pay on Friday 21st October.
  7. Employment will be offered prior to, and subject to, satisfactory references being received.
  8. The first week of your induction/training will take place at one of the ART depots which will be decided at the time. Accommodation will be provided if this is away from your base depot.
ART wants to employ staff LONG TERM and offer an opportunity for people to have successful long term careers with us.  If you are not looking for long term employment then this job may not be for you.