Address                 

Postcode               

Landline Number   

Mobile Number      

Email Address        

Can we e mail you at this email address to attend interview?
Yes
No

Have you any criminal convictions (subject to Rehab of Offenders Act)?
Yes
No

Do you have any prosecutions pending?
Yes
No

Have you any civil court judgements for debt?
Yes
No

Have you your own transport?
Yes
No

If no transport, can you make your own way to work?
Yes
No

Have you had any previous experience in Security?
Yes
No

Have you had any previous experience in CCTV Operation?
Yes
No

Do you have good eyesight, with or without spectacles?
Yes
No

Are you employed at the moment?
Yes
No

Why did you leave your last job?  

When did you leave your last job?  

Can you read and write well?
Yes
No

Do you consider that you have a good sense of smell?
Yes
No

Are you fit and healthy?
Yes
No

Can you supply character references?
Yes
No

Can you give your employment history for the last five years?
Yes
No

Are you a British National?
Yes
No

If not British national, how long in the UK?  

Are you a student?
Yes
No

Are you seeking full time or part time work?
Full Time
Part Time

If applicable, do you have a valid work permit?
Yes
No

Do you have a SIA licence?
Yes
No

SIA License Number

Date Expires