Application for Employment

This form has two parts:

 You must fill out Part 1 to provide the information we need to consider your application.

 Part 2 is optional but if you fill it out it will help us to make sure that our equal opportunities policy works
and that we are advertising in the right places. It will also give us some information that we will need if we
employ you. We will separate this part from the rest of the form when we get it. We will not use it as part
of the selection process.

Position applied for Production Operator

Location Glenrothes
Applicant reference
(HR use only)

PART 1
PERSONAL DETAI LS
Title Mr / Mrs / Ms / Miss / Dr / Other:
Forename Corey
Surname
Parke
Current address 29 Roberts Street
Kirkcaldy
Post code KY1 3HD
Telephone number 07486 610473
Mobile number 07486 610473
E-mail address [email protected]
Immigration status Are there any restrictions on your right to work in the UK?

Yes No
If yes, please state restrictions and the expiry dates of any
permissions (i.e. visa type and visa end date):

UK National Insurance number (where

held) P C 1 9 6 0 6 1 B

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EDUCATION, QUALIFICATIONS & TRAINING

Qualifications Achi eved

Type of Qualification
Subjects Grade (if applicable)
E.g. Standard Grade, Higher etc.
Intermediate 1 Woodworking Skills SCQF level 4
Personal Development Award SCQF Level 3
Core Skill - Working with Others SCQF Level 3
Core Skill - Problem Solving SCQF Level 4
Fife College Employability Fund - Stage 3
Momentum Skills Employability Fund - Stage 2
Enable Employability Fund - Stage 2
Fife Council Employability Fund - Stage 3

Education at or above Degree Level and Training

Starting with the most recent, please give details of your education at or above degree level and any
training which is relevant to your application. We may ask you to produce qualification certificates if we
invite you to attend an interview.
Subject Qualification level Grade (if Place of learning Start End
(if applicable) applicable) date date

Professional Bod y Membership

Please give details of any professional body membership which you hold.
Professional body
Membership level
Renewal date

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CAREER HISTORY

Starting with the present, please give details of your career history. As well as employment, please
include any periods of voluntary work, travel, career breaks and unemployment.

Start End Employer Job title and key responsibilities Reason for
date date leaving or notice
period (where
applicable)
Jan/2019 Jan/2020 Selbrae House Warehouse Operator Redundancy
Sep/2018 Jan/2019 Avenue Recruitment Warehouse Operator Temp Contract
Mar/2018 Aug/2018 Amazon Warehouse Operative / Stow Temp Contract
Nov/2017 Dec/2017 Amazon Warehouse Operative / Picker Temp Contract
Mar/2017 Sep/2017 Amazon Warehouse Operative / Packer Temp Contract
Feb/2017 Mar/2017 Kettle Produce Food Production Operative Temp Contract

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SUITABILITY FOR THE ROLE

Please review the requirements of the role and tell us your personal qualities, skills and attributes, experience
and any other achievement and how they match those needed for this position.

I think i would be an excellent fit for this position as i have lots of experience working in a target
driven environment doing similar roles. I can work well as part of a team with good clear communication
skills. Eager to prove myself as reliable worker who follows instructions closely.

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REFERENCES

Please give the details of two referees (not relatives or friends) who will each provide an employer’s
reference. One of these referees must be your current or most recent employer. If you do not have a
current or recent employer, please provide details of your lecturer/course tutor/teacher etc.

First reference
Name Colin Carstairs
Position Production Manager
Address: Selbrae House Ltd, Muirhead, Midfield Road,
Mitchelston Industrial Estate, Kirkcaldy, Fife, KY1 3PS

Telephone number 07932023747

E-mail address [email protected]
May we contact this referee during the
recruitment process and before any offer of Yes No
employment has been made to you?
Second reference
Name
Position
Address

Telephone number
E-mail address:
May we contact this referee during the
recruitment process and before any offer of Yes No
employment has been made to you?

REQUEST FOR REASONAB LE ADJUSTMENTS TO THE SELECTION PROCESS

We welcome applications from individuals with disabilities and are committed to ensuring fair treatment
throughout the recruitment process. We will make adjustments to enable applicants to compete to the
best of their ability wherever it is reasonable to do so, and, if successful, to assist them during their
employment.

Do you require any special arrangement to be

made for your interview/assessment on account Yes No
of a disability?

If yes, please give brief details of the effects of your disability on your day-to-day activities, and any other
information that you feel would help us to accommodate your needs during your (interview/assessment)
and thus meet our obligations in relation to the Equality Act 2010:

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Applications to positions that are eligible for a basic disclosure

You are applying for a security-sensitive role. We will conduct a basic disclosure on the successful
applicant through the Disclosure Scotland. You must now disclose any convictions you have that are
unspent under the Rehabilitation of Offenders Act 1974 (as amended on 10 March 2014). Please see the
Ministry of Justice’s web pages for further information about when convictions are considered unspent.

If you do not disclose now something that is revealed by the basic disclosure then we may withdraw any
conditional offer we have made (or dismiss you, if you have begun employment).

We will treat the information you provide to us here confidentially and it will not be used unfairly against
you. Nothing you declare here will automatically prevent you from being appointed (unless required by
law). We may wish to discuss it with you if you are invited to interview. Any information revealed through
the check will also be discussed with you.

Do you have any convictions that are unspent under the Yes No
Rehabilitation of Offenders Act 1974 (as amended on
10 March 2014)? If ‘YES’ please provide further information:

APPLICANT DECLARATION
Please read the statements below and then sign and date to confirm your acceptance of them.

 I understand that information from this application may be processed for the purposes
permitted under the General Data Protection Regulations.
 I confirm that the information I have given in this application for employment form and any
supporting documents is correct and complete.
 I understand that failure to disclose any relevant information or the provision of false
information may lead to dismissal / withdrawal of any offer of employment made to me.
 I understand that if appointed to the role the information on this form will be retained as part of
my employee file.
 I understand that an appointment, if offered, will be subject to the receipt of references, and the
outcome of any relevant pre-employment checks.

Signature
Corey Parke Date 31/01/2020

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PART 2
EQUAL OPPORTUNITIES MONITORING (OPTIONAL)
At CTDI we want to ensure that our job opportunities are open to all. The only way we can ensure there
is equal opportunity is to monitor applications we receive and compare the profile of people who apply
with those appointed.

There is an option to tick “prefer not to say” for sensitive questions. If you do not provide any answer for
a question, then we treat you as having ticked “prefer not to say”.

The information you provide in this part of the application form (Part 2) is confidential and will
not be used in the selection process. It will be separated from the rest of the form when we
receive it.
Vacancy reference
Post title
Applicant reference
(HR use only)

Advertising Source
Where did you first Indeed
learn about this
vacancy?
Gender
What is your gender? Female
Male
Prefer not to say
Date of Birth
What is your date of 11 08 1997
__/__/____
birth?
Prefer not to say

Nationalit y
Which country defines
Country: Scotland
your national identity?
Prefer not to say

Ethnic Origin
What is your
White:
background?
British
Irish
White background – other
Mixed:
White and Black Caribbean
White and Black African
White and Asian

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 Mixed background – other
Asian or Asian British:
Indian
Pakistani
Bangladeshi
Asian background – other
Black or Black British:
Caribbean
African
Black background – other
Other ethnic group:
Other ethnic group
Prefer not to say:
Prefer not to say

Disabilit y
Do you regard
Yes
yourself as in any way
No
disabled?
Prefer not to say

Religious beliefs
What are your
Buddhist
religious beliefs?
Christian
Hindu
Jewish
Muslim
No religion
Sikh
Spiritual
Any other religion or belief
Prefer not to say

Sexual orientation
What is your sexual
Bisexual
orientation?
Gay man
Gay woman / lesbian
Heterosexual
Other
Prefer not to say
Gender identity
What is your gender
Gender identity is the same as the gender originally assigned at birth
identity?
Gender identity is different to the gender originally assigned at birth
Prefer not to say

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