Atlantic Vending Application Form
for the Position of Vending Operator

Surname:
Christian Names:
Date of Birth:
Address Line 1:
Line 2:
Line 3:



Telephone Number:
Marital Status:
Number of Children:
Do you smoke:
yes no
Do you have any disabilities:
yes no
Do you have any allergies:
yes no
Do you suffer form any skin complaints:
yes no
Are you prepared to work overtime without notice:
yes no
Will you wear a uniform:
yes no
Full driving licence:
yes no
Date driving test passed:
*Any motoring convictions:
yes no
Can you read a map:
yes no
Are you prepared to work weekends:
yes no
Will you wear a shirt & tie:
yes no
Do you have any electrical instruments:
Do you have a full set of engineers tools:
If you were offered this position what is the earlist date you could start:

Educational History (since age 11)
Dates
From
To
Name of School/College
Exams Taken
Results

Employment History (start with present or last employer)
Dates
From
To
Name and address of employer
Job title / Duties
Sallery
Reason for leaving

Trade Qualifications
Qualification
Date Obtained

Hobbies and interests

Please list below any other details which you think may be of interest, including experience which may be of use in the position

References
Please list 2 references
Reference 1
Reference 2
Name:
Name:
Address:
Address:
Tel:
Tel: