Contact Coxhead Cleaning Services

Applicant Information

Title *

First Name *

Last Name *

Date of Birth *

House Number *

Street *

Town *

City *

Postcode *

Telephone Number *

Email *

Position Applied For *

Date Available to Start *

National Insurance Number *

Current Enhcanced DBS Held? *

Please State DBS Number

Are you a UK Citizen *

If not, do you have a permit to work in the UK?

Have you ever worked for this company *

If so, when?

Do you have a criminal record? *

If yes, explain (copy)

Do you hold a full UK Driving Licence? *

If yes, is your Driving Licence clean? *

Work History

Please put in date order starting from your most recent role

Name of Company

Company Email Address

Date Started

Reason for Leaving

Company Phone Number

Job Responsibilities

Date Finished

Add Another Reference

Name of Company 2

Company Email Address 2

Date Started 2

Reason for Leaving 2

Company Phone Number 2

Job Responsibilities 2

Date Finished 2

Add Another Reference 2

Hours available to work each week:

Minimum amount of hours *

Maximum amount of hours *

Do you have any pre-booked holidays? If yes, please give details below

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Acknowledge *

I acknowledge that I have read the disclaimer in full, I understand and accept the terms

Date *

New Application Form

Applicant Information

Work History

Hours available to work each week:

Disclaimer and Signature