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Job Application
Magpie Security Ltd
Title Mr/Mrs/Miss/Ms
Please select
Mr
Mrs
Miss
Ms
Name
Position Applied For:
SIA Badge No:
Licence Sector:
Cash and Valuables in Transit (CVIT)
Close Protection (CP)
Door Supervision (DS)
Public Space Surveillance (CCTV)
Security Guading (SG)
Keyholding (KH)
Security Guading (SG)
Confidential
1. Surname:
2. Maiden / Former Names:
3. Forenames:
4. Email Address:
5. Address
Years
Months
7. Home Telephone No:
Mobile Telephone No:
Confidential
8. Previous Address:
Single Line
Date To:
9. Date of Birth:
Place of Birth:
Country of Birth:
10. Nationality:
Height:
Weight:
11. National Insurance No:
12. Sescribe present state:
Married
Single
Divorced
Separated
Widow(er)
13. Number of Children:
14. Religion / Belief:
15. Person to be contacted in emergency:
Address:
Relationship:
Home Telephone No:
Mobile Telephone No:
Work Telephone No:
Confidential
16a. Have you or any of your immediate family ever been convicted, fined, imprisoned, placed on probation, discharged on payment of costs, or had any order made against you by a criminal, civil, or military court or public authority (excluding minor motoring offences)?
No
Yes
If Yes, give details
b. Do you have any Police cautions?
No
Yes
If Yes, give details
c. Are any prosecutions pending against you?
No
Yes
If Yes, give details
d. Have you ever been subject to bankruptcy proceedings?
No
Yes
If Yes, give details
e. Are there any outstanding County Court Judgements for debt?
No
Yes
If Yes, give details
17. Have you any relatives working for the company?
No
Yes
If Yes, please state their name
Have you previously applied for or obtained a position with Magpie Security Ltd?
No
Yes
If Yes, please give dates
Confidential
18. Do you own a motor vehicle or motor cycle?
No
Yes
Do you possess a full, clean, current UK Driving Licence?
No
Yes
Years
Months
Driving Licence No:
Issue Date:
Expiry:
Give details of any endorsements (if any) or other motoring convictions during the last 5 years:
Secondary School / College / University attended
Dates
Exams taken, qualification gained
Secondary School / College / University attended
Dates
Exams taken, qualification gained
First Aid / Fire Fighting Certificates:
Foreign Languages:
Confidential
No
Yes
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Did you have more previous Employer/s?
Yes
No
Confidential
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Did you have more previous Employer/s?
Yes
No
Confidential
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Did you have more previous Employer/s?
Yes
No
Confidential
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Name:
Position:
Dates:
Address:
Reporting to:
From - To:
Postcode:
Basic Wage:
Tel no:
Reason for Leaving:
Confidential
Name:
Name:
Address:
Address:
Postcode:
Postcode:
Tel no:
Tel no:
Occupation:
Occupation:
How long known:
How long known:
Additional Vetting Information
Use this space to tell us anything else you think we may need to know in regards to your Employment History.
Appendix A
Signature:
Print Name:
Date:
Additional Information…
Use this space to tell us anything else that would support your application or to add anything where you may have run out of space.[ENTERKEY]Please indicate the number of the question you are answering.
This section must be completed by all applicants.
Title:
Please select
Mr
Mrs
Miss
Ms
Surname:
Previous Surname (if applicable):
Address:
Postcode:
Previous Address (if applicable):
Postcode:
Date of Birth:
National Insurance No:
Signed:
Date:
Bank Details
Your Name:
Name of Bank:
Address of Bank:
Bank Sort Code:
Bank Account Number:
Role Number:
(Applicable to Building Society Accounts Only)
Account Holders Name:
Job Application form
Security Officer Name
Date of PPE Hand Over
Signature of Security Officer
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Quantity
Size
Comments
Job Application Form
(“the Worker”)
For and on behalf of the Company
Date
Worker
Date
KNOWLEDGE ASSESSMENT
Name
Date
1. What is a requirement of the Private Security Industry Act 2001?
A. You register with the SIA.
B. That those in designated licensable roles are licensed.
C. That you keep your license hidden.
D. That you let the SIA know when you are on duty.
2. What would be an expected quality of a Security Officer?
A. Serious.
B. Funny.
C. Approachable.
D. Angry.
3. What document details your duties on site?
A. The Daily Occurrence Book.
B. The Search Register.
C. Visitors Book.
D. The Assignment Instructions.
4. When does a person become a trespasser?
A. When they fail to leave when requested.
B. When they don’t work on the premises.
C. When they are lost.
D. When they are drunk and disorientated.
KNOWLEDGE ASSESSMENT
5. What information would you include in a report?
A. Whatever you want.
B. Whatever you are told.
C. The full and relevant facts.
D. Make it up
6. What is the definition of an emergency?
A. Something that is very scary.
B. An unforeseen event sufficiently dangerous to demand immediate action.
C. Where someone smashes a window.
D. Where a lot of people are gathered.
7. What is your responsibility under the Health & Safety at work Act?
A. Look after everyone.
B. Don’t look after anyone.
C. Look after the health and safety of yourself, then others.
D. Leave that to the experts.
7. What is your responsibility under the Health & Safety at work Act?
A. Look after everyone.
B. Don’t look after anyone.
C. Look after the health and safety of yourself, then others.
D. Leave that to the experts.
8. How should we signal Non Aggression?
A. Invade a person’s personal space.
B. Block their exit paths.
C. Clench your fists.
D. Open palms.
9. What type of communication is Normal Eye Contact?
A. Non-verbal communication.
B. Verbal communication.
C. It’s not communication.
D. Just looking, not speaking.
10. What type of behaviour would be classed as aggressive?
A. A person smiling at you.
B. Someone who invades your personal space while pointing at you.
C. Someone who complies with your request.
D. Someone who needs assistance.
Confidential
Name:
D.O.B.
1. Do you have a disability which could affect your ability to carry out this job in full?
Yes
No
If yes, what reasonable adjustments could we make to the job to allow you to carry out this work?
2. If you are currently in employment, how many days sick leave have you taken in the past year?
3. Are you currently receiving any treatment or medication for any medical conditions?
Yes
No
If yes, what reasonable adjustments could we make to the job to allow you to carry out this work?
Sight
Yes
No
Hearing
Yes
No
Walking
Yes
No
Ability to Climb Stairs
Yes
No
Ability to Bend
Yes
No
Stamina
Yes
No
If the answer to any of these is yes, please give details
Confidential
5. In the past 5 years have you had any medical problems other than minor illnesses such as colds?
Yes
No
If yes, please give details
6. In the past 5 years have you had any hospital admissions or outpatient treatment?
Yes
No
If yes, please give details
Depression, anxiety, stress-related illness or other mental health problems incl. Self-harm and Eating disorders
Yes
No
Breathing Difficulties such as Asthma
Yes
No
Heart or circulatory problem
Yes
No
Blackouts, epilepsy, fainting, dizziness
Yes
No
Alcohol or drug dependency or misuse
Yes
No
Problems with Back, neck or other arms, legs, joints
Yes
No
Diabetes
Yes
No
If yes, please provide details of the time you had off sick with these conditions and the dates you received treatment
If yes, how many per day on average?
8. What is your alcoholic intake a week in units? (1 unit = half a pint of beer or 1 glass wine)
Signed:
Date
CHARACTER REFERENCE
Applicants Name:
Name & Address of referee:
1. Are you related to the applicant?
Yes
No
If yes, state relationship
If not related, are you?
Please select
a) Partner
b) Friend
c) Work with the applicant
YEARS
MONTHS
3. Do you know any reason why the applicant should not be employed in a position of great trust in the security industry?
Yes
No
4. Is the person to your knowledge in good health, of sound mind, has good character, and shows integrity?
Please select
YES
NO
CANNOT COMMENT
5. Did you know the applicant during the following periods?
Yes
No
FROM:
TO:
Any comments?
Signed:
Date:
Print Name:
INDUCTION TRAINING
EMPLOYEE NAME:
Date of Induction
Print Name (trainee)
Print Name (trainee)
Trainees Signature
Trainer Print Name
Trainers Signature
GUIDANCE NOTES
GUIDANCE NOTES
SOS Fob Training
This document is to certify that our employee
Name
Name
Date
Name
Name
Date
Name
Name
Date
Name
Name
Date
Name
Name
Date
Name
Signed:
Date:
Name
Signed:
Date:
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