Shopfloor Assistant

Confidential application form for employment

Please complete all details as applicable. All fields with an asterisk * must be completed.

Title*

First name*

Last name*

Address 1*

Address 2

Town*

County

Postcode*

Telephone*

Email*

Current driving licence* Yes No

Details of current endorsements (if any)

Please provide details and dates of any current driving endorsements

Details of current convictions (if any)

Please provide details and dates of any current driving convictions

Is there anything we need to know in order to offer you a fairselection interview? For example, do you need a signer orinterpreter or require an accessible interview room?

Please include details of any disabilities

5. Criminal Record

Please note any criminal convictions except those \’spent\’under the Rehabilitation of Offenders Act 1974. If none pleasestate:

6. References

Please provide the names and addresses of the two persons fromwhom we may obtain both work experience and characterreferences:

Reference #1

Name*

Address*

Telephone*

Reference #2

Name*

Address*

Telephone*

7. Other Information

Please supply any additional information to support yourapplication below:

8. CV Upload

Please upload your current CV, if you have one, in Word or PDF format:

Select a PDF (.pdf) or Word file (.doc or .docx) from your computer:

Please read this carefully before submitting thisapplication.

The information you have provided in completing thisapplication form will be used to process your application foremployment. The company will keep the information you havesupplied confidential and will not divulge it to thirdparties, except where required by law, or where we haveretained the services of a third party representative to acton your/our behalf.

AUTHORISATION: I have read the Data Protection notification and understand and agree to the use of my personal data in accordance with the Data Protection Act 1998.*

10. Confirmation

I confirm that the above information is correct and that any false or misleading information will give my employer the right to terminate any employment contract offered.*

Location: Bristol Posted: 21 Aug 2025 Hours: Permanent Contract: Part Time

Contact

Donna Wilson
Stax Trade Centres
Wyck Beck Road
Brentry
Bristol
BS10 7JB

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