Administration Application Form Question Title * 1. Please state the role you are registering your interest for Question Title * 2. Your details: Title (Mr/Mrs/Miss/Ms) First Name/s Surname Postcode Home telephone Mobile telephone Email address Question Title * 3. Do you hold a full driving licence? I hold a full clean driving license I hold a full license with under 4 points I hold a full license with 4 to 8 points I hold a full license with over 8 points I do not hold a license I hold a full clean driving license I hold a full license with under 4 points I hold a full license with 4 to 8 points I hold a full license with over 8 points I do not hold a license Question Title * 4. Length of time living at current address: 4 years or more 3 to 4 years 2 to 3 years 1 to 2 years Less than 1 year 4 years or more 3 to 4 years 2 to 3 years 1 to 2 years Less than 1 year Question Title * 5. Current Employer Company Position Salary Employment Start Date Employment End Date Question Title * 6. How long have you been with your current employer? 5 years or more 3 to 5 years 1 to 3 years less than 1 year Not currently working 5 years or more 3 to 5 years 1 to 3 years less than 1 year Not currently working Question Title * 7. Previous Employer Company Position Salary Employment Start Date Employment End Date Question Title * 8. How long were you with your previous employer? 4 years or more 3 to 4 years 2 to 3 years 1 to 2 years less than 1 year 4 years or more 3 to 4 years 2 to 3 years 1 to 2 years less than 1 year Question Title * 9. Please list any professional qualifications Question Title * 10. How do you spend your spare time? Question Title * 11. Please tell us about your skills that you feel would help you be successful at NBC? Question Title * 12. Please provide details of relevant experience Question Title * 13. What are you looking from NBC as an employer? Question Title * 14. Reference 1 details: Name * Type (Personal/Professional) * Company Contact number Email address Question Title * 15. Reference 2 details: Name * Type (Personal/Professional) * Company Contact number Email address Question Title * 16. Under GDPR regulations, we would like your consent to keep your details on file for future vacancies should they arise. Please confirm if give your permission. If you choose yes, you can withdraw your consent at anytime by emailing hr@nbcenvironment.co.uk Yes No Done