Application Form

Please fill out the application form in black ink and block capital letters, ticking the boxes where appropriate. On completion please return along with the Equal opportunities & Diversity Monitoring Form to the following address, marking it Private and Confidential: HR Department, The Authentic Food Company, Units 4-5 Robeson Way, Sharston Green Business Park, Sharston, Manchester, M22 4SW. (Please note that we do not accept CVs).

For official office use only (Reference Number):

TAFC/

Position applied for:

DRIVING DETAILS
Do you hold a full driving license? If yes, what type of license is it? Do you have a fork lift counter balance license? Have you any driving endorsements? Yes Car Yes Yes No Motorbike No No HGV Other

PREVIOUS EMPLOYER
Company name:

Your role:

Rate of pay per hour/salary: Holiday entitlement:

WORK EXPERIENCE
Please give details of your work history over the last 5 years: (Feel free to add a separate sheet of paper if you need to). Name of Employer Dates (From / To) Details of duties Reason for leaving

PREFERRED WORKING TIME / LOCATION

Please tick appropriate site preference, shift times and days in the below boxes: Monday Sharston 06:00 14:30 06:30 15:00 14:00 22:30 14:30 23:30 22:00 06:00 Stockport 07:00 15:00 15:00 23:00 23:00 07:00 Tuesday Wednesday Thursday Friday Saturday Sunday

EDUCATION
If you need to include further details please attach a separate sheet. Last school / college attended (including date from/to):

Apprenticeships or training you have completed:

Courses you have attended:

Any other relevant skills or qualifications:

OTHER INFORMATION
What are your hobbies / interests?

Please detail any other information that may be useful when we consider your application:

DECLARATION
To the best of my knowledge, the information on this form is correct.

Signed:

Date:

Equal Opportunities & Diversity Monitoring Form

The Authentic Food Company are proud to employ a diverse workforce. Therefore, we ensure that all applicants are fairly assessed and that we meet our obligations under the Various Acts of Parliament and related Codes of Practice concerned with race relations, sex discrimination and the employment of disabled persons. Please help us carry out the monitoring by answering the questions below. They are placed on a separate page to the application.

Please note that this page will be detached and will not form part of the selection procedure but will be used only for statistical purposes.

JOB DETAILS
Position applied for: Dates not available for interview: Where did you see this vacancy:

PERSONAL DETAILS
Title: Date of birth: Address for correspondence: Surname: Forename(s): National Insurance Number: Daytime tel: Evening tel: Mobile: Email: Postcode: Gender:

ELIGIBILITY TO WORK IN THE UK

Do you require a Certificate of Sponsorship from the Authentic Food Company Ltd to work in the UK? Yes No

CRIMINAL CONVICTIONS
In most cases a spent criminal record need not be declared. However, certain posts are exempt from the Rehabilitation of Offenders Act 1974 when even a spent criminal record must be disclosed. Whether the post for which you are applying for is exempt or not will be indicated in the additional information sent to you with this form. If you have an unspent criminal record you must always declare it. If you have a criminal record which is spent, but it has been indicated to you within the vacancy information that the post for which you are applying is covered by an exception, you must also disclose any spent offences. If you are successful for any post exempt from the Rehabilitation of Offenders Act 1974 you will be required to give consent for The Authentic Food Company to check your criminal record status through independent verification. Information will be kept in strict confidence. Your offer of employment will be subject to The Authentic Food Company Ltd being satisfied with the outcome of these checks. Have you any unspent criminal convictions? Yes No

If yes, please give details below:

DISABILITY
Section One of the Disability Discrimination Act defines a person as having a disability if he/she has a physical or mental impairment which has substantial and long term adverse effect on his/her ability to carry out normal day to day activities. It is not necessary, therefore to be registered as a disabled person. It is the Authentic Food Companys policy to interview all applicants who are disabled and who meet the criteria for an advertised job. Do you have a disability? Yes No

Whether or not you are disabled, do you need any help or special consideration to enable you to attend/ participate fully in the interview process? Yes No

NATIONALITY
Please tick the box which best describes your nationality. Asian or Asian British Bangladeshi Chinese Ethic Indian Pakistani Other Asian If you prefer not to disclose your ethnicity simply leave blank. If you wish to disclose more information then detail below: Black or Black British African Caribbean Other Black White British Irish Other White Mixed African Caribbean Other Mixed Other Other Ethnic

RELIGION OR BELIEF
Please tick the box which best describes your religion or belief. Buddhist Christian Hindu Jewish Muslim Sikh Other No religion or belief Prefer not to answer

REFERENCES
Please provide two job references and indicate if these can be followed up straight away or upon offer of a position. (Please note a job offer can be retracted upon receiving a reference). REFEREE 1 Contact Name: Position: Address: REFEREE 2 Contact Name: Position: Address:

Tel: Email: Contact before offer Contact after offer

Tel: Email: Contact before offer Contact after offer

Please indicate by using the tick box.

Please indicate by using the tick box.

Thank you for completing these forms, please return both to: Units 4-5 Robeson Way, Sharston Green Business Park, Sharston, Manchester, M22 4SW. (Please note that we do not accept CVs).