HODGE’S COACHES (SANDHURST) LTD APPLICATION FORM PCV DRIVER COMPANY CONFIDENTIAL PERSONAL Application for employment as: Surname: Forename(s): Address: Postcode: Daytime Tel No: Evening Tel No: Mobile Tel No: Email: Have you ever been employed by Hodges Coaches before? ---YesNo If YES, please state: Department: Depot: From: To: Are you related to anyone currently working for Hodges Coaches? ---YesNo If YES, please give details: EDUCATION Secondary Schools: Examinations and Results: College/University/Other Training: Courses and Results: EMPLOYMENT HISTORY CURRENT OR MOST RECENT EMPLOYER Name and address of Employer: Job title, grade, salary and main duties: Dates Employed: From: To: Reason for leaving: PREVIOUS EMPLOYERS Please add additional sections as required. Name and address of Employer: Job title, grade, salary and main duties: Dates Employed: From: To: Reason for leaving: -+ DRIVING Do you have a full, current driving licence? ---YesNo Do you have an up to date drivers CPC card? ---YesNo Have you had any driving accidents/convictions in the last 3 years? ---YesNo If YES, please give brief details: Have you ever been employed as a Driver of a Public Service Vehicle? ---YesNo Current PCV driving entitlement expiry date: Details of any previous experience gained in private hire coach driving: Does your licence have any endorsements? ---YesNo If YES, state number and details of endorsements: Have you ever been refused a licence? ---YesNo If YES, please give brief details: REFERENCES Please provide details of two people who we may approach for a reference, one of whom should be your current or most recent employer. Your current employer will not be contacted without your permission. CURRENT OR MOST RECENT EMPLOYER Name: Position: Address: OTHER Name: Position: Address: CONVICTIONS IMPORTANT INFORMATION PLEASE NOTE THAT THE POSITION OF PCV DRIVER MAY REQUIRE YOU TO UNDERTAKE DUTIES WHICH LEAVE YOU IN SOLE CHARGE OF CHILDREN OR VULNERABLE ADULTS. AS SUCH THIS POSITION IS EXEMPT FROM THE REHABILITATION OF OFFENDERS ACT 1974 AND WILL REQUIRE A FULL CRIMINAL HISTORY DISCLOSURE. A COPY OF HODGES COACHES POLICY ON THE RECRUITMENT OF EX OFFENDERS IS ATTACHED FOR YOUR INFORMATION PLEASE NOTE THAT IN THE EVENT OF A SUCCESSFUL APPLICATION A CRIMINAL RECORD BUREAU CHECK WILL BE CARRIED OUT FOR THIS POSITION HOWEVER HAVING A CRIMINAL RECORD WILL NOT NECESSARILY PREVENT ANY OFFER OF EMPLOYMENT. THE CRIMINAL RECORDS BUREAU HAVE A CODE OF PRACTICE WHICH HODGES COACHES ADHERES TO, A COPY OF WHICH CAN BE MADE AVAILABLE UPON REQUEST Have you ever been convicted of a criminal offence? ---YesNo Have you any outstanding County Court Judgements against you? ---YesNo N.B. This relates to any offence, not just those connected with driving. If YES, please give details: Date: Place: Nature of Offence: Do you have any current CSA commitments? (please supply details) Do you have any current attachment of earnings? (please supply details) DECLARATION The facts set out in this application for employment are, to the best of my knowledge, true and complete. I understand that if I am appointed to a post within HODGES COACHES and it is subsequently found that I have failed to give correct information or failed to declare any material fact, this could lead to termination of employment without notice. Signature: Date: EQUAL OPPORTUNITIES MONITORING As part of the recruitment procedure and our commitment to ensuring equality of opportunities in our recruitment process we will ask you to complete a brief equal opportunities monitoring form during the initial stages of recruitment. Completion of the form will be optional and will not be seen by the recruiting officer however it would greatly assist us in our monitoring if this form is completed.