1: Personal details Title Ms Miss Mrs Mr Master Rev (Reverend) Fr (Father) Dr (Doctor) Atty (Attorney) Prof (Professor) Hon (Honorable) This is my main, current & only address Do you hold a valid driving licence? Yes No Do you hold a full clean current driving licence? Yes No Please give details of any penalties you have recieved against your license in the last 5 years: Penalty Year (yyyy) Please select ----------------- ACCIDENT OFFENCES AC10 - Failing to stop after an accident AC20 - Failing to give particulars or to report an accident within 24 hours AC30 - Undefined accident offences ----------------- DISQUALIFIED DRIVING BA10 - Driving while disqualified by order of court BA20 - Attempting to drive while disqualified by order of court ----------------- CARELESS DRIVING CD10 - Driving without due care and attention CD20 - Driving without reasonable consideration for other road users CD30 - Driving without due care and attention or without reasonable consideration for other road users CD40 - Causing death through careless driving when unfit through drink CD50 - Causing death by careless driving when unfit through drugs CD60 - Causing death by careless driving with alcohol level above the limit CD70 - Causing death by careless driving then failing to supply a specimen for CD80 - Causing death by careless, or inconsiderate, driving CD90 - Causing death by driving: unlicensed, disqualified or uninsured drivers ----------------- CONSTRUCTION AND USE OFFENCES CU10 - Using a vehicle with defective brakes CU20 - Causing or likely to cause danger by reason of use of unsuitable vehicle or using a vehicle with parts or accessories (excluding brakes, steering or tyres) in a dangerous condition CU30 - Using a vehicle with defective tyre(s) CU40 - Using a vehicle with defective steering CU50 - Causing or likely to cause danger by reason of load or passengers CU80 - Using a mobile phone while driving a motor vehicle ----------------- RECKLESS/DANGEROUS DRIVING DD40 - Dangerous driving DD60 - Manslaughter or culpable homicide while driving a vehicle DD80 - Causing death by dangerous driving DD90 - Furious driving ----------------- DRINK OR DRUGS DR10 - Driving or attempting to drive with alcohol level above limit DR20 - Driving or attempting to drive while unfit through drink DR30 - Driving or attempting to drive then failing to supply a specimen for analysis DR40 - In charge of a vehicle while alcohol level above limit DR50 - In charge of a vehicle while unfit through drink DR60 - Failure to provide a specimen for analysis in circumstances other than driving or attempting to drive DR70 - Failing to provide specimen for breath test DR80 - Driving or attempting to drive when unfit through drugs DR90 - In charge of a vehicle when unfit through drugs ----------------- INSURANCE OFFENCES IN10 - Using a vehicle uninsured against third party risks. ----------------- LICENSE OFFENCES LC20 - Driving otherwise than in accordance with a licence LC30 - Driving after making a false declaration about fitness when applying for a licence LC40 - Driving a vehicle having failed to notify a disability LC50 - Driving after a licence has been revoked or refused on medical grounds ----------------- MISC OFFENCES MS10 - Leaving a vehicle in a dangerous position MS20 - Unlawful pillion riding MS30 - Play street offences MS50 - Motor racing on the highway MS60 - Offences not covered by other codes (including offences relating to breach of requirements as to control of vehicle) MS70 - Driving with uncorrected defective eyesight MS80 - Refusing to submit to an eyesight test MS90 - Failure to give information as to identity of driver etc ----------------- MW10 - Contravention of special roads regulations (excluding speed limits) ----------------- PEDESTRIAN CROSSINGS PC10 - Undefined contravention of pedestrian crossing regulations PC20 - Contravention of pedestrian crossing regulations with moving vehicle PC30 - Contravention of pedestrian crossing regulations with stationary vehicle ----------------- SPEED LIMITS SP10 - Exceeding goods vehicle speed limits SP20 - Exceeding speed limit for type of vehicle (excluding goods or passenger vehicles) SP30 - Exceeding statutory speed limit on a public road SP40 - Exceeding passenger vehicle speed limit SP50 - Exceeding speed limit on a motorway ----------------- TRAFFIC DIREFCTION AND SIGNS TS10 - Failing to comply with traffic light signals TS20 - Failing to comply with double white lines TS30 - Failing to comply with "'Stop'" sign TS40 - Failing to comply with direction of a constable/warden TS50 - Failing to comply with traffic sign (excluding 'stop' signs, traffic lights or double white lines) TS60 - Failing to comply with a school crossing patrol sign TS70 Undefined failure to comply with a traffic direction sign ----------------- SPECIAL CODE TT99 - To signify a disqualification under 'totting-up' procedure. ----------------- THEFT OR UNAUTHORISED TAKING UT50 - Aggravated taking of a vehicle Add penalty Do you own a car? Yes No Do you need a work permit to take up employment in the UK? Yes No Please give details: Have you ever been prosecuted / investigated by the Financial Conduct Authority, Financial Services Authority or any other regulatory body? Yes No Please give details: Have you ever been convicted of any criminal offence which is not yet "spent" under the Rehabilitation Of Offenders Act 1974? Yes No Please give details: Have you any criminal prosecutions pending? Yes No Please give details: Do you know anyone that works for Caravan Guard? If yes, who? Yes No Who: Have you previously applied for a position, or been employed by Caravan Guard? If so, please give details Yes No When: 2: General Do you have any medical condition or disability that may affect your ability to perform the duties of this post? Yes No Please give details and indicate if there are any reasonable adjustments that may be considered to attend an interview or to enable you to perform duties should your application be successful: Have you been subject to any disciplinary proceedings from your employer in the last 5 years? Yes No Please give details: Have you been dismissed from employment within the past 12 months? Yes No Please give details: Have you been absent from work in the past 12 months? (e.g Sickness absence, time off for dependants or emergency leave) Yes No Reason From (mm/yy) To (mm/yy) Add further absences 3: Education and qualifications Please note, you may be required to provide proof of your qualifications. School / college From (mm/yy) To (mm/yy) Add school / college GCSE Grade Year Add GCSE or equivalent A level Grade Year Add A Level or equivalent University / College Add higher education course Professional qualifications and training Do you have or are you currently working towards gaining any professional insurance qualification e.g. CII Certificate in Insurance? Yes No If you have answered 'No' to the above, would you be willing to study to gain these? Yes No Please provide details of any professional qualifications or professional memberships you have, and dates obtained: Qualification From (mm/yy) To (mm/yy) Add further qualifications If you have any special skills or experience of I.T. systems and packages (e.g. Word, Excel etc.) that would support your application, please give details below: 4: Employment If this is your first job since leaving full time education you may skip to the next section This information will be used with absolute discretion. We reserve the right to request references once employment has been offered and accepted. References will be sent to ALL previous employers within the last five years, please let our HR team know if this is not ok immediately after submission. All engagements are made upon the basis of a six month trial period (or as specified). Please provide full details of employment within the last five years. Current / last held position Employer's name and address From (mm/yy) To (mm/yy) Notice required Key responsibilities Telephone Position held Basic £ Bonus £ Other benefits Reason for leaving - - Please select - - Money hours Location Other If other - please state reason for leaving Previous employment Commencing with the most recent. Note: You must detail ALL previous employment history over the last 5 years. Position held From (mm/yy) To (mm/yy) Employer's name and address Key responsibilities Reason for leaving - - Please select - - Money Hours Location Other Please state other reason for leaving If other - please state reason for leaving Add further employment References If you have not been previously employed please provide two personal references (these should not be relatives). If you have previously been employed and wish to nominate two further references please indicate these here. We will not take up these references until employment has been offered and accepted unless agreed otherwise. Referee name 1 Address Telephone Referee name 2 Address Telephone 5: Additional information / covering letter Describe the particular qualities / talents you will bring to this job and how it fits into your career plans: At Caravan Guard we have a set of values we try to work by (Positive people, Brilliant customer experiences, Do the right thing, Think simple, Care completely and Serious fun). Based on these value how do you feel you would fit in? and can you demonstrate any examples where you may have shown these values? Declaration I declare that to the best of my knowledge, the information given on this application form is correct. I understand that after any offer of employment is entered into, if it is discovered that the information is false or misleading I may have my application disqualified or be dismissed from the company. Yes, I agree I understand that should my application be successful, Caravan Guard Ltd will carry out a credit check with a company called MITIE before employment commences. Yes, I understand Should your application be unsuccessful on this occasion, we will be happy to retain all application details (for a period not exceeding 24 months), in order to consider your suitability for future roles. Please confirm if you are happy for us to retain your application for the above purpose. Yes, I am happy Please attach your cv Please upload an up-to-date copy of your CV: Our current max file size is 100Kb (kilobytes) (.doc, .docx, .pdf, .odp) Where did you find out about us? - - Please Select - - Jobs Today Monster Fish 4 Total Jobs Indeed Reed LinkedIn Workable Recommended by a friend Facebook Twitter Job Fair Recruitment flyer Local newspaper Caravan Guard website Other If other - please state other place you found us Submit