S.E. Staff Application Form

Personal Details:

Name: Title:
Address: Home Phone:
  Work Phone:
  Mobile Phone:
Postcode: Email:
Date of Birth: Age:
Place of Birth: Nationality:
Marital Status: Children No.:
Smoker: Health:
Interrests &
Position Sought:
Salary Required:
Are you willing to work shifts:

Availability / Start:
Areas willing to travel: Temporary Work:

Do you have transport:

Do you have a clean license:





Freight Forwarding


Computer Packages / Systems Used

Other :
Secondary School Dates From - To Examinations : Grades :
University or College Dates From - To Examinations : Grades :
Other Qualifications / Membership Of Professional Institutes  
Training Courses Attended (please state duration & subjects / certificates obtained)  
Foreign Languages Spoken (degree of fluency in both written and oral)  
Careers Guidance Recv'd Have you registered with S.E. Staff before?

Please State Any Other Agencies With Whom You Have Registered?  
How Did You Hear About S.E.Staff?  
Name & Address
Of Employer
From To Position Held Salary Reason for Leaving
Company Name: Full Address:

Can we approach your current employer?

Have you had any serious illnesses, operations, or disabilities? If Yes, please state:
Are you a registered disabled:

Have you ever been charged before any court with any criminal offence? If Yes, please state:
I confirm that all the information I have given is, to the best of my knowledge true and correct and I give permission for my details to be passed to prospective employers : (tick the box to confirm agreement)

Anti Spam Verfication and checking to see
if you are not an internet robot: (answer question)
Is Ice(frozen water), hot or cold?