Application Form

Please fill out the form below with as much detail as possible:

Full training not provided but refreshing training will be. If applicants do not have experience, please do not apply.

 

Forename (required):

Surname (required):

D.O.B:

Address:

Postcode:

Telephone:

Email:

I am applying for:

Health

Is your health good? Yes No 

Have you had surgery in the last 3 years? Yes No 

If so please explain

Have you recieved treatment for:
Diabetes Epilepsy Any form of illness that has or could result in blackouts 

Do you suffer from any skin disorders? Yes No 

Are you currently on any medication? Yes No 

If so what for?

Do you suffer from any illnesses related to using vibratory tools such as vibratory white finger (VWF)? Yes No 

Eyesight: Normal Spectacles 

Do you smoke?Yes No 

Driving

Do you hold a full UK divers licence? Yes No 

What additional licences (if any) do you hold?

Do you have any penalty points against your driving licence? Yes No 

If so how many?

And what for?

Have you ever received a driving ban? Yes No 

Additional Details

Are you prepared to work overtime if required? Yes No 

Are you prepared to stay away overnight? Yes No 

Are you a member of a Trade Union? Yes No 

If so please state:

Upload Your CV

Upload Your CV :

Permission is granted to Smiths Mechanical Services to refer to the appropriate State Authority / DVLA and/or to my previous employer(s) for verification of licence and to obtain references