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? YesNo

Have you had surgery in the last 3 years? YesNo

If so please explain

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

Do you suffer from any skin disorders? YesNo

Are you currently on any medication? YesNo

If so what for?

Do you suffer from any illnesses related to using vibratory tools such as vibratory white finger (VWF)? YesNo

Eyesight: NormalSpectacles

Do you smoke?YesNo

Driving

Do you hold a full UK divers licence? YesNo

What additional licences (if any) do you hold?

Do you have any penalty points against your driving licence? YesNo

If so how many?

And what for?

Have you ever received a driving ban? YesNo

Additional Details

Are you prepared to work overtime if required? YesNo

Are you prepared to stay away overnight? YesNo

Are you a member of a Trade Union? YesNo

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