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