The Crystal BuildingLangston RoadLoughtonEssex IG10 3THTel: 020 8502 8204Fax: 020 8502 8282E-mail: hr@clintoncards.co.uk

STAFF & HEAD OFFICE APPLICATION FOR EMPLOYMENT – CONFIDENTIAL. Please complete this form in BLOCK CAPITALS

POSITION APPLIED FOR: LOCATION:

Full or Part Time: Permanent or Temporary: Date Available From:

Salary Expected: Ref. No: (From bottom of advertisement)

PERSONAL DETAILS:Mr/Mrs/Miss/Ms: Surname:

Maiden Name: Date of Birth: Religion:

Address:

Post Code:

Home Tel: Work Tel: Mobile:

E-mail address:

Country of Birth: Nationality: Ethnic Origin:

Under the Asylum and Immigration Act 1996, are you eligible to work in the UK? *YES/NO

Are you available to work extra hours? *YES/NOAre you available to work: Saturdays? *YES/NO Sundays? *YES/NO Evenings? *YES/NO

Do you have any relatives currently employed with ClintonCards? *YES/NOIf YES, please give name, relationship and their place ofemployment:

How did you hear of this vacancy? Please tick as appropriate.

Newspaper Advert Notice in Shop Window

Clinton Cards Website Other

Have you ever been convicted of a criminal offence, which isnot spent under the Rehabilitation of Offenders Act 1974?*YES/NO Please give details:

Have you previously worked for Clinton Cards? *YES/NOPlease give date, location and position:

Have you a current Attachment of Earnings? *YES/NOPlease give details:

Do you have a disability? *YES/NO

If you feel you may need extra help with our recruitment process, please contact our Recruitment Hotline on0208 502 8207 for advice and information.

Are you in good health? *YES/NO How many days sickness have you had in the past 12 months?Please give details of any health problems, giving dates and relevant information:

To the best of your knowledge are you fit to perform the tasks involved in the position applied for? *YES/NO

EMERGENCY CONTACT:

Name: Address:

Daytime Tel. No:

N I. No:.

First Names:

If Yes, we need to make any adjustments to accommodate you at interview?

Please note that ALL prospective employees, including those born in the UK, are now required by law to provideneed

to provide.proof of eligibility to work in the . If you are short listed for interview we will advise you which documents you

Relationship to you:

UK

do

Mob le No:i

Completion of Religion and Ethnic Origin are optional and data held for monitoring purposes only.GUIDELINES FOR COMPLETION: Please answer all questions. * Delete as appropriate.

are

EMPLOYMENT DETAILS: Please list employment, the most recent first. PLEASE COMPLETE ALL SECTIONS TOENABLE THE COMPANY TO OBTAIN REFERENCES and use space to give previous employment details and any periodsof unemployment. Please explain any gaps in employment in the space provided. The Company reserves the right toapproach all former employers, educational institutions and other referees. The Company will not approach a currentemployer until your resignation has been confirmed. Clinton Cards retains the right to terminate your employmentshould references prove to be unobtainable or unsatisfactory to the Company.

Current/Last Employer: Type of Business:

Reporting to: (Name, Job Title)

Tel. Number:

Full address: (Including postcode)

Date Employed from: to:

Your Job Title:

Duties and Responsibilities: (Please include hours worked)

Reason for Leaving: Notice Period:

Previous Employer: Type of Business:

Reporting to: (Name, Job Title)

Tel. Number:

Full address: (Including postcode)

Date Employed from: to:

Your Job Title: Leaving Salary: £

Duties and responsibilities: (Please include hours worked)

Reason for Leaving:

Previous Employer: Type of Business:

Reporting to: (Name, Job Title)

Tel. Number:

Full address: (Including postcode)

Date Employed from: to:

Your Job Title:

Duties and responsibilities: (Please include hours worked)

Reason for Leaving:

Please explain any gaps in employment.Dates:

Please state reason for gaps in employment:

From: To:

From: To:

From: To:

Leaving Salary: £

We require a full record of your employment for the last 3 years up to the present day.Please continue on another sheet of paper if required...

Current Last Salary: £/

EDUCATIONAL AND PROFESSIONAL QUALIFICATIONSPlease give details of secondary school and further education, including training courses.

Full Name and Address ofSchool/College/University:

Dates attended: Name of Course/Exams Passed (with grades):

INTERESTS: Please give details:

SPECIAL SKILLS/QUALIFICATIONS/RELEVANT EXPERIENCE: e.g. NVQ Customer Service.

Do you have any commitments which might limit working hours? *YES/NOPlease give details:

Do you have any other jobs? *YES/NOPlease give details of employer, hours/days worked:

How would you travel to work? How long would your journey take?

Please give details of any holidays booked: From: To: No. of days:

Please give the full names and addresses of two character referees, who have known you for the past two years, and whomyou have seen in the last six months, neither of whom should be a relative or previous employer.

Name: Name:

Relationship to you: Relationship to you:

Occupation: Occupation:

Address: Address:

Post Code: Post Code:

PLEASE READ THIS SECTION BEFORE SIGNING: I understand that, as part of any offer of employment from ClintonCards, I may be required to work hours in addition to those specified in my contract of employment.

I affirm that the information given in this application is correct to the best of my knowledge and I understand that anydeliberate mis-statement, or non-disclosure of information, may result in the termination of my employment. I understand thatany offer of employment is subject to receipt of references satisfactory to the Company and receipt of proof of eligibility towork in the UK. Under the Data Protection Act 1998, I hereby give Clinton Cards permission to obtain references from anydetails supplied on this application form and to securely store any personal or sensitive data on my personnel file.

Signature: Date:

PERSONAL REFERENCES: To be given where full continuous employment details for the past three years are notavailable.

FOR COMPLETION BY INTERVIEWER ONLY:This interview record MUST be completed for EVERY candidate.

Date of Interview: Name of Interviewer: Job Title of Interviewer:

1st

2nd

Interview Notes: Better Other Comments:

Appearance 1 2 3 4 5Communication 1 2 3 4 5Experience 1 2 3 4 5Intelligence 1 2 3 4 5Co-operation 1 2 3 4 5General Impression 1 2 3 4 5

IMPORTANT INFORMATION REQUIRED – Asylum and Immigration Act 1996

Recruitment. You must have sight of the ORIGINAL documents and take two copies. Send one copy to HR with thisapplication form. Keep second copy in the branch.

LIST ONE: Take two copies of ONE of the followingdocuments and tick appropriate box:

UK Passport

EEA Passport or national ID card

issued to asylum seeker confirming permission towork

OR LIST TWO: Take two copies of TWO of the followingdocuments and tick appropriate boxes:

EITHER: An official document bearing NI No along with…

A birth certificate or a letter from the Home Office or an immigration status documentOR:

A Work Permit along with…

IF A JOB OFFER IS MADE, PLEASE COMPLETE THE FOLLOWING BEFORE SENDING TO THE HR DEPARTMENT:

Verbal reference obtained from: Date of commencement: Job Title (incl. Temp or Perm):

Copy attached? Please tick to confirm. Branch Name: Branch Number:

Weekly/annual salary: £ Hourly rate: £ Hours/Days per week:

IF JOB OFFER HAS NOT BEEN MADE, HAVE YOU SENT A REGRET LETTER? *YES/NOPlease enter date regret letter sent:

Signature of Interviewer: Date:(Branch/Area Manager)

Branch/Area Manager’s Name:(Please print)

HAVE YOU CHECKED THE FOLLOWING? Please tick boxes to confirm:

Has the candidate completed the application form fully?

Are all reference details fully completed with contact names, post codes etc?

Have you photocopied and enclosed all the necessary documents regarding Asylum and Immigration?

Once all boxes have been ticked, please send this form immediately to the Human Resources Department at HeadOffice for processing. Thank you.

UK Residence Permit from the Home Office

Application Registration Card from Home Office,

A Passport or a letter from the Home Office

Result of Interview:

As the person responsible for recruiting this applicant, you need to check that they are permitted to work in the United

Kingdom, an offer of employment is made.

. For more detailed information refer to BOSS – Human Resources,

before Please obtain the relevant proof by acquiring the specified

documents from either list one or list two below