Job Application Fill in the form and a member of our HR department will get back to you shortly. Select BranchMidlandsSouthNorthScotland PERSONAL DETAILS I here by authorise Fire Glass to use this email address for payslip purposes. TRANSPORT DO YOU OWN A CAR YesNo DO YOU HOLD A CURRENT DRIVING LICENSE? YesNo ProvisionalFullHGVClass HAVE YOU ANY CURRENT ENDORSEMENTS? YesNo If yes, please provide conviction code and date of conviction, penalty points awarded and length of conviction. HAVE YOU BEEN INVOLVED IN ANY ROAD TRAFFIC ACCIDENTS WITHIN THE LAST THREE YEARS? YesNo IF SO, WERE YOU THE DRIVER AT FAULT? YesNo DO YOU HAVE ANY MOTORING PROSECUTIONS PENDING? YesNo HEALTH Do you require any accessibility adjustments that you want us to be aware of? YesNo IF OFFERED AN INTERVIEW, WOULD YOU NEED ASSISTANCE? YesNo Other occupational courses undertaken and qualifications obtained, e.g. military service courses: Membership of professional organisations/trade unions: Interests/Hobbies: Public duties undertaken (JP, Local Councillor, etc): Have you ever been convicted of a criminal offence? YesNo If offered this position will you continue to work in any other capacity? YesNo REFERENCES No.1 Please give two references (one should be your current/latest employer).None will be taken up without your prior approval): REFERENCES No.2 Please write a short statement saying why you have applied for this position, why you consider yourself suitable and what your future aspirations are: If selected for an interview, do you have any preferred date or time? Declaration: By submitting this form to Fire Glass UK, I confirm that the information given on this form is to the best of my knowledge, true and complete and that any false statement could cause rejection or dismissal if employed. All information provided is confidential and kept inline with the GDPR regulations. YesNo We can only accept .doc, .docx or .pdf files.