APPLICATION FORM Specific Position applied for: or, if speculative, job interested in: Store Name and Town: Full Time Part Time (delete as appropriate) Additional Info (Eg.Hours): Job Code if applying online: Date: Source of application: Advert: Advert Reference Number: Recommendation: Recruitment Event: Careers@Clarins: Other (please state): Refer a Friend: 1) Have you previously applied to Clarins 2) Have you previously worked for Clarins Yes/No Yes/No Personal Details Surname: Title: Ms/Miss/Mrs/Mr (delete as appropriate) Forenames: Other: Previous Name(s): (advise if applicable) Permanent Address: Address for reply (if different): Postcode: Telephone No: Mobile No: Email Address: Postcode: Telephone No: Current Driving Licence: Yes/No Any Endorsements: Yes/No If you have any suspensions or endorsements please provide further details: Employment History (Please complete this section in full and continue on an additional sheet if necessary) Current/Last Employer: Dates Of Employment: Length of Service: Company Name: Company Address (in full): From: To: Contact Name: Postcode: Email Address: Nature of Business: Job Title: Duties & Responsibilities: Telephone No: Leaving/Current Salary and Benefit Package (if applicable): Reason for leaving this position: Previous Employer: Dates Of Employment: Length of Service: Company Name: Company Address (in full): From: To: Contact Name: Postcode: Email Address: Nature of Business: Job Title: Duties & Responsibilities: Leaving/Current Salary and Benefit Package (if applicable): Reason for leaving this position: Telephone No: Education Details Dates From To School/Colleges/Universities attended from the age of 11 Subjects studied and examination results Professional Qualifications/Additional Courses: (e.g. Beauty Therapy) Dates From To Course Name & Examination Body College Address Level/Grade Attained It is the Company’s policy to verify the qualifications of all successful job applicants and you may be asked at a later stage in the recruitment process for your consent to checks being carried out. Health 1) Are there any reasonable adjustments which you feel should be made to the recruitment process to assist you in your application for the job? If so, please specify: 2) Please give details of any allergies, medical or skin conditions that may be relevant to the work you will be required to carry out. Parental Leave Number of Days Date Month Year Skills & Knowledge Focusing on the skills and knowledge you can bring to this role, complete as follows: Describe how you have gone out of your way to exceed someone’s expectations. Explain what you did and the outcome. Describe a situation where you have contributed to a team’s success, explain your role and what the outcome was. References Employer Referees Telephone Number: Email Address: Telephone Number: Email Address: Personal Referees Telephone Number: Email Address: Occupation: Time Known: Telephone Number: Email Address: Occupation: Time Known: Criminal Convictions Have you ever been convicted of a criminal offence? Yes/No If so please give details of any unspent convictions. Spent convictions do not have to be declared as the job is not one covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. DECLARATION I declare that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal. In accordance with the Data Protection Act (1998), I hereby explicitly consent to the Company collecting, holding and otherwise processing personal data, including sensitive personal data, relating to me. The Company will only process such data when and insofar as is necessary to do so in order to further its legitimate interests. Signature: Date: Thank you for your application. Unfortunately it will not be possible for Clarins to contact applicants who have been unsuccessful at stage one of the recruitment process. Only those who will be progressed to stage two will be contacted. Therefore, should you not hear further, please assume your application has been unsuccessful on this occasion. However, we may wish to keep your details on file for up to 6 months, in case a suitable vacancy arises. Please tick the box if you agree to us keeping your details on file. Additional Information Head Office Use Only Position Considered for: Store/location: Salary: Date of Interview: Store approval interview: Start date: Uniform size: Pre-booked holidays: Training pass mark 65%: Documentation: (Originals must be seen and verified by the interviewer and copies passed to HR) Please ensure the original of one or more of the following items has been seen and if possible copied: 1. Passport or Birth Certificate 2. Valid visa – Proof to work in the UK 3. Driving Licence including photocard 4. Initiate badge application Name and Signature of interviewer: PLEASE COMPLETE Personal Details Nationality
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