Job Applicant (1/2)

Caution: please make sure that you complete all the required fields. Also complete them correctly. Failure to do so might invalidate your application.

* Indicates required field

* Name:

* Surname:

* Date of birth:

* Gender:

* Address 1:

Address 2:

* Town:

Region:

* Post code:

* Country:

* Mobile number (with country code):

Telephone Number 2 (with country code):

* Main Email:

Email 2:

* Nationality:

* Passport number or National ID Card:

* Country that issued your passport:

*Do you have a criminal conviction?

Yes No

*Can you provide a Standard Disclosure with an English translation?

Yes No

* If your job application is successful, how quickly can you get at the place of work, a selected UK farm? Give the number of days:

days

Please indicate the dates (dd/mm/yyyy) you are available for work:

Shortest period you can stay:	From Until
Longest period you might stay:	From Until
* Period you think you will stay:	From Until

* At the moment are you:

If a student:

Name of university:
Subject:
Graduation Date:

Give us contact details of two employers who can provide work references:

*Please provide Name of the person to contact, name of the business, full business address, telephones and email address. Then provide the same details for the second referee.
*How long have you worked for each of them:
Tell us about past working experiences
What were your role/s?
Period you have worked for:

* Level of Spoken English:

What other languages do you speak?

* Do you have an international driving licence?

Yes No

Do you hold a tractor licence?

Yes No

If applicable, give us the name of a friend you would like to work with:

Person to contact in case of emergency:

* Name of next of kin:
* Address of next of kin:
* Telephone of next of kin:
Email address of next of kin:

* How did you hear about Farmhand.jobs?

Medical Questions:

* Are you able to lift, carry?	Yes No
* Are you physically fit and strong?	Yes No
* Are you colour blind?	Yes No
Tell us if you are allergic to plants, animals or medication:
Tell us if you have had a serious injury:
Tell us if you suffer from a serious illness or medical condition:
Tell us if you are taking any medication at the moment:
* How tall and how much do you weigh:

Declarations:

I agree that the information given here is true and correct and does not contain any misleading facts:

* I Agree

Farmhand.jobs will treat any information you share in complete confidentiality. However we may share it with governmental agencies as required by law. Any sharing of information will be done in accordance with the Data Protection Act

* I Agree

Job Applicant (1/2)

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