Application Form – Lakervent

Personal Details

Title	Surname		Forename
N.I. Number
Email
Address
Postcode		Tel:		Mobile:
Do you have a current driving license?			Yes No
Do you have the use of a vehicle?			Yes No

Eligibility to work in the United Kingdom

Do you require a work permit to work in the UK? (if yes, please provide the following information)		Yes No
Type of permit
Date of expiry	Place of issue

Job Details

Position applied for
Date available to take up employment
Are you prepared to work throughout the UK	Yes No

Further Information

Have you worked for or applied for a position with Laker Vent Engineering Ltd before? (If yes, please give details below)	Yes No

Employment History

We require a full and complete employment history from you; please complete the employment history section in full. Please include details of your most recent employment first and work backwards. If you have a C.V this can be attached as an addition to this form.

Present / previous employer
Type of business
Address
Starting date		Leaving date
Job title
Duties / responsibilities
Reason for leaving

Present / previous employer
Type of business
Address
Starting date		Leaving date
Job title
Duties / responsibilities
Reason for leaving

Present / previous employer
Type of business
Address
Starting date		Leaving date
Job title
Duties / responsibilities
Reason for leaving

Education

Please detail your education. Please list the education / qualifications most applicable to the job you are applying for; including apprenticeships.

Place of study
College / University / School

Course / Subject

Qualifications / grades obtained

Date Obtained

Trade Skills

Where applicable please indicate how many years experience you have in the following disciplines

Welding
Stainless steel	Aluminum	Orbital
Carbon steel	Chrome Moly	A.S.M.E standard
BS EN standard	T.I.G	Electro-fusion
Argon Arc	M.M.A

Pipework
Stainless steel	Aluminum	Orbital
Carbon steel	Chrome Moly	A.S.M.E standard

Typical pipe dimensions
< 4		< 6		< 12		< 16		< 24		< 30

Rigging / Slinging
General pipework	Columns	Steelwork
Pumps	Tanks / vessels	Heavy plant

Mechanical Fitter
Pumps	Heavy plant	Turbines
Compressors	Lining up	Machinery
Turning	Conveyors

Plater
Marking off	Chipping	Trunking
Riveting	Tanks	Burning
Profile cutting	Caulking	M.M.A welding

General labouring
Construction sites		Other work environments
Telescopic handler operator		Fork lift truck operator

Trade cards / qualifications
	ACE card	Reg No:	Exp date
	CCNSG Safety passport	Reg No:	Exp date
	CSCS card	Reg No:	Exp date
	IPAF MEWP licence	Reg No:	Exp date
	CPCS telescopic handler	Reg No:	Exp date
	RTITB telescopic handler	Reg No:	Exp date
	RTITB Fork Lift Truck	Reg No:	Exp date
	CPCS Appointed Person	Reg No:	Exp date
	CPCS Slinger Signaller	Reg No:	Exp date

Please give details of any other related qualifications / cards that may support your application. Please include the registration / certificate number and the expiry date where applicable.

Professional Memberships

Please provide any details of professional memberships that are relevant to your application

References

All offers of employment will be subject to the receipt of references that are satisfactory to Laker Vent engineering, one of which must be your current or last employer.

Present / last employer (Company name)
Name of referee
Job title of referee
Tel No:
E-mail address:
I do not wish for my present employer to be contacted at this stage	Yes No

Name of referee
Job title of referee
Tel No:
E-mail address:

By submitting this form, I authorise the Company to obtain references to support this application once an offer has been made and accepted thus realeasing the Company and referees from any liability caused by giving and receiving information. I confirm that the information given is to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if unemployed, summary dismissal.