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Please fill in the online application form below, or print off the PDF version and send it to:
The Bell, Church St, Eckington, Pershore, Worcestershire, WR10 3AN
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Personal Particulars
Your Name
Address
Postcode
Telephone No
Ethnic Group
If Other Please Specify
Marital Status
Ages of Children(if applicable)
Disabilities
If you are registered disabled, please give number:
Please state which job you are applying for (e.g., bar staff)
For the following, please check the relevant box, in all cases
Do you, or have you ever suffered from: Yes No
Typhoid fever
Paratyphoid fever
Fits or blackouts since the age of 5
Recurring ear infections
Recurring skin trouble affecting hands, arm or face
Recurring disabilities affecting standing, walking, lifting or use of hands
At present, are you suffering from: Yes No
A discharging ear
Boils, styes or septic fingers
A cough with phlegm
Abdominal pain, diarrhoea or flu
Skin trouble affecting hands, arms or face
Previous Employment
Name & address Details/Salary
Reasons for leaving From
To
Name & address Details/Salary
Reasons for leaving From
To
About You Starting Work
If you were to be offered a job at The Bell, what do you feel you would bring. (personality, previous experience etc) Please give details on what days/times you would be eligible to work if offered the vacancy.
References
Please give the name and address of two referees,at least one of whom must be a past or present employer (if applicable)
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