TSS 30 - Application Form - SO

TOTAL SECURITY SERVICES Application Form - Security Officer
Personal Details:
Mr Mrs Miss Ms Surname/Family Name: (as shown in your passport) ___________________________________________ First Name(s): ______________________________________________________________ (Any other name you are known as):____________________________________________ Full Current Address: ________________________________________________________ ___________________________________________________________________________ Postcode: _______________ Email Address: _____________________________________ Dates at this address: From: (Please give month and year) ________________ To: Present Home Telephone number: __________________ Mobile Number: __________________ Date of Birth: _____________________ Nationality: ______________________ Have you lived outside the UK for more than 6 months in the yes last 5 years? Visa details: Student Indefinite leave to remain Country of Birth: ________________________ National Insurance No: ___________________ no Date of entry into the UK: ____________________________ Visa Expiry Date: _________________
Working Holiday Spousal
Do you have a current driving licence? Do you have your own vehicle?
Provisional Yes
Full No
None
Medical Details:
This information is required with your interests in mind and will be retained in strictest confidence. If further information is required from your medical practitioner, your written consent will be obtained beforehand. You may be referred to a Doctor at the Companies expense so that a medical examination can be carried out.
How many days absence from work due to ill health have you had during the past 12 months?
. days
Do you have any health problems or disability that may affect the work you can do? Yes No Details (If yes)
Is there anything within your circumstances that would be detrimental to you working night shifts? Yes
TSS 30
No
Details (If yes)
Page 1 of 4 Issue 4:September 2008 Total Security Services, Security House, 485 Hale End Road, Highams Park, London E4 9PT
Criminal Record Information:

Subject to the Rehabilitation of Offenders Act 1974, have you ever been cautioned or convicted of a criminal offence?
Yes
No
If yes, please give brief details: __________________________________________________
____________________________________________________________________
Have any County Court Judgments been issued against you? Yes No
____________________________________________________________________
Have you ever been declared Bankrupt? Yes No
____________________________________________________________________
Education and Qualifications: Do you hold any of the following certificates?

Do you hold a valid SIA Licence? Yes No
Licence number: __________________________ Date Expires: ____________________ Have you passed the Level 2 training course for your SIA Licence? Yes Is your training: (tick box only) Door Supervision No
Security Guarding
Please give the awarding body: (Edexcel, NOCN or City & Guilds) ____________________ Please give the award date: _____________ and certificate number: _________________
Education:
If you have left an educational establishment (school, college, university) within the last five years, please give full details below:
Name of Education Establishment: _________________________________________ Address: _______________________________________________________________ ____________________________________ Dates attended: (Please give month and year) Qualifications gained: Postcode: _____________________ To::__________
From: _____________
__________________________________________ Yes No
Are you currently studying or intending to study in the next six months? If yes, part time? Or full time?
TSS 30
Employment Record:
Please show ALL periods of employment covering the last 5 years, including unemployment and self-employment, with FULL POSTAL ADDRESS (including any service with Armed Forces). Periods of unemployment should also be shown giving the FULL POSTAL ADDRESS of the Department of Employment exchange at which you were registered unemployed. If you were unemployed and not registered, please state unemployed/unregistered and give dates and details of what you were doing. Start with your PRESENT/LAST EMPLOYER and work backwards.
Name and address of Employer Present Employer: Address:
Dates Start Date: (month and year) Finish Date: (month and year)
Reason for Leaving
Post Code: Position Held: Telephone No: Previous Employer: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Employer: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Employer: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Previous Employer: Address: Finish Date: (month and year) Post Code: Position Held: Telephone No: Start Date: (month and year) Start Date: (month and year) Start Date: (month and year) Start Date: (month and year)
Can we contact this employer for a reference? yes / no
TSS 30
Character References:
Please give the name, address, telephone number and occupation of two people, not related to you, who have known you for a minimum of 2 Years within the past 5 Years in a personal capacity, to whom we may approach for a character reference. Please ensure that you gain their permission prior to offering their names as character references. Do NOT include relatives, previous employers or persons residing at the same address as yourself.
Name: Address: Post code: Telephone: Occupation: How long have you known this person?
Name: Address: Post Code: Telephone: Occupation: How long have you known this person?
Personal Statement:
Please use this opportunity to support your application, stating why you would like to work with Total Security Services.
Declaration and Consent:

I understand that if I am offered employment with Total Security Services, I will be required to work day or night shifts including weekends as determined by operational requirements; I understand that employment with Total Security Services is subject to satisfactory references and security screening in accordance with BS 7858 and I undertake to cooperate in providing any additional information required to meet these criteria; I understand, also in accordance with the above, original identity documents produced will be scanned with an ultra violet lamp and any that appear to be forgeries will be reported to the relevant authority; I authorise Total Security Services to approach previous employers, schools/colleges, character referees and government agencies to verify the information I have provided is correct. I also understand and agree that if so required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment; I authorise Total Security Services to make a consumer information search with a credit reference agency, which will keep a record of that search and may share that information with other credit reference agencies. I understand that some of the information I have provided in this application will be held on a computer and some or all will be held in manual records. All information gathered will be handled in accordance with the Data Protection Act 1998. I consent to Total Security Services reasonably processing any sensitive personal information obtained for the purposes of establishing my medical condition and future fitness to perform my duties. I accept that I may be required to undergo a medical examination where requested by the Company. Subject to the Access to Medical Records Act 1988, I consent to the results of such examinations to be given to the Company. I hereby certify that, to the best of my knowledge, the details I have given in this application form are complete and correct and I understand that any false statement or omission to the Company may render me liable to dismissal without notice. Signed: _________________________ Dated: __________________________
If you have not heard from us within 4 weeks of submitting your application, please consider that you have not been successful on this occasion.
TSS 30

TSS 30 - Application Form - SO

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TOTAL SECURITY SERVICES Application Form - Security Officer

Working Holiday Spousal

Details (If yes)

Criminal Record Information:

If yes, please give brief details: __________________________________________________

If yes, please give brief details: __________________________________________________

If yes, please give brief details: __________________________________________________

Education and Qualifications: Do you hold any of the following certificates?

Name and address of Employer Present Employer: Address:

Reason for Leaving

Declaration and Consent:

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