Applicant Employment Education and ProfessionalGapsInstructions
Applicants Personal Details
Position Applied For  * Required Location
Title Current Surname  * Required
Current Forenames  * Required Previous/Maiden Name(s)
Current Address  * Required Postcode e.g. EU126KL
Home Telephone Personal Email
Previous Address
List all addresses in last five(5) years		 1. 2.
3. 4.
5.
Date of Birth  * Required
Format - dd/mm/yyyy e.g. 05/12/1969 		Mother's Maiden name  * Required
Do you have any Unsatisfied County Court Judgements?
(If yes, please provide details)		 Details:
 

Notes to applicant: The information requested in this form is for the sole purpose of conducting a background investigation. Full history must be verified with regard to employment, education, residency, credit files and criminal records. The existence of a prior criminal record will not necessarily make you ineligible for employment. It is our policy to evaluate any adverse information obtained in the background investigation based on a range of factors including, but not limited to employment history and the time, nature and job-relatedness of the offence. The information on this form, along with the final report, will be treated in the strictest confidence and with respect. Information regarding age, sex, religion, national origin and disability will not be a factor in any employment decision including, but not limited to, evaluation, promotion or termination.

PLEASE COMPLETE THIS FORM IN FULL TO PREVENT YOUR APPLICATION BEING DELAYED.

End of Applicant Details, please tab to additional pages if required

Employment History

(Please provide details of employment for the past five(5) years, starting with the most recent).

Current Employer:Position Held: If you do not wish contact to be made, please type -
Company Name: "Do not contact" - after Company name details
  Address:
  Post Code: Telephone:
  Fax Contact/Position:
Dates Employed: From: To:
Please provide details of previous employment below:
Employer 1 Employer 2Employer 3Employer 4
Past Employer 1: Position Held:
  Company Name:
  Address:
  Post Code: Telephone:
  Fax Contact/Position:
Dates Employed: From: To:
 
Past Employer 2: Position Held:
  Company Name:
  Address:
  Post Code: Telephone:
  Fax Contact/Position:
Dates Employed: From: To:
 
Past Employer 3: Position Held:
  Company Name:
  Address:
  Post Code: Telephone:
  Fax Contact/Position:
Dates Employed: From: To:
 
Past Employer 4: Position Held:
  Company Name:
  Address:
  Post Code: Telephone:
  Fax Contact/Position:
Dates Employed: From: To:
 
Education and Professional
Highest Qualification:
Address:
 
Telephone:
Dates Attended:
Qualification(s) earned:

 
Please list professional quals.:
Company and dates:
 


Explanation of Gaps of duration greater than three months.
Please use this field to explain any gaps in,
employment history giving dates and reasons:
Form Submission Instructions

Completing the form is straightforward.

Simply complete all the sections that apply to your application and also to you personally.
The sections are tabbed for your convenience into the most commonly used divisions.
Once you have completed all of the relevant parts then press the submit button.

If the application has been submitted successfully, you will receive a confirmation message from European Background along with our contact details.

John Gunn | Director Implementation and Pre-Sales
European Background
Email: jg@europeanbackground.com
Phone: +44 1962 827772 |

Unit 29, Basepoint, 1 Winnall Valley Road, Winchester SO23 0LD, UK