Job Application – Highway Electrical Maintenance Operative – Dorest Job Application - Highway Electrical Maintenance Operative - Dorest Your Details First name Last name Date of Birth Address Postcode Email Phone Number Employment History Current or Most Recent Employer Name of employer: Address: Postcode: Job title: Start Date: End Date:N/A Reason for leaving: Do you have a notice period: Duties: Experience How many years of electrical experience do you have? How many years of electrician experience do you have? Right to work in the UK Do you need a work permit to work in the UK? YesNo References Please give the names and contact details of 2 people who we can ask to give you a reference. We may ask them before an employment offer is made. We will not ask your current employer until we get your permission. Referee 1 Name of Referee: Address: Postcode: Referee Relationship: Referee 1 email: Referee 1 Phone Number: Referee 2 Name of Referee: Address: Postcode: Referee Relationship: Referee email: Referee Phone Number: Please list 2-3 dates and time ranges when you could do an interview Upload CV Declaration I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal. Name: Signature: Date: Δ