Role Applied For:

Location Applied For:

Applicant Name:

Recruiting Great Colleagues

Application Form
How did you hear about the vacancy?
In Store
B&M Website
Online Job Board (please Specify)
Job Centre
Work Programme
Other (please specify)
Applicant Details
First Name: Surname:

Title: Mr/Mrs/Miss/Ms/Other NI Number:

Address: Is this your permanent address: Yes No

Post Code:

Telephone:

Mobile:

Email:

Name of friends/relatives employed by B&M

Education & Qualifications:

Education History:

Training (if any):

2
Employment History and References
Dates: Current/last and previous Job title & duties Reason for leaving
from - to employer

Current/last Employer Name:

Address:

Tel. No:

Contact name:

Previous Employer Name:

Address:

Tel. No:

Contact name:

References:
May we ask your current/last employer for Yes No Contact name:
a reference?
May we ask your previous employer for a Yes No Contact name:
reference?

Other details:

Do you have the right to work in the UK? Yes No

Have you ever been convicted of a criminal offence (which is not a spent Yes No
conviction within the meaning of the rehabilitation of offences act 1974)?
If yes, please give details.

3
Availability Checklist and Additional Details
Please tick the boxes that fit your availability, and specify the hours that you are available.

Morning Afternoon Evening Fully

Flexible

Sunday

Monday

Tuesday

Wednesday

Thusday

Friday

Saturday

Stock Take:
All store employees are required to work STOCKTAKE even if it is not your usual working day or you haven’t
ticked availability for this day. You will be given adequate notice of this date to make suitable
arrangements.

Please comment below why you are unable to work particular days/hours. Bank holidays are treated
as a normal working day.

Additional details:

This role may require heavy lifting and manual work. If you have any restrictions, please tell us about
any adjustments we may need to make to assist you in carrying out your role:

Name Signature Date