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APPLICATION FORM

PRIVATE AND CONFIDENTIAL

APPLICANTS MUST BE AGED 18 AND ABOVE As an employee of Xtra-vision you will have a very important role to play in ensuring the success of your store through satisfying the many customers who will require your assistance. To help you to achieve this objective and in keeping with our core value of DEVELOPMENT AND LEARNING we will train you to do your job and give you the opportunity to use your skills and talents. This is your opportunity to tell us as much as possible about yourself. It will help us to make a fair decision to select the people who can naturally give outstanding customer service. Please read the form thoroughly, then complete it carefully, in your own handwriting. SOME GUIDELINES TO HELP YOU

(Please tick  boxes as appropriate)

ABOUT YOU

Please complete the following details clearly in BLOCK CAPITALS Surname

Previous Address 1

(If less than 5 years at present address)

First Name(s)

Present Address Phone No.

Post Code

Previous Address 2

(If less than 5 years at present address)

Post Code

Post Code

PPS (PRSI) No.

Are you aged 18 or above?

Have you previously worked for Xtra-vision?

If 'Yes' which store(s) Dates: From

Yes J

Yes J

To

Are there any legal restrictions on you working in Ireland?

No J

No J

Reason for Leaving

J Store Manager (approx. 39 hours per week)

POSITION APPLIED FOR

J Customer Service Representative Full-time (approx. 35 hours per week)

J Customer Service Representative Part-time (hours by agreement) Please state your preferred store location(s) HOURS YOU ARE AVAILABLE TO WORK

Xtra-vision trading hours range from 10am to 12 midnight. Please indicate the hours you are available for work and we will try to facilitate you as best we can. FROM TO

Sun

Mon

Any comments regarding your flexibility

Tue

Wed

Thur

Fri

Sat


If you have not held a job, have been studying or are returning to work after a break, tell us what you have been doing.

YOUR HOBBIES & INTERESTS

If necessary please use this section to tell us other information about yourself and your experience that you feel will support your application.

Have you ever been convicted of a criminal offence? If 'yes', please give full details.

REFERENCES

Please give the names, addresses and telephone numbers of two people whom we may approach for reference. If previously employed, one of these references should be your current or most recent employer.

Name

Name

Address

Address

Occupation

Occupation

Post Code

Post Code

Phone No.

Phone No.

Please tick this box if present employer should not be contacted without first notifying you

J

By providing the information contained within this application form, you are consenting to its use for the processing of your application and monitoring the efficiency of our recruitment and selection procedures. DATA PROTECTION

DECLARATION

I confirm that to the best of my knowledge the above information is true, accurate and complete. I understand that the Company will reserve the right to dismiss me should the information given by me prove to be inaccurate or misleading in any way. Signature:

Date:

To ensure consideration for interview, please return your completed application form to: Human Resources Dept., Xtra-vision Support Office, Greenhills Road, Tallagt, Dublin 24.


Schools Attended

YOUR EDUCATION & TRAINING

Dates From

Further Education (including college/ university/professional qualifications, raining courses) From

To

To

Examinations Taken/Results

Course/Qualifications

Start with your present or most recent employer and work backwards. Continue on a separate sheet if necessary. Name/Address of Employers Position held & your and Type of Business From To responsibilities Reason for Leaving

YOUR WORK EXPERIENCE

Will you be remaining in the employment of your current employer?

Notice required to leave current employer?

Current rate of pay?

Yes J

No J


PLEASE TELL US HOW YOU FOUND OUT ABOUT THIS VACANCY (Please tick  as appropriate)

Local Newspaper

J

Recruitment Poster

J

Via an Xtra-vision employee

School/College/University

J

Other

J

In Store

J

J

(please specify)

OFFICIAL USE ONLY Application Form Date received: P J

R J

H J

Reason:

(Proceed, Reject, Hold)

Initials:

Interview Date: Successful

Job Offered Start Date: Report to:

Comments:

Time: J

Unsuccessful Yes

J

No

Interviewer(s) : J

J

Start Time:

Reserve

J

Job Accepted

Yes J Store:

Initials:

No

J

Xtra-vision Job Application Form ROI  

Xtra-vision Job Application Form - Republic of Ireland

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