Haskins Garden Centres

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Application for employment


Please complete and submit the following form ensuring all fields highlighted in bold are completed.

Position applied for

Date of application

Your details


First name

Middle name


Known as

Email address

Contact telephone number

Address including post code

Statutory requirements

(The Children and Young Persons Act 1993)

To ensure statutory requirements relating to young workers are met please answer the following question. Are you under 18?YesNo

If Yes please enter your date of birth

Right to work in the UK

(Asylum and Immigration Act 1996)
I can provide confirmation that I am legally entitled to work in the UK YesNo
You’ll need to produce original documents to prove your eligibility at the interview/assessment stage.


Reasonable adjustments

(The Equality Act 2010)

Do you have any special requirements we should know about if you’re invited to an interview/assessment? YesNo

If Yes please give details:

Employment history for the last five years

(Please start with current or most recent)

Current/last employers name

Address including post code

Period of employment

Position held

Main duties / responsibilities

Reason for leaving

Please use this area to provide additional previous employment history

Please tell us about any periods of non-employment (if applicable)


Please give details of the School/College/University, dates attended and grades / qualifications achieved

Please give details of any technical or professional qualifications and dates awarded

Please give details of any further training courses attended that are relevant to your application

You and your application

Please tell us why you have applied for this job and why you think you are the most suitable candidate (max 250 words)

Please tell us about your hobbies / interests


Any offer of employment is subject to receipt of two satisfactory references. Please give details below of your referees, at least one of which should be your current or most recent employer. If you do not have any previous employment, please provide at least one academic reference. Please note: Referees will not be contacted unless we offer you a job.

Reference 1

Reference 2

Rehabilitation of offenders

Have you been convicted of a criminal offence which IS NOT spent under the Rehabilitation of Offenders Act 1974? YesNo

If Yes please provide details

Applicant’s declaration

By ticking this box you are agreeing to the following terms:
I declare that to the best of my knowledge and belief the information contained in this application is correct. I accept that providing deliberately false or misleading information may result in my dismissal. I consent to this information being held on file and treated as part of any subsequent contract of employment.

Equality and diversity monitoring

Haskins Garden Centres wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.
The Company needs your help and co-operation to enable it to do this, but filling in this form is voluntary. The information you provide will stay confidential, and be stored securely and limited to only some staff in the company’s Human Resources department.

Gender:MaleFemalePrefer not to say

Are you married or in a civil partnership?:YesNoPrefer not to say


What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box:

Any other white background, please write in:

Mixed/multiple ethnic groups:
Any other mixed background, please write in:

Asian/Asian British:
Any other Asian background, please write in:

Black/ African/ Caribbean/ Black British:
Any other Black/African/Caribbean background, please write in:

Other ethnic group:
Any other ethnic group, please write in:

Do you consider yourself to have a disability or health condition? YesNoPrefer not to say

What is the effect or impact of your disability or health condition on your ability to give your best at work?

The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is your sexual orientation?
If other, please write in:

What is your religion or belief?
If other religion or belief, please write in:

What is your current working pattern?

What is your preferred flexible working arrangement?
If other, please write in:

Do you have caring responsibilities? (please tick all that apply)

NoPrimary carer of a child/children (under 18)Primary carer of disabled child/childrenPrimary carer of disabled adult (18 and over)Primary carer of older personSecondary carer (another person carries out the main caring role)Prefer not to say

Please enter the characters above before submitting this form

Please ensure you've ticked the declaration box within this form before submitting your application.

Select a location:

If you would prefer to complete a hard copy version of this form, you can access and print a PDF version of this form by clicking the button below. Please post your completed application form to:

Personnel Department, Haskins Garden Centres Ltd, Head Office Building, Longham, Ferndown, Dorset BH22 9DJ