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Apply To Join Our Team

Boxes marked * are required

Hours when you will be available for work (please tick):

Day of the Week
7am to 12pm
12pm to 6pm
6pm to 12am
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

PRE –EMPLOYMENT MEDICAL QUESTIONNAIRE

In order to ensure that you are able to carry out the job safely and without risk to yourself and others we ask you to provide certain information. This also helps us determine whether we may need to make any reasonable adjustments to assist you in performing the job in accordance with the requirements of the D.D.A.

If you have experienced any of the following then please list below:- Circulatory problems, heart problems, respiratory problems, diabetes, epilepsy, skin disorders, recent operations, bone fractures, back trouble, arthritis, rheumatism, injuries joint tendons, eye problems, hearing difficulties, food poisoning, prolonged diarrhoea:

If you have detailed medical problems above then we may ask you to complete a more detailed health declaration, seek your written permission to approach your Doctor or to refer your application and proposed Job Description to the Company Doctors who offer us an Occupational Health Screening Service.

Many of the jobs at Fairlawns require team members to be on duty on special days. Are you prepared to work on the following days?

Please give brief details of your last three jobs or any work experience you have undertaken.

All information disclosed will be treated in the strictest confidence and will be used only for the the purposes detailed in the Data protection Act. It is the policy of Fairlawns that there shall be no discrimination in respect of sex, colour, religion, race, ethnic origin or nationality and that equal opportunities shall be given to all applicants and employees.