Pre-employment Questionnaire

Maximum file size: 8MB

Former Occupation(s)
Please provide some detail concerning previous jobs in which you have worked.
Please answer yes or no to the following questions. If yes please give details.
One unit of alcohol is equivalent to one half pint of beer, one glass or wine or one measure of spirit.

Have you ever had or do you currently have:

I understand that the purpose of this pre–employment questionnaire is to confirm that:

  • I am fit for the position I have applied.
  • I can perform my duties safely and without risk to the health and safety of others.
  • I can render reliable and productive service for my employer

I declare that the information I have given is true and accurate to the best of my knowledge and that I have not withheld any material facts. I understand that I am responsible for the accuracy or otherwise of the answers above. I understand that if I have knowingly withheld material facts this may affect my appointment.