Personal Details
Post Code *
Please tick this box to confirm you are over 18 (this is required for licensing laws)
Email *
If yes, please give details:
If yes, please give details:
If yes, how many hours:
What is your current hourly rate? *
Are you willing to work: *
Evenings Weekends
Home/Term Address
Non Term Address
How far do you live from the venue? *
* Do you have facilities for returning home at late hours?
Yes No
Employment
Please fill out your name and address of employer, from, to, position and responsibility and the reasons for leaving. *
Declaration of criminal convictions
* Have you ever been convicted of a criminal offence? (Offences deemed as spent under the Rehabilitation Act 1974 do NOT need to be declared here.)
Yes No
If yes, please give details:
Entitlement to work
All prospective staff must produce evidence of their right to work in the UK before they are given employment. Acceptable documents include birth certificate, P45, P60, National Insurance card and passport.
Please tick if you would like to receive information via email from Luminar.
Declaration
I give consent to Luminar Plc and its group of Companies to process personal data, and confirm that any individual whose personal information I give the Company, and whose personal data is going to be processed by the Company, have also given their consent for me to do so, in accordance with the Data Protection Act 1998. This includes sensitive personal data, transfer of their information abroad, and the receipt on their behalf of any Data Protection notices. I certify that the information given on this form is correct and I am not withholding any relevant information, I understand that misrepresentation, falsification or omission of factual information requested on this form may lead to dismissal. I understand that if I am offered a position in the Company my engagement will subject to references being received that satisfy the Company, a contractual probation period and to my passing a medical examination if required.
