Driver application Form - South Coast Logistics

Fields marked with an * are required

PLEASE ENSURE THAT YOU READ THIS APPLICATION FORM, COMPLETE ALL SECTIONS AND SIGN THE BACK PAGE AS INCOMPLETE APPLICATION FORMS WILL NOT BE PROCESSED.

Are you willing to work overtime and weekends when required?

Section 1

Depot applied for *

Personal Details : (Block capital letters)

First Name *

Surname *

Phone No (Home) *

Mobile *

Email *

Full Home Address *

Sex(M/F)

Male

Female

Date of Birth

Country

Section 2

IT IS IMPORTANT THAT YOU FULLY COMPLETE THIS SECTION AND THAT THE CORRECT INFORMATION IS GIVEN. WHERE NECESSARY DETAILS PROVIDED SHOULD BE VERIFIED BY YOUR DOCTOR.

Medical Details

Do you have any medical conditions that would prevent you from carrying out the duties of a ADR driver in a safe manner?

Yes

If yes, please add further details.

Section 3

Training and Qualification Details

Digital Driver Card Details

DIGITAL DRIVER CARD DETAILS MUST BE PROVIDED. FAILURE TO COMPLETE ALL SECTIONS WILL RESULT IN YOUR APPLICATION BEING REJECTED. INSERTING "CARD APPLIED FOR" OR SIMILAR WILL NOT BE ACCEPTED

Valid from

Card Number:

Driving Record:

Have you had an accident in the past 3 years ?

Yes

If Yes, please supply details

Licence Detail:

Licence Number

Expires

Class (es)

Year Experience

Does your licence carry endorsement / penalty points?

Yes

If Yes, please supply details

ADR Licence Number:

Expires:

Category (s):

Driving Experience Details:

Tautliners

Number Of Years:

Tankers

Number Of Years:

Artic

Number Of Years:

Containers

Number Of Years:

Section 4

Employment Detail

PLEASE GIVE DETAILS OF YOUR EMPLOYMENT HISTORY OVER AT LEAST THE LAST 3 YEARS, STATING YOUR MOST RECENT POSITION FIRST AND WORKING BACKWARDS, EXPLAINING CLEARLY ALL GAPS IN YOUR EMPLOYMENT HISTORY.

Name of Employer 1:*

Contact Number:*

Address of Employer 1:*

From

Name of Employer 2: *

Contact Number *

Address of Employer 1 *

From

Section 5

Supplementary Information

Are you willing to work overtime and weekends when required?

Yes

If Yes, please supply details:

Are you subject to any restraints which may affect your current or future employment?

Yes

If Yes, please supply details:

Do you have any pre-existing holidays arranged?

Yes

If Yes, please supply details:

If offered a position at South Coast, how much notice must you give your current employer?

Have you ever been convicted of a Criminal Offence?

Yes

If Yes, please supply details:

Section 6

References

Referee One:

Name:

Telephone Number:

Company:

Full Address:

Telephone:

Email:

Referee Two:

Name:

Telephone Number:

Company:

Full Address:

Telephone:

Email:

Section 7

As a requirement for successful employment as a driver within South Coast Logistics(Southcoast), it is necessary for us to have access to certain information about you. Southcoast will only request and store information relevant to your employment and in line with GDPR regulations

Employment offers will be subject to satisfactory references, I hereby give permission to southcoast to contact references listed on the application and authorisation from you to access these records.

Please ensure that your application is complete and check that the following have been submitted, incomplete applications will not be assessed.

* All sections completed:

* Copy of your CV

Please submit your C.V. to jobs@southcoast.ie

DECLARATION

I declare that the information given by me on this form is true and accurate and that I understand that any false or misleading information or deliberate omissions will disqualify me from, or render me liable to dismissal from the employment of South Coast Logistics. I give permission for southcoast to keep this information on file for a period of 6 months from the date of my application.

Yes

Type name:

Date:

I give permission for southcoast to keep this information on file for a period of 6 months from the date of my application.