Application Form

Do you hold a full current driving licence? *—Please choose an option—YesNo

Licence Number

Date Licence Issued

Have you ever been disqualified from driving for any period of time? *—Please choose an option—YesNo
If yes please give details

Do you have any endorsements on your licence? *—Please choose an option—YesNo
If yes please give details

Have you ever been refused motor insurace? *—Please choose an option—YesNo
If yes please give details

Have you ever had any criminal convictions? *
Please note this information will in no way affect your chances of exployment but due to the nature of the job we must have this information on our files—Please choose an option—YesNo
If yes please give details

Do you have expreience in road marking? *—Please choose an option—YesNo
If yes please give details

Are you registered disabled or ever been signed unfit for work? *—Please choose an option—YesNo
If yes please give details

Have you/Do you suffere from back problems? *—Please choose an option—YesNo
If yes please give details

Do you have any other health problems? *—Please choose an option—YesNo
If yes please give details

Please confirm if you have any learning disabilities/reading difficulties *
Please note this information will in no way affect your chances of employment but it will help us identify any extra support you may require when undergoing training/taking examinations—Please choose an option—YesNo
If yes please give details

Are you a smoker? *—Please choose an option—YesNo

Hi-Way Services Ltd promotes a strict smoking policy, please confirm that you would be willing to act in accordance with this at all times *—Please choose an option—YesNo

Hi-Way Services Ltd promotes a strict No Drugs/Alcohol policy, please confirm that you would be willing to act in accordance with this at all times *—Please choose an option—YesNo

Please confirm whether you are currently subject to any attachment of earning orders *—Please choose an option—YesNo
If yes please give details

Would you be prepared to accept work on a casual basis and on short notice? *—Please choose an option—YesNo

Would you be prepared to travel and possibly lodge on a short term basis? *—Please choose an option—YesNo
If no to the above why?

Do you plan to exceed your annual holiday allowance? *—Please choose an option—YesNo
If so state how many days

Are you currently employed? *—Please choose an option—YesNo

Reason for leaving current/previous employment *

Should your application be successful please confirm the date you would be available to start work *

When in-charge of a company motor vehicle you will be expected to take full responsibility for any fines/penalties that arise as a result of misuse, I.E. speeding penalties/parking fines. Please confirm that you understand that you are responsible for meeting any costs *—Please choose an option—YesNo

Please give the name, address and phone number of two persons that we may contact for reference purposes *

Please confirm if you have ever had an accident at work and detail any claims made as an outcome *

Please list any qualifications you hold which you feel are relevant

Any comments or information which you consider relevant

Licence Upload
Passport Upload
CV Upload
Please upload these files as required by Section 8 of the Asylum and Immigration Act 1996. If this is not available alternative documents will be required prior to commencement of employment

If you can not attach any of the files requested please state why