Caffé Nero





RECRUITMENT

Application Form First name Family name Email * Would you like to work Full time (35/40 hours) Part time (20 hours) Contact Telephone * Nearest tube / train station to where you live Which position are you applying for Barista Shift Leader How long would you like to work with Caffe Nero? Are there any days or times when you would be unable to work? (If yes please give details) Do you have any conditions that may be considered a disability under the Disability Discrimination Act 1995? (If yes, please give details) Previous Employment - Please give details of your last three jobs Last job Company & type of business Job title & rate of pay Reason for leaving Start date (month/year) End date (month/year) Part time or full time Part time Full time Job Two Company & type of business Job title & rate of pay Reason for leaving Start date (month/year) End date (month/year) Part time or full time Part time Full time Job Three Company & type of business Jon title & rate of pay Reason for leaving Start date (month/year) End date (month/year) Part time or full time Part time Full time Equal Opportunities For Health & Safety reasons, please indicate which age bracket you fall into Under 18 Over 18 Are you eligible for employment in the UK? (In accordance with the Asylum & Immigration Act 1996 you will be required to provide proof of your right to work in the UK) Yes No Do you suffer from any conditions that may affect your ability to work with Caffe Nero? Yes No Do you have any criminal convictions that are not considered spent under the Rehabilitation of Offenders Act 1974? Yes No Declaration I confirm that the information above is correct. I understand that any false information or deliberate omissions disqualify me from employment with Caffe Nero, or render me liable for dismissal. Yes No Privacy Caffe Nero will store the data on this form within the provisions of the Data Protection Act 1998.

Caffè Nero Group Plc, Head Office: 3 Neal Street, London WC2H 9PU Tel: 020 7520 5150