Job Application

This form covers what a BS7858 pre-employment screening check requires: a 5-year checkable history, two personal references, right to work status, and an unspent convictions declaration. Please complete as fully as possible — gaps in your history will need a written explanation.

Personal details

Full name Date of birth Telephone number Email address Current address Role applied for

SIA licence

Required for security guard, door supervisor, CCTV and similar roles. If you don't hold a licence yet, leave the number blank and say so on the form.

SIA licence number (16 digits) Sector the licence covers Licence expiry date

Address history (last 5 years)

List previous addresses, if different from your current one above.

Address 1 From To

Address 2 From To

Address 3 From To

Employment history (last 5 years)

Employer 1 Position From To Reason for leaving

Employer 2 Position From To Reason for leaving

Employer 3 Position From To Reason for leaving

Please explain any gaps in your employment history

Personal references

Two references required — ideally not both relatives.

Reference 1 — Name Relationship Years known Contact (phone or email)

Reference 2 — Name Relationship Years known Contact (phone or email)

Right to work

Status Document reference (passport/visa/share code number)

Criminal record declaration

Do you have any unspent convictions? If yes, please give details