Employment
Application
NAME:
POSITION APPLIED FOR:
CITY/TOWN:
Name Forename Surname
Address Date of Birth:
/ /
Postcode
E-Mail Address
Telephone No. - Home
Telephone No. - Mobile
National Insurance No.
Next of Kin
Emergency Contact
Their Address
Their Telephone No.
Do you have any relations in our employment? If yes, please give name(s)
Have you applied to us before? If yes, please give details
Have you been employed by us before? If yes, please state when and where
What are your salary expectations?
Period of notice required before joining this
company.
Do you have a preferred location? If so, why?
Would you be willing to relocate to another
area?
Have you ever been convicted of any offence? If yes, please give details
(including cautions)
Have you any pending convictions? If yes, please give details
You should be aware the company may approach the Criminal Records
Bureau at any time to check the criminal record of an individual. Your
application and signature will be taken as consent to run this check.
State approx. number of days absent from work
during the last 2 years due to injury and/or
sickness.
Your application will be taken as consent for the company to hold
records of your sickness and absence. This will be used to keep under
review the ability of employees to undertake the work for which they
were employed.
Would you be prepared to take a Medical at our
expense?
Please let us know about holiday commitments,
weddings etc.
Interests/Hobbies
Non-EC Nationals only are required to complete this section
Nationality Passport No.
Issued at Expiry date
Are you required to have a work permit? Yes No If yes, please answer the following questions
Category of work permitted
Police Book No. Expiry date
EDUCATION
Type of Name and address of Subjects Studied Last Year
School/College School/College Attended
QUALIFICATIONS
List all examination results and memberships of Professional Organisations
EMPLOYMENT HISTORY
List details of past employment, beginning with most recent (continue on a separate sheet of paper if necessary).
Your continued employment is subject to receipt of at least two references and completion of a medical
questionnaire that are satisfactory to ourselves.
Name and Address of Company Position Held Dates employed Reason for leaving
From
Salary To
Telephone Number
Name and Address of Company Position Held Dates employed Reason for leaving
From
Salary To
Telephone Number
Name and Address of Company Position Held Dates employed Reason for leaving
From
Salary To
Telephone Number
If there are any of the above whom you do not wish us to contact, please state below:
___________________________________________________________________________________________
___________________________________________________________________________________________
Please provide two personal referees (not members of your family)
1. Name ________________________ 1. Address __________________________________________________
2. Name ________________________ 2. Address __________________________________________________
Have you ever been dismissed or obliged to resign from any position? Yes/No
If Yes, please give details:
___________________________________________________________________________________________
___________________________________________________________________________________________
Continued overleaf
Please sign on reverse
Please list below all the casino games you know how to deal and/or inspect, Do you hold a current Gaming Board License?
indicating amount of experience.
Game Deal/How Long Inspect/How Long When & Where Trained YES/NO. If YES, what type? __________________
Blackjack Please detail other casino experience or casino
skills you possess (Instructor, Cash Desk, Security,
Punto Banco
Managerial, etc.).
American Roulette
_______________________________________
Dice
CSP _______________________________________
Other ________________________________________
Please consider the following points before signing the application form. If you are invited to attend an interview
they will be discussed.
You will frequently be required to work weekends, Bank Holidays and until the early hours of the
morning (currently beyond 4 am)
You will often work under pressure, croupier work does require repetitive action & postural loading
Consider how you will get into and home from work and any disruption the hours might make to
home life
You will be working in an area where smoking is permitted in public and staff areas
I confirm that the information I have given in this application is to the best of my knowledge true and complete.
Any false statement may be sufficient cause for rejection or, if employed, dismissal.
Date: Signature:
Grosvenor Casinos is an equal opportunities employer and welcomes applications from all sections of the community.
FOR OFFICE USE ONLY
Interviewer’s Comments
Date Signature
Telephone References
Remember to obtain written references.
Ref. Requested by Obtained From Date Manager’s Signature Comments
Decision
Offer No Interest Hold Until ____________________
Date Signature
Approved Approved
Date Signature
PN004
