Personal Details

Last Name *

First Name *

Address 1 *

Address 2

Town/City *

County *

Post Code *

Please tick this box to confirm you are over 18 (this is required for licensing laws)

Email *

Mobile

Telephone *

* Do you require a work permit to work in the UK?
Yes
No

If yes, please give details:

* Have you ever worked for or applied to work for Luminar Leisure before?
Yes
No

If yes, please give details:

* Do you have alternative employment that you will be undertaking whilst working for Luminar?
Yes
No

If yes, how many hours:

What type of work are you looking for? * Full time
Part-time

Permanent
Temporary

What is your current hourly rate? *

Are you willing to work: *
Evenings
Weekends

If you are currently a student would you be interested in working in an alternative unit at term time/holidays?
Yes
No

Home/Term Address

Non Term Address

How far do you live from the venue? *

* Do you have facilities for returning home at late hours?
Yes
No

Employment

Please fill out your name and address of employer, from, to, position and responsibility and the reasons for leaving. *

DECLARATION OF CRIMINAL CONVICTIONS

* Have you ever been convicted of a criminal offence? (Offences deemed as spent under the Rehabilitation Act 1974 do NOT need to be declared here.)
Yes
No

If yes, please give details:

ENTITLEMENT TO WORK

All prospective staff must produce evidence of their right to work in the UK before they are given employment. Acceptable documents include birth certificate, P45, P60, National Insurance card and passport.

Please tick if you would like to receive information via email from Luminar.

DECLARATION

I give consent to Luminar Plc and its group of Companies to process personal data, and confirm that any individual whose personal information I give the Company, and whose personal data is going to be processed by the Company, have also given their consent for me to do so, in accordance with the Data Protection Act 1998. This includes sensitive personal data, transfer of their information abroad, and the receipt on their behalf of any Data Protection notices. I certify that the information given on this form is correct and I am not withholding any relevant information, I understand that misrepresentation, falsification or omission of factual information requested on this form may lead to dismissal. I understand that if I am offered a position in the Company my engagement will subject to references being received that satisfy the Company, a contractual probation period and to my passing a medical examination if required.