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1 Key Details

2 Nationality

3 Marital Status

4 Education & Training

5 Employment History

6 Reference Details

7 Screening Disclaimer

8 Door Supervisor Test

Introduction
Please read each question / required information request / declaration carefully before answering, then complete the application form in black or blue ink and in your own handwriting. If you require assistance, please ask the interviewer
Start Date & SIA Details
Date Available to Start
SIA Badge Number
SIA Badge Expiry Date
Personal Details
Surname
Surname at Birth (if different)
Any other surname used
Forename
Middle Name(s) if any
Date of Birth
Age
Place of Birth
National Insurance Number
Address (Including Postcode)
How long have you resided at this property?
Home Telephone
Mobile Telephone
Email address

Questionnaire
Please complete the following by answering NO or YES and providing brief detailsYou are not obliged to declare spent convictions
Have you been fined, sentenced to imprisonment, discharged on payment of costs or had any order made against you by a criminal, civil or military court or public authority?
Details for previous (if applicable)
Serious Motoring Convictions
Details for previous (if applicable)
Do you have any offences awaiting trial or pending prosecution ?
Details for previous (if applicable)
Are you or have you ever been declared bankrupt or subject to a bankruptcy order? Do you have a CCJ (s) over £10,000 ?
Details for previous (if applicable)
Have you ever been subject to action under The Mental Health Act 1983 or suffered / been treated for mental health issues:
Details for previous (if applicable)
Have you or any relatives or friends ever been employed by Doorsec:
Details for previous (if applicable)

Education & Training
This section must completed if you have left School / College / University in the last 5 years.
Secondary School Education
Name and Address of Secondary School attended
Subjects Studied
Is the school still open?
College / University Education
Name and address of institutions attended (also include dates of attendance)
Subjects Studied
Grades
Membership of Professional Institutions / Bodies
Further Training Courses Attended

Record of Employment / Personal History
Please show ALL periods of employment including self employment and any services with armed forces. For periods of unemployment, enter dates below. You will be required to obtain a letter from the Job Centre confirming the dates of unemployment.Gaps in employment / unemployment must not exceed 30 days.Please start with your PRESENT TO LAST EMPLOYER and work backwards.
Employer 1 - Start Date
Employer 1 - End Date
Employer 1 - Name & Address
Employer 1 - Position Held
Employer 1 - Reason For Leaving
Employer 2 - Start Date
Employer 2 - End Date
Employer 2 - Name & Address
Employer 2 - Position Held
Employer 2 - Reason For Leaving
Employer 3 - Start Date
Employer 3 - End Date
Employer 3 - Name & Address
Employer 3 - Position Held
Employer 3 - Reason For Leaving
Employer 4 - Start Date
Employer 4 - End Date
Employer 4 - Name & Address
Employer 4 - Position Held
Employer 4 - Reason For Leaving

Previous History / Reference Details
Please provide details of a person who is willing to provide a character reference for you. The person must have known you for at least two years.They must not be related to you and they must not be a former employer.Doorsec will write to confirm the person’s knowledge of you.
Character Reference Details :
Name
Telephone Number
Email Address
Known For
To
Previous Address History ( past 5 Years ). Please include Postcode
From
To

SCREENING AND VETTING AUTHORISATION
I AUTHORISE DOORSEC (SECURITY) UK LTD TO CONDUCT ANY CHECKS NECESSARY IN ORDER TO PROCESS MY APPLICATION FOR EMPLOYMENT WITH THE COMPANY. THESE CHECKS MAY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING : EMPLOYMENT REFERENCE and EDUCATIONAL REFERENCE CHECKS PROVIDED BY THE APPLICANT PERSONAL REFERENCE CHECKS PROVIDED BY THE APPLICANT SIA LICENCE VERIFICATION GOVERNMENT / RELEVANT AGENCY INFORMATION CHECKS (DWP / HMRC etc.) RIGHT TO WORK ELIGABILITY CONSUMER REFERENCE (CCJ & DEBT) / BANKRUPTCY CHECKS CRIMINAL RECORDS BUREAU I understand that any information I have supplied to Doorsec (Security) UK Ltd as part of, or in support of, this application for employment which proves to be false, misrepresentative, fraudulent or ambiguous may lead to withdrawal of an employment offer, disciplinary action or termination of employment with the company without notice.
Type Name
Date

Door Supervisor Scenario Test
( Please Tick One option only )
When performing ID checks, what ID should be accepted ?
When marshalling the Queue, you should….
If asked to carry out a request from a venue manager that you feel is dangerous, do you….
You see a large brawl involving two groups of males. Do you….
You see a customer who appears in severe distress with a leg injury inside the bar. Do you……
When requesting a search from a customer you suspect of possessing drugs, do you…..
When involved in a physical confrontation where violence is used against you, do you…..
In the event of a fire alarm, what action would you take ?
If you see a fire in the DJ Box, what should you do?
Green and White Signs mean ?
You see a person acting suspiciously / taking photos of buildings / looking for cctv cameras etc. You should
A person entering a venue carrying a large bag should
If you find an unattended bag / package in a venue you should
In the event of an emergency / evacuation, you should
In the event of an emergency / evacuation, you must

Need help with your application?

Feel free to call our office on 0800 0387 109, if you have any queries about your online application, alternatively email info@broadeaves.org.uk