Application Form

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Completion of this application form does not entitle anyone to work with or through Sam Sykes Ltd. Work will not be offered until a recruitment process including and interview and online induction process has taken place. This may be waived in the case of those who have worked for Sam Sykes Ltd in the 2 years prior to filling in this application form.

Personal Details - all details given will be held securely by Sam Sykes Ltd and will not be shared with any third party without your express permission. Should Sam Sykes Ltd be required by regulation to share any details (for example DBS number) you will be informed of this prior to this happening.

Sam Sykes Ltd reserves the right to carry out Right To Work Checks and seek references for all employees and freelance staff in compliance with current regulations.

Sam Sykes Ltd reserves the right to use the information given on the following pages to best apportion work.

Required boxes are highlighted in green.

Your Details

First Name

Surname

Known As

Address

Phone

Mobile

Date of Birth

Profile Picture

Do you give permission to use photos of yourself in publications?

Yes

UK Right to Work

You must provide atleast 2 of the following...

Passport

Driving License

Birth or Adoption Certificate

P45, P46 or NI Card

Do you have the right to work in the UK?

Yes

Next of Kin

Sam Sykes ltd is required to hold Next of Kin (NOK) details for all staff in case of accident, please supply these below.

First Name

Surname

Phone

Relationship

Personal Statement

Please give a Personal Statement

If Sam Sykes Ltd is approached by a 3rd party requiring staff are you happy to be contacted?

Yes

Reference #1

First Name

Surname

Relationship

Reference #2

First Name

Surname

Relationship

Disclosure and Barring Service (DBS)

DBS certificate

Certificate Number

Date Issued

Are there any reasons which might restrict the work you can carry out for Sam Sykes Ltd?, ie but not restricted to:

Ongoing enquiry (disciplinary, safeguarding or criminal), limits of right to work, physical limitations not specified in the pre employment medical questionnaire

Yes

National Governing Body and Technical Qualifications

NGB qualifications will be used to provide proof of technical competency. This may be augmented and enhanced with technical and site specific sign off from duly appointed Subject Matter Experts. Holding a qualification at a certain level does not guarantee offers of work at that level.

Mountain Training

	Date Achieved	Candidate Number	Upload Certificate
RCI
RCDI
LL/CLA
HML
ML Summer
ML Winter
MCI
WMCI
BMG Trainee
BMG Aspirant
BMG/IFMGA Carnet

Please complete for all levels you can Assess or Supervise. For D of E qualifying expeditions we may give preference to those who hold the appropriate level of Assessor Award.

D of E Award Scheme

	Date Achieved	Renewal Date	Certificate Number	Upload Certificate
Supervisor
Assessor Bronze
Assessor Silver
Assessor Gold

Driving License

	Date Achieved	Renewal Date	Driving License Number	Upload Document
UK Driving License

Have you any current endorsements/restrictions? If so please detail below:

First Aid

	Date Achieved	Renewal Date	Certificate Number	Upload Certificate	Provider
16hr Outdoor
Advanced Course
Professional (ie Paramedic)

Please state Professional Qualification

Advanced Course Title (if relevant)

Are you a Mountain / Search and Rescue team member? If so please state team below.

Safeguarding

Sam Sykes Ltd reserves the right to prioritise staff who have safeguarding training for certain work opportunities.

Safeguarding

	Date Achieved	Renewal Date	Certificate Number	Upload Certificate
Training

Course Title

Provider

Safety Document

Click the PDF below to download the Sam Skyes Ltd Company Policy Document

I have read and accept the terms set out in the Company Policy Document

Submit Application

This is the first stage of application to work for Sam Sykes Ltd. Next we shall contact you to arrange an interview and give you links to the induction process.
Please be aware that this may take a little time.

Submit

Your Details

UK Right to Work

Next of Kin

Personal Statement

Reference #1

Reference #2

Disclosure and Barring Service (DBS)

National Governing Body and Technical Qualifications

Mountain Training

D of E Award Scheme

Driving License

First Aid

First Aid

Safeguarding

Safeguarding

Safety Document

Submit ApplicationThis is the first stage of application to work for Sam Sykes Ltd. Next we shall contact you to arrange an interview and give you links to the induction process.Please be aware that this may take a little time.

Submit Application

This is the first stage of application to work for Sam Sykes Ltd. Next we shall contact you to arrange an interview and give you links to the induction process.
Please be aware that this may take a little time.