Please enter the job role and location* Name* Address*
Please answer the following questions:
Please state whether you have any specific requirements or need any adjustments in order to attend the interview?
We require candidates with the following particular physical/mental condition for this role. A good level of general fitness, enough to enable the following without incurring physical ailments:-
Running short distance – 25 metres*YesNo Walking, at times ranging from half an hour to four hours during a shift, occasionally longer*YesNo Being able to participate in physical intervention situations which necessitate being able to bend down, move fast, get up from a kneeling or sitting position, see what is coming towards you or from either side, being able to hear your colleagues call out you or give you directives to ensure a safe working environment.*YesNo Be able to facilitate and join in a variety of physical activities such as bowling/trampolining/swimming/gardening etc. *YesNo Be able to tolerate and manage personal stress in a manner conducive to the working environment*YesNo I declare the above answers to be true and correct in every respect. I am prepared to undergo a medical examination at the Company’s request if this is required. I understand and accept that if any information given by me in this questionnaire is incorrect or untrue, then the Company reserves the right to immediately terminate my employment with them. Doctor's Name and Address*