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2) Where Do You Live
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Have you lived in the UK or another EU country for the last 3 years?*
- Yes
- No
If “no”, please enter your date of entry to the UK or another EU Country:
Country of residence*

3) Current Employment (leave blank if unemployed)
Company Name:
Employers Name:
Company Address:
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Company Email Address:
Company Telephone
Accounts Contact
Accounts Telephone

4) Disability Discrimination
Please read the Discrimination Disclaimer and complete this section.
Do you consider yourself to be a disabled person?*
- Yes
- No
If you are invited for an interview would you require any support or alternative arrangements?*
- Yes
- No
If you are selected to attend a course on our premises, would you require any support or adjustments to the workplace*
- Yes
- No

5) Criminal Convictions
You must tick YES if either of the following statements applies to you:
- You have a relevant criminal conviction that is not spent - (you do not need to declare spent convictions)
- You are serving a prison sentence for a relevant criminal conviction
Do you have a relevant criminal conviction?*
- Yes
- No

6) How did you hear about us?
How did you hear about us?*
If other please specify
Legal confirmation*
Please tick this button to confirm that you agree to the following: 1. Canal Engineering Ltd & CEATA recording, processing and holding sensitive data about you on file. 2. Understand your personal information may be shared with other partner organisations where necessary. 3. When attending your interview you must bring with you proof of identity/residency and evidence of any previous qualifications.
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