New Forklift Instructor Details Form

* = Required Field

Instructors Name

First Name*

Surname*

If you are trading under a company name, please put it here

Address Details
Address:

Address:

Town/City:

County:

Postal Code:

Contact Details
Home No.*

Mobile No.*

Email.*

Personal Information
Date of Birth. (DD/MM/YYYY)

National Insurance No.

Current Driving Licence.*
---No Driving LicenceProvisional Driving LicenceFull Driving LicenceAutomatic Only Driving Licence

Right to work

Do you have the right to work in the UK?*
 Yes No

Do you have a current work permit?*
 Yes No

Are there any restrictions on your right to work in the UK?*
 Yes No

If Yes, please give details

Criminal Record

Have you ever been convicted of a criminal offence or do you have pending court offences?*
 Yes No

If Yes, please give details

Forklift Work Experience
Year Passed Forklift Certification:* (DD/MM/YYYY)

Instructor Certificate Renewal Date* (DD/MM/YYYY)

Truck Types (Please Select All That Apply)*
 Counterbalance Truck Flexi Trucks Combi Lift Trucks Lorry Mounted Trucks Turret Trucks Lorry Mounted Cranes Reach Trucks Hand Pallet Trucks Order Picker Trucks Stacker Trucks Working Platforms Other

Other Trucks, Please List:

Certificated Body (Please Select All That Apply)*
 R.T.I.T.B. ITSSAR NPORS AITT In House Other

Other Certificated Bodies Information

Last Issued Certificate Date: (DD/MM/YYYY)*

Work Details
Distance Willing to Work (From Home Postcode)*
---Up to 1 MileUp to 10 MilesUp to 20 MilesUp to 30 MilesUp to 40 MilesUp to 50 MilesUp to 75 MilesUp to 100 MilesUp to 200 MilesNational

Contract Type:*
 Permanent Temporary Either

Hours Required (Tick all that apply):*
 Full Time Part Time Zero Hour Contract

TImes of availability:*
 Mornings Afternoons Evenings Night Shifts Weekend Weekday

Additional Information (Please Add As Much As Possible)

CV Upload:

Certificate Uploads: