APPLICATION FOR EMPLOYMENT

Position Sought: Store/Location Ref:

Thank you for applying for a position with JJB Sports Plc. Your details will be treated in the strictest of confidence. In order for your application to be processed please complete all sections using block capitals. All candidates invited for interview will be asked to produce proof of eligibility to work in the UK. Failure to do so will lead to your application being declined. Personal Details Surname: Telephone Number: Mobile Number: Full Postal Address: First Name: Email Address: National Insurance Number:

Postcode:

Are you related to anyone in the company? Please give details: Have you previously worked for this company? If so give details:

Yes.

No.

Yes.

No.

Have you ever been convicted of a criminal offence? (Please disregard any convictions considered spent under The Rehabilitation of Offenders Act 1974). Yes. No. If yes, give details:

Expected salary / rate of pay: Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK? Yes / No If yes please provide details If you were successful in your application would you require a work permit prior to taking up employment? Yes / No Education Name of school/college/university/training attended Name, level and grades obtained Date qualification awarded

Present / Last Employment Name and address of employer:

Job title: Start Date: Brief description of main duties:

Salary: Leaving Date:

Notice Period:

Reason for leaving:

Previous Employment continue on separate sheet if necessary Name of employer Job Title Period of employment from to Reason for leaving

Evidence of your suitability for the vacancy Please provide details of the relevant skills, experience and knowledge that you have, which you feel will support your suitability for this role. These may be gained from your life and work experience (paid or unpaid), education, training, or hobbies and interests. Where possible provide examples of how you have put these into practice and to what effect. Continue on a separate sheet if necessary.

Referees Please provide the contact details of two referees, one of whom should be your current or most recent line manager or employer. If you have no or limited previous employment please provide referees from your school, college or training scheme or from any voluntary/temporary work. Do not include family members or friends. Full Name: Job Title: Full postal address: Telephone: Full Name: Job Title: Full postal address: Telephone: Fax: Fax: Relationship to you: Email: For Office Use Only
Date Ref Applied For Date Received Satisfactory (Yes/No)

Relationship to you: Email:

For Office Use Only

Date Ref Applied For Date Received Satisfactory (Yes/No)

I hereby declare that the above information is correct to the best of my knowledge and I understand that should I knowingly fail to disclose material facts then the non-disclosure may result in my summary dismissal. I understand that my employment with the company is subject to satisfactory references being obtained and a six month probationary period. I understand further that any false statement supplied by me renders me liable to summary dismissal Employees signature Next of Kin Name: Address: Relationship: Date

Telephone: How did you become aware of this vacancy? (Delete where appropriate) Website (please state): Word of mouth: For Office Use Only: Managers signature Newspaper: Other (please specify) Date

Equal Opportunities Monitoring JJB Sports is committed to equality of opportunity in its recruitment and selection process to help achieve and maintain a diverse workforce. The criteria used for selecting the right candidate are based solely on merit and ability to do the job. The Equality and Human Rights Commission recommend that employers collect and monitor information to ensure that their recruitment practices are fair and open to all sections of the community. To help JJB to monitor the effectiveness of its Diversity Policy in this area, please take a few moments to complete this section of the form. We are aware that you may be hesitant in providing the personal details requested. Please be assured that this section of the form will not be used as part of the selection process. Upon completion this section should be placed in a sealed envelope and submitted along with your application form. The information will be treated with the strictest of confidence and will only be used for monitoring purposes. Job title applied for: . Date of birth: Are you: (delete as appropriate) Male Female Job Reference: .

What is your nationality? How would you describe your ethnic origin? White British White Irish Other White background Black or Black British Caribbean Black or Black British African Other Black background Asian or Asian British Indian Asian or Asian British Pakistani Asian or Asian British Bangladeshi Chinese Other Asian background Mixed White and Black Caribbean Mixed White and Black African Mixed White and Asian Other Mixed background Other Ethnic background Information refused

The descriptions listed above are those used in the 2001 Census of Populations and allow comparison of statistics to be produced. This question is not concerned with your nationality, place of birth or citizenship but aims to establish the broad ethnic groups of people responding to our job advertisements. Do you consider yourself to be a disabled person? Yes / No (delete as appropriate)

Thank you for assisting JJB Sports to monitor the effectiveness of its Diversity Policy.