4 2 3
1
UK / Ireland / USA
Country Representatives
Recruitment Information
Interview Dates
Visa Information
International
Country Representatives
Recruitment Information
Interview Dates
Visa Information
Questions & Answers
Frequently Asked Questions
Document Library
US & Canada Applications
Rest of World Applications
Required Medical Form
join
 
Take one step closer to being the best within your industry.
 
 
 
 

US / Canada  Application Form

Note: Please make sure that the application form is completed as much as possible. Failure to provide information may delay the processing of your application.The information you supply will not be passed onto other parties and will be held on a secure server.
Please Enter Your Personal Details
 
Which of the following
jobs are you applying for?
  
Please state your current age:
 
Please enter your first name:
(As it appears on your passport if you have one) 
  
Please enter your surname/
family name:
(As it appears on your passport if you have one)
  
Height(m):  
Date of birth:
      , 
 
Please Enter Your Address Details
     
House name or number:
  
Street/Road name:
  
Town name:
  
City:
  
State/County/Province:
  
Post code / Zip code:
  
Country:
  
     
Please Enter Your Telephone Details
     
Home telephone:
 
Mobile telephone:
  
Work telephone:
  
Email address:
  
   
 
Preferred interview location
     
Which is your preferred choice of destination for your interview
  
If other then state
 
   

 
 
Passport Details
     
Passport nationality :
 
Please state your passport number: (if you current have one)
  
Place of issue:
 
Date of issue:
     , 
Expiry date:
     , 
Please enter your Green Card
number if applicable:
 
   
 
Next of Kin Details
     
Name :
  
House name or number:
  
Street/Road name:
  
Town name:
  
City:
  
State/County/Province:
  
Post code / Zip code:
  
Country:
  
Relationship:
  
If other please state relationship:
  
How did you find out
about Steiner?
  
If other please state:
  
If newspaper, magazine or college please give details:
  
Have you ever been arrested, cautioned or convicted of an offence, crime or misdemeanour?
  
If Yes then please give details:
  
   
   
     
Education Record
     
Name of College:
  
Address:
  
Date attended:
     , 
Qualification:
  
Please give a short description of what subjects your course covered:
  
Name of College:
  
Address:
  
Date attended:
     , 
Qualification:
  
Please give a short description of what subjects your course covered:
  
Name of College:
  
Address:
  
Date attended:
     , 
Qualification:
  
Please give a short description of what subjects your course covered:
  
 
Employment Record
     
Name of companyPhone NumberReason for leaving
 
Personal References
     
Name Phone NumberReason for leaving
 
Do you speak any of the following languages?
     
   
Native
Fluent
Good
Basic
English:
  
Italian:
  
Spanish:
  
French:
  
Portuguese :
  
German:
  
Other:
  
By ticking the Tick Box I consent to the Company holding this information on file, for as long as it considers necessary, to fulfill the purpose for which it was obtained and to process it in accordance with the requirements of the Act or other procedures implemented by the Company for this purpose from time to time. I also consent to the Company to apply for such references, as they deem desirable, on the condition that no approach will be made to my current employer unless I have accepted an offer of employment or otherwise given permission. I understand that employment is subject to receipt of references satisfactory to the Company.

If you are unable to fill-out this application form accurately, due to any constraints of this application form and you would like to speak to someone then please phone Jan Green +(44) 0208 909 5016. Thank you.
   
 
 
homeslice