Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First Name: *
Middle Name:
Last Name: *

Contact Details

Mobile Phone No: *
Telephone No:
Email Address: *
Address 1: *
Address 2:
City: *
Postcode: *

Employment Details

Current/Last Company: *
Current/Last Job Title: *
Current/Last Salary: *
Notice Period:

Other Details

Current Driving Licence: None
Are you free to remain in and take up employment in the UK? Yes
Have you ever been convicted of a Criminal Offence? (Which is not spent under the Rehabilitation of Offenders (NI) Order)? Yes
Do you require any special arrangements to be made for interview e.g. reasonable adjustments in relation to a disability? Please specify:
Please inform us of any restrictions to your flexibility with regard to working hours and days of the week: *
What days are you available to work: * Monday
Please give us examples of how you meet the essential shortlisting criteria for this post:

Monitoring Questionnaire

We are an Equal Opportunities Employer.  We do not discriminate on the grounds of age, colour, ethnic origin, gender, marital status, perceived political opinion, race, religious affiliation or sexual orientation.

Ulster Stores Ltd monitors the applications it receives for jobs in order to ensure that its recruitment practices promote equality of opportunity.

The information will be treated in the strictest confidence, protected from misuse, and will not form part of your application.  It will be used only for the purpose of monitoring our equal opportunity employment policy.

Community Background

To demonstrate our commitment to equality of opportunity in employment we need to monitor the community background of our applicants and employees, as required by the Fair Employment and Treatment (NI) Order 1998.

Regardless of whether we practice religion, most of us in Northern Ireland are seen as either Catholic or Protestant.  We are therefore asking you to indicate your community background by ticking the appropriate box below.

I am a member of: the Protestant community
the Roman Catholic community
neither the Protestant nor Roman Catholic community
Please indicate whether you are: Female

If you do not complete this questionnaire, we are encouraged to use the “residuary” method, which means that we can make a determination on the basis of personal information on file/application form.

Note: It is a criminal offence under the legislation for a person to “give false information…in connection with the preparation of the monitoring form”.


Under the Disability Discrimination Act 1995 a person is considered to have a disability if he/she has a physical or mental impairment which has a substantial and long-term effect on his/her ability to carry out normal day to day activities.

Do you consider that you meet this definition of disability? Yes
If yes please state the nature of or the effects of your disability:

Ethnic Origin

1. Please indicate your ethnic origin by ticking the appropriate box below: White
Irish Traveller
Mixed Ethnic Group (please specify):
Black Other (please specify):
Other (please specify):
2. Nationality (please specify):
Upload your CV *
Declaration * I confirm that the above information is accurate. I understand that any false information or deliberate omissions may disqualify me for employment or subsequently render me liable to dismissal.