Interest

 Employed:-Local Pubs:  Retail Manager  Assistant Manager Other 
 Employed:-Destination Pubs:
 Self Employed:    Tenancy  Lease  Temporary Holding
 Specific Pub:   Name/Location 

Personal Details - Applicant

Title: 
Surname: 
First Name(s): 
Date of Birth (optional):
(enter as dd/mm/yyyy)   
National Insurance Number: 
Phone No: 
Mobile: 
E-mail: 
Address:
Town: 
County: 
Postcode: 
Relationship of Applicant to Partner:

Personal Details - Partner

Title: 
Surname: 
First Name(s): 
Date of Birth (optional):
(enter as dd/mm/yyyy)   
National Insurance Number: 
Phone No: 
Mobile: 
E-mail: 
Address:
Town: 
County: 
Postcode: 
How did you hear of Greene King
Please select:
Please select:

Experience - Applicant

Please indicate your level of experience from 0 to 5.
0 = No experience - 5 = Very experienced:
Bar Work
Catering
Cellar Work
Customer Care
Financial
Management/Supervisory
Previous\Current Licensee\Manager
Retailing

Experience - Partner

Please indicate your level of experience from 0 to 5.
0 = No experience - 5 = Very experienced:
Bar Work
Catering
Cellar Work
Customer Care
Financial
Management/Supervisory
Previous\Current Licensee\Manager
Retailing

Qualifications - Applicant

*National Certificate for Personal License Holders
*Personal License Holder
2 or more AS levels,\Nat Dip/Cert\ NVQ 3
BIIAB Advanced Qualification/s
BIIAB Level II National Certificate in Licensed Retailing
BIIAB National Certificate for Licensees
BIIABCQ Quality of Cellar Management Certificate
BIINCLD Drugs Awareness
Btec\C&G\NVQ Catering
CIEH Food Safety Certificate
Degree
Management/Supervisory
More than 4 GCSEs A-C\ NVQ 2\ First Dip/Cert
Retailing
SIA Door Supervision Course

Qualifications - Partner

*National Certificate for Personal License Holders
*Personal License Holder
2 or more AS levels,\Nat Dip/Cert\ NVQ 3
BIIAB Advanced Qualification/s
BIIAB Level II National Certificate in Licensed Retailing
BIIAB National Certificate for Licensees
BIIABCQ Quality of Cellar Management Certificate
BIINCLD Drugs Awareness
Btec\C&G\NVQ Catering
CIEH Food Safety Certificate
Degree
Management/Supervisory
More than 4 GCSEs A-C\ NVQ 2\ First Dip/Cert
Retailing
SIA Door Supervision Course

Employment - Applicant

Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 

Employment - Partner

Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 
Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 
Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 
Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 
Position: 
Salary £ 
Name and address of employer:
Dates:
From  To 
Weekly Turnover:
Wet £  Dry £ 
Accomm £ 
Please give full details of any convictions, County Court judgements, bankruptcy or matters pending. This should include any offence. Convictions need not be a bar to holding a licence - their concealment, however, almost certainly will be.

Convictions - Applicant

Convictions - Partner

Date:
Court:
Offence:
Have bankruptcy proceedings ever been taken against you? Yes   No 
Date:
Court:
Offence:
Have bankruptcy proceedings ever been taken against you? Yes   No 

Site requirements

Min Number Private Bedrooms Required   Min Number Trade Bedrooms Required  

Please indicate by ticking the boxes, the locations, counties and trading categories of the site you would like (minimum one tick per section).
Locations:
City\Large Town
City\Large Town away
Residential Estate
Small/Medium Town
Village/Rural
Trading categories:
Drinks Led
Family
Food Led
Hotels and Inns
Mixed Food/Drinks
Young /Circuit
Counties:
Bedfordshire Berkshire Buckinghamshire Cambridgeshire
Cardiff Cheshire County Durham Cumbria
Derbyshire Devon Dorset East Sussex
Essex Gloucestershire Greater London Greater Manchester
Hampshire Herefordshire Hertfordshire Humberside
Kent Lancashire Leicestershire Lincolnshire
London Merseyside Middlesex Norfolk
North Yorkshire Northamptonshire Northumberland Nottinghamshire
Oxfordshire Scotland Shropshire Somerset
South Yorkshire Staffordshire Suffolk Surrey
Tyne and Wear Warwickshire West Midlands West Sussex
West Yorkshire Wiltshire Worcestershire    

Self Employed - Tenancy/Leasehold:

Capital available to invest (unborrowed): Up to £
Capital source:
(Credit checks will be carried out to ascertain credit worthiness)

Employed:

Minimum Salary Expectation:
Notice Period:

Curriculum Vitae

If you would like to send us a Curriculum Vitae or other supporting document, please choose it here.
Choose file: 

Declaration

I/We declare that this Application Form has been completed correctly to the best of my/our knowledge and belief.
Agreed:  Date: