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                      Drivers Declaration Form

                      1About You
                      2Driving History
                      3Upload a copy your license
                      4Acknowledgements

                      About You

                      Please give us your personal contact information in this section. We will only use this in the event of notifying our insurers of your details in the event of an accident, or the police if we receive a notice of intended prosecution.
                      Name(Required)
                      Date Of Birth(Required)
                      Your Address(Required)

                      Driving History

                      Please give us your personal driving history and licence information. This should match what you have already submitted for any personal vehicles you are insured on. We will only use this information to ensure you are fully covered by our motor insurance policy and in the event of notifying our insurers of your details in the event of an accident, or the police if we receive a notice of intended prosecution. Should any of your details change whilst still have use of a Mad Dogs Television vehicle you must update this form and inform us as soon as possible.
                      What type of driving licence do you have?(Required)
                      Do you have any medical conditions or disabilities that the DVLA need to know about?(Required)
                      These include Diabetes, Neurological, Cardiovascular, Psychiatric, Renal, Respiratory and Sleep Disorders
                      Have you passed any additional driving qualifications?
                      When did you get this qualification?
                      Has an insurance provider ever declined, cancelled, or voided your policy or imposed special terms?(Required)
                      Have you got any unspent non-motoring-related criminal convictions?(Required)
                      Have you had any motor accidents, claims or losses in the past 5 years, no matter who was at fault or if a claim was made?(Required)
                      Have you had any driving related convictions, endorsements, penalties, disqualifications or bans in the past 5 years?(Required)
                      Have you been convicted of serious morting conviction(s) coded AC, BA, CD4, CD5, CD6, CD7, DD, DR, IN, LC, MS, TT, UX or XX in the past 5 years including bans from driving in one or more European Union countries?(Required)

                      Photograph or scan of your license

                      Please upload a scan or photograph of your license. If you can include both in one file you may upload it here, or you can upload multiple files or images seperatly.
                      Drop files here or
                      Accepted file types: pdf, jpg, jpeg, png, pdf, tiff, doc, docx, , Max. file size: 25 MB, Max. files: 3.

                        Acknowledgements

                        Please tick the boxes below to acknowledge that the information given is true, and that you accept personal liability whilst you are driving any of our vehicles.
                        Statement of truth(Required)
                        Drivers conformation(Required)
                        This field is for validation purposes and should be left unchanged.

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                        What we're listening to

                        Mad Dogs Television
                        maddogstv
                        132094 Tracks
                        Scar Tissue
                        Red Hot Chili Peppers
                        21 hours
                        Tieduprightnow
                        Parcels
                        22 hours
                        Everything Moves
                        Monotronic
                        22 hours

                        Where to Find Us

                        Mad Dogs Television
                        The Dog House
                        Pound Lane
                        Copythorne
                        SO40 2PD

                        Office Hours

                        Monday - Friday:
                        9am - 5:30pm

                        Get in touch

                        Email: hello@maddogs.tv
                        Phone: 02380 813847

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                        Registered in England and Wales | Company No: 05390817 | VAT No: GB857612503 | All Rights Reserved

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                        Training Course Booking Request

                        To book in your training please complete the form below. We'll get back to you at the details provided to confirm if your prefered day is available and answer any questions you may have.

                        Name(Required)
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                        Desired Training Date(Required)
                        This field is for validation purposes and should be left unchanged.

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                        Work Experience Request

                        To request work experience with us please complete the following form.

                        Your Personal Information

                        Your Name(Required)
                        Your Email Address(Required)
                        Address(Required)
                        When is the best time for us to reach you via telephone?

                        Current Education Level

                        What level are you currently studying?(Required)
                        Hours You Are Available(Required)
                        Monday
                        Tuesday
                        Wednesday
                        Thursday
                        Friday
                         
                        Please tell us what hours you are available for work experiance each day of the week. Note our standard office hours are 9 to 5.30

                        Previous Employment

                        Your Previous Employers
                        Employer
                        Dates (From/To)
                        Position/Role
                        Reference Details
                         
                        Please list your contact information for any previous or current employers/work experience placements, if applicable. You may leave this section blank if you’ve never had prior work experience placements or employment.

                        More About You

                        Please use this section to tell us a little about yourself, your cover note in effect. Why are you interested in undertaking work experience with us and what you hope to get out of it.
                        Please use this section to tell us a little more about the technical areas you are currently studying and what profession you're looking to go into once you finish your studies.
                        Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
                        Please upload your a recent copy of your CV in .pdf, .doc or .docx format

                        Availability

                        If you are looking for a specific date for your work experience please tell us here. If you have a flexibility and can offer us range of potential dates, please select the earliest and latest that you would be available.
                        From
                        To

                        Acknowledgments

                        Handling of personal data(Required)
                        Acknowledgement statement(Required)
                        This field is for validation purposes and should be left unchanged.

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                        Freelancers Talent Pool

                        To request inclusion in our freelancer talent pool please complete the following form.

                        Your Personal Information

                        Your Name
                        Your Email Address
                        Address

                        Skillset

                        What role skills/roles would you like to be considered for?
                        Let us know all the apply for you, or if your skillset isn't listed, please use the about you section below to expand upon your skillset.

                        More About You

                        Please use this section to tell us a little about yourself, your cover note in effect. Why are you interested in working alongside us, where you are based, any equipment you own or are familiar with etc.
                        Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
                        Please upload your a recent copy of your CV in .pdf, .doc or .docx format

                        Acknowledgments

                        Handling of personal data(Required)
                        Acknowledgement statement(Required)
                        This field is for validation purposes and should be left unchanged.