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Embed code for: SM Registration Form 2016
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TRADES YOU WANT TO WORK AS:
Surname / Family Name:
Date of Birth:
National Insurance Number:
Home Tel No:
Available for Work:
Work Permit Required? YES NO
If yes, Expiry Date:
Qualifications & Training Details:
CSCS Card No:
CSCS Expiry Date:
CSCS Pass Letter :
Do you have a current DBS (formally CRB check)?
If yes, is itSTANDARD orENHANCED
PREVIOUS WORK REFERENCES:
To – From
What was the name of the Company the Agency sent you to: (NOT AGY)
Persons Name you reported to on site and their phone Number
Agency Name and Person that gave you work:
What was the Job Title you worked as?
£ Rate the Agency Paid You
Which Payroll Company where you paid via?
Would you like to work there again?
DIVERSITY POLICY: This company practices Equal Opportunity in employment and has a statement of Policy to that effect. The company is committed to monitoring the effectiveness of the policy in respect of job applicants and employees in accordance with the codes of Practice issued by the Commission for Racial Equality, the Equal Opportunities Commission and the Code of Practice relating to the Disability Discrimination Act. Information in this section will not be passed to third parties, other than in appropriate circumstances. Employees will have access to their recorded data.
Have you ever been convicted of a criminal offence
If Yes, please give details (under The Rehabilitation of Offenders Act 1974, spent convictions need not be declared)
The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.
Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek?
If yes, please specify
If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc.?
Please note that random drug and alcohol testing can be carried out on site.
Do you use Drugs of Abuse?
NEXT OF KIN:
HEALTH & SAFETY:
Are you in agreement with SiteMasters Health & Safety Policy?
Are you in agreement to attend Site Inductions?
Do you take responsibility to read any notices made available to you in respect of Health & Safety?
I understand that misrepresentation, falsification or omission of information requested on this application form may be cause for dismissal. Prior to any offer of work being made I understand that I shall provide documentary evidence of my eligibility to work in the U.K.
CONSENT TO DATA PROCESSING:
I consent to the company recording my data and disclosing information contained on this form and my Identification documents to third parties. I also consent to the company contacting my present and/or previous employer for a reference. I understand that my consent to the company processing my personal data can be withdrawn at any time by giving the company written notice. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal.
FOR OFFICIAL USE ONLY
INTERVIEWERS COMMENTS & NOTES: