Club Connective

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CANDIDATE REGISTRATION FORM

Personal Details Section

Title (Salutation)

* First Name

* Last Name

* Email

* Address

* City/town

* Country

* Postal Code

* Date of birth

* Mobile number

Phone number

* NI number (e.g. AB-12-34-56-C)

* Nationality

* Do you have a driving licence?

Please enter your driving licence number

* What form of transport do you use?

* Previous names (Please add any names you were previously known by)

* Previous Addresses (Please provide all of the addresses you have lived in prior to your current address for the last 5 years. This should include any overseas addresses and student accommodation, where applicable.)

Date Available

* Current Employer

* Current Position

Current Work Type

* Current Rate of Pay

* Frequency

Ideal Position

Next of Kin

* Name (We may contact this person on your behalf in emergency situations)

* Contact Phone

Relation to you

Skills - Let us know what you're good at so that we can find the right job for you.

Where do your skills lie?

Skills

Health and Disability

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 relevant disability which may make it difficult for you to carry out functions which are essential for the role you seek?

If yes, please specify below:

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.?

If yes, please specify

Do you take any current medication?

If yes, please give details

Club Connective is dedicated to upholding equal opportunities for all job seekers. We are committed to this policy at all times and will continuously review our recruitment processes to prevent any form of unlawful or inappropriate discrimination.

We treat all individuals fairly, regardless of gender, sexual orientation, gender reassignment, marital or civil partnership status, age, disability, race, colour, nationality, ethnic or national origin, religion or belief, political views, or trade union membership status. All staff are expected to uphold and adhere to this commitment.

Club Connective will not engage in unlawful discrimination when selecting candidates or temporary workers for vacancies or assignments. Employment decisions will be based solely on a candidate’s skills, qualifications, and ability to fulfil the requirements of the role.

Criminal Record Disclosure

We require this information to establish your suitability for different roles.

Certain jobs and professions are not covered by the Rehabilitation of Offenders Act 1974. This is particularly relevant for roles that involve working with children or vulnerable adults, where all criminal convictions must be disclosed. Any information provided will be handled with the utmost confidentiality and will only be considered if Club Connective reasonably determines that the offence is relevant to the position applied for.

Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to our attention.

* Do you have any unspent convictions under the Rehabilitation of Offenders Act 1974?

If yes, please specify:

Offence type

Date of conviction/caution

Sentence/fine

Bank Details

Please only provide details if you are the account holder. Club Connective and our payroll team are only able to make payments into bank/building society accounts in your name.

* Name of account holder(s)

* Bank name

* Account number (8 digits) - e.g. 12345678

* Sort code – (6 digits) - e.g. 12-34-56

Building society number

HMRC Starter Checklist

As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and help them use the correct tax code.

Employee Statement

* Student Loan Statements

* Do any of the above statements apply to you?

Work History Details

Please ensure that the information provided is true and correct and can be verified by references from previous employers.

* 1. Employer

* 1. Start Date

* 1. Finish Date

* 1. Contact

* 1. Job title

* 1. Contact email

* 1. Contact phone

* 1. Contact address

* 1. Responsibilities

2. Employer

2. Start Date

2. Finish Date

2. Contact

2. Job title

2. Contact email

2. Contact phone

2. Contact address

2. Responsibilities

3. Employer

3. Start Date

3. Finish Date

3. Contact

3. Job title

3. Contact email

3. Contact phone

3. Contact address

3. Responsibilities

For the start/finish dates, if you aren't sure of the specific date, please select the 1st of the month. If currently still employed, please leave the finish date blank.

Right to Work & CV Upload

Please select the link for guidance on acceptable right to work documentation, located here, and upload the required proofs below.

Please note, the field below allows you to upload multiple files. To do so, please click the field and select all of the files you want to upload in one go.

* Right to Work Proof Document One (Passport / Birth Certificate)

Choose file

* Right to Work Proof Document Two (Proof of NI Number)

Choose file

* Right to Work Proof Document Three – (Proof of Address)

Choose file

Right to Work Proof Document Four

Choose file

* Upload CV

Choose file

If you would like to prove your right to work using the Home Office online right to work service, please enter your share code below. If you do not require a sharecode please type N/A or None.

* Share code

Documentation

Proof of name change (if applicable) – This must be for every name change you have had. We can accept Birth Certificate, Marriage Certificate or Deed poll

Choose file

GDPR Statement

Club Connective offers work-finding services to both clients and job seekers. To deliver these services, we need to collect and process personal data, including sensitive information. This is why we have requested your details on this form.

All personal data we handle is processed in line with data protection laws. These regulations require us to provide you with a Privacy Statement outlining how we collect, use, and safeguard your information. A copy of this statement is included in your application pack.

Please review our Privacy Statement and confirm your acceptance of the following terms.

* To store details and documents

* To share relevant details with third parties.

* To receive service communications

* To receive marketing communications.

Candidate Declarations

Where did you hear about us?

If you know the name of your consultant, please select below:

Please read our Data Protection and Privacy Statement located, here

Please confirm your agreement to our Data Protection Statement.

Please read our 48-hour Opt Out Agreement, here.

Please confirm your agreement to our 48-hour Opt Out Agreement.