CHR Recruitment

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Candidate Registration

Personal Details

* Title

* First Name

* Surname

* Email

* Date of Birth

* Nationality

* Where did you hear about us?

Contact Details

* House Number/Name

* Street

* City/Town

* Post Code

* Country

* Contact Number

Next of Kin Details

* Emergency Contact Name

* Emergency Contact Phone

Job History

Please start with your most recent employment and provide a minimum of 2 years work history.

* Employer

Contact

Contact Address

Contact Phone

* Job Title

* Employer

Contact

Contact Address

Contact Phone

* Job Title

* Employer

Contact

Contact Address

Contact Phone

* Job Title

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.

* Start Date

Finish Date

* Start Date

Finish Date

* Start Date

Finish Date

* Responsibilities

Reason for Leaving

* Pay Rate per Hour (£)

Is this an Agency position?

Agency Name

Agency Contact?

Are you a Student?

Education History

Please enter your Education details

Bank Details

* NI Number

* Name of Account Holder(s)

* Bank Name

* Account Number (8 digits)

* Sort Code

Building Society Number

Limited Company Name

Please tick this box if you give consent to receive payslips by email

Right to Work Check

Please provide the following proofs of right to work

* Visa/Passport/ID Card Expiry

Visa Type

* Passport/ID Card

Choose file

Driving Licence / CPC / Digi Front

Choose file

* Proof of NI

Choose file

* Proof of Address

Choose file

Other RTW Evidence

Choose file

Job Matching

* Please enter the Job Titles that you have experience or would like to work in.

Working Time Regulations

Under the Working Time Regulations 1998, you are not permitted to work more than an average of 48 hours per week unless you opt out. If you opt out, you will be permitted to work more than 48 hours per week but are not under any obligation to do so. If you choose to opt out, you may withdraw your consent at any time by giving us seven days notice in writing.

I hereby AGREE that I may work more than an average of 48 hours a week in accordance with working time regulations detailed above.

GDPR Statement

Please confirm consent with the following requirements as part of our GDPR requirements.

* To store details and documents.

* To share relevant details with third parties.

* To receive service communications.

To receive marketing communications.

Criminal Record Disclosure

* 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

Health and Safety Questionnaire

Have you ever suffered from any of the following:

* Faints, fits or blackouts

* Back injury

* Mental or nervous disorders

* High or low blood pressure

* Insulin treated diabetes

* Heart disease

* Arthritis

* Asthma

* Do you wear glasses at any time?

* Do you have any special needs?

Regarding Night Shifts:

* Have you ever worked regular shifts on nights?

* Do you have any health concerns which you feel may prevent you from working at night?

If Yes, are these based on:

Requirement to take medication (tablets, insulin) on a strict timetable?

Heart or circulatory problems that could be aggravated by the additional stress/required stamina that night work may require?

Stomach or intestinal disorders where the regularity/timing of meals is important?

Medical conditions that affect the ability to sleep during the day or are affected by changing sleep patterns?

Chronic chest or respiratory disorders whose night time symptoms are significantly worse than in the day time?

Any other health related reason?

* Have you ever been dismissed or refused employment on health grounds?

If yes, please provide details

* Are you receiving medical attention at present or taking any form of medication?

If yes, please provide details

* Have you informed the DVLA?

* Do you have any unspent criminal convictions?

* How many days absence through sickness have you taken within the last 12 months?

Declarations

Please read the following statements carefully.

* I, hereby give my consent to the Company to process the following information: Personal data Name, Date of birth, Contact details, including telephone number, email address and postal address], Experience, training and qualifications, CV, National insurance number, Bank details.

* I understand that CHR Recruitment and its Clients operate a zero tolerance policy towards drinking alcohol or any substance misuse prior to or during any assignment. If I am currently under any medication, including medicines for colds, flu, hay fever, I have read the information provided and that if they impair my judgement or cause drowsiness I must not drive. I understand if a client considers that I am under the influence of any drugs or alcohol I will be removed from that assignment and that after an interview with CHR Recruitment I may be removed, depending on the discretion of the directors who have a zero tolerance to drug and alcohol misuse, from any future assignments.

* I hereby declare that the above information is correct and I have read and understood all the above comments and will adhere to them at all times.