Application Form

PRL Recruitment - Application Form

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First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Are you a NON-British National

Yes

Do you require a work permit

Yes

NI Number

Passport Number

Expiry

Visa Number

Expiry

Give details of any endorsements:

Next of Kin

Bank Details

Bank Name

Name on Account

Is the Account in Your Name?

Yes

Account Number

Please enter your bank account Number

Sort Code

Work Requirements

Positions Sought

Please enter your preferred sought roles separated with commas

Salary/Rate Required

Please enter your bank account Number

Please indicate what hours would suit you best:

Days

Evenings

Nights

Rotating Shifts

(please tick all that apply)

Locations Preferred

Required Hours

Relevant Skills

Please enter your relevant skills separated with commas

Please list any organisation you DO NOT wish us to contact and the reason:

Please list any organisations you do not want us to contact separated with commas

Documents

CV File upload

Current Photo ID

Passport / Visa

Other Supporting Docs

Criminal Record And Security Checks

This information will be used to identify appropriate opportunities for you and NOT as a short listing tool in the recruitment process

Do you hold a Disclosure and Barring Service or overseas police check carried out within the last 3 years?

Yes

Enh DBS No

DBS Issued

Have you ever been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974?

Yes

You may be offered an opportunity to work within an environment or establishment where you may come into contact with children or other vulnerable groups, or your profession/occupation may fall within certain excepted categories. Where this is likely to apply, the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 requires us to ask you for additional information.

A criminal record check from the Disclosure and Barring Service formally the Criminal Records Bureau may be required where this type of work is sought

Do you have any previous convictions, whether or not they are “spent” within the Act, including any cautions, reprimands, final warnings, bind-overs or any convictions from overseas?

Yes

Do you hold any form of current security clearance?

Yes

Level of Clearance

Date Granted

Date Expiring

Place of Work Granted

48 Hour Waiver

The Working Time regulations 1998 (‘the regulations’) require the Company to limit your average weekly working time to 48 hours unless you agree with the company that the limit shall not apply to you.

The Company wishes to have an agreement with you. It proposes an agreement (which shall apply until terminated by notice) on the basis that:

the 48 hour limit on average weekly working time will not apply to you;
you may terminate the agreement (so that the 48 hour time limit would apply to you) by giving the person at the Company to whom you usually report 3 month’s written notice

Under the Regulations, the Company must keep records relating to your working time. This is the case whether or not you reach an agreement with the Company about waiving working time limits.

If you accept the Company’s proposal, please tick and sign below. This document will then be a record of agreement between you and the Company.

48 Hour Waiver Proposal

I agree

I Disagree

Signed by on the

Day

Month

Year

DATA PROTECTION & DECLARATION

The company is a recruitment business which provides work-finding services to work-seekers/candidates. In order for us to perform our contract with you, the company must process personal data so that it can provide these services – in doing so, the company acts as a data controller.

We may use the personal information collected for the following purposes:

To provide you with temporary and permanent recruitment, work finding and related services such as administration, payroll and employment
In order to fulfil a contract with you
To comply with legal or regulatory requirements
To protect the legitimate interests of the company or third parties

We may use your personal information to pass on to clients, employers and payroll providers that we contract with to provide you with work-finding services. This may be by email notifications or other communications such as mail, telephone, SMS on the basis that such use is necessary for the purposes of the legitimate interests pursued by us, or in order for us to perform our contract with you. You may be contacted directly by these companies for the purpose of work-finding services, employment or payroll services.

We do not share personal information with third parties unrelated to the recruitment/work-finding services, employment or payroll services.

Full details of our Privacy Notice are available publicly on our company website.

Declaration

I understand that my details will remain on file to be considered for any current or future positions. I will inform the company if I wish this to change.

I declare that I have answered the questions honestly and fully. I realise that any false or incomplete statements on my part could result in my registration or temporary work being withdrawn. I acknowledge my personal data will be used as outlined above and in accordance with the company’s full Privacy Notice.

I confirm that the information I provided on this form and within my CV, if applicable, is both truthful and accurate. I have omitted no facts that could affect my future work placement. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and, in the case of temporary assignments, subject to satisfactory references. I understand that the Data contained in this document will be used in accordance with the Agreements and Privacy Notice of the Agency.

I will inform The Agency immediately of any circumstances that may affect my work, such as changes to health, personal details, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work. I understand that The Agency has the right to request a Disclosure and Barring Service check where they consider it necessary and that any details from this, or any other police checks provided, may be forwarded to a potential employer.

The Agency is committed to supporting all their workers, protecting them from any form of exploitation and operating in accordance with UK legislation.

As part of this commitment we inform all new recruits that it is against UK law to ask workers to pay anything in order to gain work in the UK. As of April 2009 this also extends to paying money to people outside of the UK to gain work in the UK. The Agency does not utilise or associate with companies in or outside the UK who charge workers to help gain employment.

For this reason we would ask workers who have been asked to pay any money to any individual, company or agency to enable them to find work with The Agency, to inform us below or if you prefer you can inform The Agency directly by calling our Workers Support Team on the office number. Please supply full details of any such payments and who you have paid monies to and leave your contact information.

I hereby confirm I have not paid any monies to The Agency or any company associated to The Agency to gain employment in the UK and agree to inform The Agency should I be approached by any person in the future asking for similar requests. I understand I may have to pay UK government agencies such as the Home Office to gain a workers permit in the UK which I am required to pay a fee for, The Agency may apply for this on my behalf and request the required fee.

I have read and agree to the company privacy policy.

Yes

Signature

Signature field is empty.

References.

Please give the name of your present employer and the next most recent employer. College/School leavers should give the name of lecturers/teachers as appropriate. If this is not possible, please give names of persons best able to write a reference in support of your application. This must not be a friend, relative or co-worker.

By supplying this information you acknowledge and give consent that The Agency will contact your previous employers

Reference Details