Registration Form

If you would like to apply for a job please fill in this form.

If you are already registered please fill in the registration form by following the link above.

General Details

Title
First Name *
Last Name *
Telephone *
Secondary Tel.
Business Tel.
Date of Birth *	(dd/mm/yyyy)
Address *
Postcode *
Email *
Confirm Email *

Residency & Work Permit

Right to work in UK *: Yes No
If YES which is applicable
National Insurance no. *
Work Permit Required Yes No
Work Permit Valid Until
Medical Information (matters that may be relevant to your ability to attend/perform any particular kind of work)

Unspent Criminal Convictions * Yes No
If YES, state convictions and dates

(NB Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details of all criminal convictions must be given. The information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Smart Start Recruitment, the offence is relevant to the post to which you are applying. 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 light).

Health

Health and disability: These questions are asked in order to find out your needs in terms of reasonable adjustment to access our recruitment service and to find out your needs in order to perform the job sought.
Do you have any health issues or a disability relevant to the job you seek? * Yes No
If YES please specify

If you have a disability, what are your needs in terms of reasonable adjustments to enable you to perform the job sought and to access this recruitment service, attend interviews, take aptitude test etc?

Profile Details

Position Sought *
Current notice period *
Prefered location to work *
Do you hold a current driving license? * Yes No
How will you be travelling to work? *
Current salary
Minimum permanent salary required (per annum)
Minimum temporary rate required (per hour)
Are there any companies you would like to work for? Yes No
Which companies would you like to work for?

What is the most important thing to you regarding a new job?

Hours Willing to Work

Details of hours willing to work *

Opted out of maximum hours
Yes No

Qualifications & Skills

Address where Qualification was Obtained	Qualification type	Grade/result	Date obtained

Skill/competency - e.g. Word, Excel…	No. years experience	No. months experience	Skill rating

Emergency Contact Details

Name
Relationship
Contact tel
Address

Further information

Candidate Employment History

Upload your CV
If you are uploading your CV and reference details are not provided please complete the Reference details below:
Reference Name
Reference Telephone
Reference Email

Only complete this section if you are not uploading your C.V.

1. Current / Last Employer

If you have no previous work experience at all, (tick this box)
Name of present/last employer
Contact name
Address

Telephone
Email
Date from
Date to
Present/leaving salary
Job title
Summary of duties

Enjoyed
Disliked
Reasons for leaving

Can we contact this employer for a reference Yes No

2. Previous Employer

Name of previous employer
Contact name
Address

Telephone
Email
Date from
Date to
Leaving salary
Job title
Summary of duties

Enjoyed
Disliked
Reasons for leaving

Can we contact this employer for a reference Yes No

3. Previous Employer

Name of previous employer
Contact name
Address

Telephone
Email
Date from
Date to
Leaving salary
Job title
Summary of duties

Enjoyed
Disliked
Reasons for leaving

Can we contact this employer for a reference Yes No

4. Previous Employer

Name of previous employer
Contact name
Address

Telephone
Email
Date from
Date to
Leaving salary
Job title
Summary of duties

Enjoyed
Disliked
Reasons for leaving

Can we contact this employer for a reference Yes No

Personal

Describe your personality in 3 words *

What do you feel your strengths are? *

What do you feel your weaknesses are? *

What is your ideal type of manager? *

What is your ideal role? *

Extra information which you feel will help us in your job search.

Candidate Declaration

I hereby confirm that the information given is true and correct; I consent to: my personal data being included on a computerised database and to its use in order to secure me employment/temporary assignments/contracts; my CV and other personal data being transferred to clients via electronic mail and I understand the risk of my CV being unintentionally altered during this process; references being passed onto potential employers; the checking of information collected with third parties or with other information held by Smart Start Recruitment; and Smart Start Recruitment passing information to certain third parties to present or detect crime, to protect public funds or in any other way permitted or required by law. If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that Smart Start Recruitment will be entitled either to charge the Client an introduction transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).
I agree to the above conditions *
Apply through which Smart Start office *
Job Reference
Do you have an appointment arranged * Yes No
If YES please provide date and time

Agency workers make up about 4% of the UK workforce and the new regulations - set to come into force in October – will give agency workers the same rights on basic working and employment conditions as those in equivalent permanent jobs.

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Gillingham Newsletter Quarter 4 - 2010

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