Registration

To Apply For Any Of Our Positions You Will Need To Register With Us.

Please Fill This Form In And Submit

Personal Details

← Back

Thank you for your response. ✨

Full Name

Date Of Birth

DD/MM/YYYY

Address

Postcode

Phone Number

National Insurance Number

Emergency Contact Name

Emergency Contact Number

Do You Have Your Own Transport?

How Far Are You Willing To Travel? (miles)

Do You Have PPE? High Vis? Safety Boots? Hard Hat?

Do You Have Any Unspent Criminal Convictions?

If Yes Please Specify

Education History/ Qualifications

Last Job Title

Reference 1- Company Name & Address- Phone Number

Reference 2- Company Name & Address- Phone Number

What Kind Of Work Are You Interested In?

If ‘Other’ please specify:

Medical History

The purpose of this questionnaire is to ensure that we can comply with the Health & Safety at Work Act. In order for us to ensure that all candidates have an equal opportunity in the course of the recruitment process and to provide suitable work.
Please indicate below any conditions which are relevant to your ability to attend interviews or perform any particular kind of work.

Have you suffered, or do you suffer from any of the following conditions?

Is your eyesight normal? (with or without glasses)

Is your hearing normal?

Are there any other health factors not already mentioned that might affect your fitness to work? If so please give details:

Are you currently having any treatment or taking any medication?
If yes please give details:

I the undersigned confirm that the above information is correct at the time of giving it and I agree to advise S & D Recruitment of any changes that will affect my fitness to work.

Signed:

Date:

Equal Opportunities Monitoring

Equal Opportunity Monitoring

S & D Recruitment is an equal opportunities employer. In order to assist us in monitoring the effectiveness of our equal opportunity policy, we would be grateful if you would complete the section below, however if you do not wish to answer any of the questions please indicate below
Sex

Ethnic Origin

Bank Details

Please sign to Authorise Account- This Gives Us Access To Call You & Take Bank Details Over The Phone

Declaration

Signed:

In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. We may also use or pass to certain third parties information to present or detect crime, to protect public funds, or in other way permitted or required by law.

I consent to references being taken and passed onto potential clients where appropriate. I herby confirm that the information given is true and correct.

If I am provided with work and information provided by me is found to be false I understand that the work will cease.

Date:

DD/MM/YYYY

Contract For Services For The Engagement of an Agency Worker

Contract for Services – April 2026

Please download and read our Contract Of Services, If you have any questions do not hesitate to contact us.
I acknowledge that this Terms of Engagement is in the English Language and I have read and understood the information given to me
Signed:

Date:

DD/MM/YYYY

48 hour opt out

If you would like to work on average, more than 48 hours per week, you must complete the agreement below.
Please complete-

I (enter name)

agree that I may work for more than an average of 48 hours a week.
If I change my mind, I will give my employer 7 days notice in writing to end this agreement.

Signed:

Date

DD/MM/YYYY

Health & Safety Policy

health-and-safety-1

Please download and read our Health & Safety Policy, If you have any questions do not hesitate to contact us.
I have read, agreed and understood the above Health & Safety at work.
Signed:

Date

DD/MM/YYYY

Holiday Procedure

holidays-letter-for-2024

Please download and read our holiday procedure.

I have read and understood the above Holiday Procedure

Signed:

Dated:

DD/MM/YYYY

How did you hear about us? Facebook/Instagram etc?