Registration To Apply For Any Of Our Positions You Will Need To Register With Us. Please Fill This Form In And Submit Personal Details Full Name(required) Email(required) Date Of Birth(required) Address(required) Postcode(required) Phone Number(required) National Insurance Number (required) Emergency Contact Name(required) Emergency Contact Number(required) Do You Have Your Own Transport?(required) Select one option Yes No How Far Are You Willing To Travel? (miles) Do You Have PPE? High Vis? Safety Boots? Hard Hat?(required) Do You Have Any Unspent Criminal Convictions?(required) Select one option Yes No If Yes Please Specify Education History/ Qualifications(required) Last Job Title (required) Reference 1- Company Name & Address- Phone Number(required) Reference 2- Company Name & Address- Phone Number(required) What Kind Of Work Are You Interested In?(required) Select one option Packing Warehouse FLT (only select if you have a valid licence) Administration Production Other If 'Other' please specify: Medical History The purpose of this questionnaire is to ensure that we can comply with 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?(required) Select one option Neck Problems, Painful Joints i.e shoulders, elbows, wrists, hands, knees, ankles Back Problems, i.e Lumbago, Sciatica, Spondylosis Rupture of Hernia Arthritis, Osteoporosis Diabetes Stomach Or Intestinal disorders Any condition which causes difficulties sleeping Chronic chest disorders, especially if night-time symptoms are troublesome Any medical condition requiring medication to a strict timetable Do you consider yourself to have a disability Are there any medical reasons why you should not do shift work None Is your eyesight normal? (with or without glasses)(required) Select one option Yes No Is your hearing normal?(required) Select one option Yes No Are there any other health factors not already mentioned that might affect your fitness to work? If so please give details:(required) Are you currently having any treatment or taking any medicine? If yes please give details:(required) 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:(required) Date:(required) 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 belowSEX Select one option Male Female Other SEXUAL ORIENTATION Select one option Person of Opposite Sex Person of Same Sex Same & Opposite Sex Do not wish to comment Ethnic Origin Select one option White African Black Caribbean Black UK Eastern European Bangladeshi Chinese Indian Pakistani Middle Eastern Mixed Race Other Do not wish to Comment Bank Details Signature to Authorise Account- This Gives Us Access To Call You & Take Bank Details Over The Phone Notification Of Pay- How would you like your Payslip to be sent Select one option Post Email Declaration 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. Select one option Signed:(required) Date:(required) Contract For Services For The Engagement of an Agency Worker contract-for-services-may-2022 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 meSigned:(required) Date:(required) 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:(required) Date(required) Holiday Procedure holidays-letter-for-2023 Please download and read our holiday procedure. I have read and understood the above Holiday Procedure Signed:(required) Dated:(required) How did you hear about us? Facebook/Instagram etc?(required) Send Δ Like this:Like Loading...
S & D Recruitment LTD