In order to get you registered with us we will need proof of your identity, eligibility to work in the UK, relevant qualifications, career history and references. Where appropriate, a criminal-record check and security clearance will be needed. All information is treated in the strictest confidence, processed and held in accordance with relevant data protection legislation.

UK legislation requires all candidates to provide appropriate evidence

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

  • Your Details
  • Eligibility
  • Health & Safety
  • Position sought
  • Enhancing your career search
  • References
  • Criminal record and security checks
  • Declaration

Personal Details

Title

Forename(s)

Surname

Address

Address Line 2

Postcode

Your Email

Home Phone

Work tel, including ext.

Mobile Phone

Do you have a current driving licence?

Please state type of transport

Languages spoken

Profession

Specialty

Current salary/rate

Benefits

Notice Period

Are you willing to relocate?

If yes, please give details (e.g. preferred locations)

Are you willing to work overseas?

If yes, please give details (e.g. preferred locations)

Nationality

Eligibility

By what means are you eligible to work in the UK?

If required, do you have a visa/work permit?

Type of visa/work permit (if applicable)

Expiry date

NI number

Health & Safety

Do you require any reasonable adjustments to be made/special facilities to be provided to enable you to attend any interview or assessment?

Please provide information

Are you prepared to work unsociable hours

Or at nights (from 23.00-06.00)

Do you hold any first aid qualifications?

Please give details

In case of an emergency, please provide details of someone we may contact

Full Name

Address

Address Line 2

Tel no.

Mobile

Contact will only be made strictly in an emergency

Position sought

Position

Salary/rate required

Locations preferred

Hours

Enhancing your career search

Do you have any organisations you do NOT wish us to approach on your behalf

Please list any organisations you do NOT wish us to approach on your behalf

Organisation(s)

Reason(s)

Are you registered with any other agencies?

If yes, please state which

References

Your current employer will not be contacted without your express permission Temporary assignments: Prior to any placement we will need to obtain satisfactory references from your recent employers. Please provide details of a minimum of two recent referees we may approach. Permanent positions: References help us to find you suitable employment. Please list employers that we may contact during our search. Your current employer will not be contacted without your consent.

Surname

Forename

Title

Company

Tel no.

Address

Postcode

Email

Date employed

Every candidate at Access Recruitment Group Ltd is fully referenced checked. If there are any delays in obtaining this information we urge you to be available to help. Lack of this information could hinder your chances of finding an appropriate position quickly.

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

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

please give details

Only candidates who will be working with children, vulnerable groups or within certain professions/occupations should answer this question. 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, as amended in 2013, (“the Act”) requires us to ask you for additional information. A criminal record check from the Disclosure and Barring Service may be required where this type of work is sought. Do you have any previous convictions including any cautions, reprimands, final warnings, bind-overs or any convictions from overseas that are not “protected” under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, as amended in 2013? England, Wales and Northern Ireland candidates only - Please note: The amendments to the Act mean that certain convictions and cautions are now “protected” and do not, therefore, have to be disclosed.

Do you have any previous convictions including any cautions, reprimands, final warnings, bind-overs or any convictions from overseas that are not “protected” under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, as amended in 2013?

please give details

Do you hold any form of current Security Clearance?

Date granted

Expiry date

Level of clearance

Place of work when granted

Declaration

I confirm that the information 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 employment. 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 expressly consent to any sensitive or personal data, disclosed as part of my application, being used in connection with the search for work. I will inform Access Recruitment Group Ltd immediately of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst I am participating in the recruitment process for permanent work and/or whilst I am registered for temporary work. I understand that Access Recruitment Group Ltd 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

Date

Full Name

Access Recruitment Group Ltd are acting as an Employment Agency in respect of permanent recruitment and as an Employment Business in respect of temporary recruitment.