Application Form Date: …../…../…..
Title: Mr/Mrs/Miss/Ms/Other……………….. Address: ………………………………………………......
Forename(s): ………………………………...... …………………………………………………………………….
Surname:……………………………………………….... …………………………………………………………………….
Former Name (If Applicable):………………….. Postcode: ………………………………………………......
Home Tel: ……………………………………………….. Time at this address:……………………………………
Mobile: …………………………………………………… Passport Number: ……………………………………….
Email Address: ……………………………………….. Visa Status & Expiry Date:……………………………
Holidays Planned: ………………………………….. Languages: Level:
Emergency Contact: …………………………. …………………………………
Name……………………………………………………… …………………………. …………………………………
Tel No…………………………………………………….. …………………………. …………………………………
Relationship to you………………………………. Pref Work Location: ……………………………………
Copy Typing: (Yes/No) Audio Typing: (Yes/No) Shorthand: (Yes/No)
Speed: ……………………….. Speed:…………………………. Speed: ………………………………………………………..
Do you have immigration permission to work in the UK? Yes/No
Do you have any unspent criminal convictions? Yes/No ……………………………………………………….
Do you have any health issues or a disability which may make it difficult for you to carry out functions which are essential for the role you seek? Yes/No
If yes, please speak to your consultant to discuss your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc.
Current Salary: ……………………………………. Salary Desired: ……………………………......
Notice Period: …………………………………….. Last Bonus: …………………………………………......
Pension: (Yes/No) Private Healthcare: (Yes/No) Life Insurance: (Yes/No) Gym Membership (Yes/No)
Date available to temp/start: Hourly Rate Desired:
…………………………………………… £……………………………………………
Reference Form Completed: (Yes/No)
Opt Out Agreement Signed: (Yes/No) Temp Worker Agreement Signed: (Yes/No)
1.
Institution Name Address (Further Education): Dates Attended: Contact Details for Verification:
Degree level and above
……………………………………………………………………….. …………..……………. Name: ………………………………………
……………………………………………………………………….. to Tel No: ……………………………………..
……………………………………………………………………….. .………………………… Email: ……………………………………….
Subject: Grade:
…………………………….. ………………………….
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2.
Institution Name Address (Secondary Education): Dates Attended: Contact Details for Verification:
A Levels and GCSEs or equivalent
………………………………………………………………………. …………..…………. Name: ………………………………………
……………………………………………………………………….. to Tel No: ……………………………………..
………………………………………………………………………. .……………………… Email: ……………………………………….
Subject: Grade: Subject: Grade:
…………………………….. …………………………. …………………………. .………………………………
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3.
Institution Name Address (Professional Quals): Dates Attended: Contact Details for Verification:
Vocational/professional training qualifications
………………………………………………………………………. …………..…………. Name: ………………………………………
……………………………………………………………………….. to Tel No: ……………………………………..
………………………………………………………………………. .……………………… Email: ……………………………………….
Subject: Grade:
…………………………….. ………………………….
…………………………….. ………………………….
Below, we confirm how we will provide our recruitment services to you when applying for permanent work.
1. Tay Associates Ltd are to provide you permanent recruitment services that is to say we will act as an agency as defined under the Employment Agencies Act 1973.
2. You authorise Tay Associates Ltd to seek work on your behalf.
3. You informed us that you wish us to seek employment within the field of office based support staff.
I authorise Tay Associates to take up education references and to confirm attendance to pass on to its clients relevant information and references relating to my education details. By completing this form, I consent to my personal data being included on a computerised database and to Tay transferring my details to its clients in connection with a search for suitable employment. I confirm that to the best of my knowledge the information given on this form, on my CV and any copy documentation and qualifications are true and complete. Tay may check the information collected, with third parties or with other information held. Tay 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. Furthermore, I agree to my details being processed using client specific software applications.
Signed:…………………………………………………………………………………………………….… Date:………………………………………………..
Candidate’s Signature: Consultant’s Signature:
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