Application Form | Link2Recruit

Birmingham 0121 377 7006 Liverpool 0151 227 5769

B'ham 0121 377 7006 L'pool 0151 227 5769

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Application Form

Application Form

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Please complete this form yourself and email it to the appropriate consultant, emailing will class as an electronic signature and agreement of our terms and conditions.

Please note that we are an equal opportunities employer committed to ensuring equality of opportunity from the recruitment and selection stage and throughout the employment process. We aim to ensure that discrimination does not occur on grounds of an individual’s race, colour, nationality, ethnic origin, gender, sexuality, sexual orientation, religion, disability, physical characteristics or age.

Equal opportunities monitoring

Link2Recruit is an equal opportunities employer. Please help us to monitor the effectiveness of our equal opportunities policy by completing this section.

Information recorded here is for statistical purposes only and forms no part of the application process.
Gender*
- Male
- Female
Do you have a disability we need to know about?*
- Yes
- No
If you do have a disability we need to know about, please give details:
I would describe my ethnic origin as:*
Personal Details
Name*
Prefix First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
National Insurance No.*
Will you need a work permit?*
- Yes
- No
Date of birth

DD
MM
YYYY
Age
Place of birth*
Marrital Status
Next of Kin
Background information
Please Tick if Yes
Do you hold a current full driving licence?*
- Yes
- No
Are you able to work rotating shift patterns?*
- Yes
- No
Please state number of days absence during the last 12 months.
State Number of Days. (If applicable)
Reasons for absence
Do you have any convictions that are unspent under the Rehabilitation of Offenders Act 1974?*
- Yes
- No
If yes, Please give details / Dates of offence(s) and Sentence:

Position Details
Position Sought*
Where did you hear about it?
Notice required by your present employer
Annual salary £
Annual salary sought £
Current hourly rate £
Hourly rate sought £
Bank details
The quickest way to be paid through BACS system. Please make sure that your details are correct or we might pay someone else. You will not get paid for any work you do until you give us these details.
Name of bank or building society Branch name (Road and Town) Branch Postcode
Name(s) in which the account is held Sort code Account number
Building Society Reference (Roll) No. National Insurance Number

Health Qustionnaire
*
Name Payroll No.
*
Weight Height Age
1. Do you suffer from Diabetes?
- Yes
- No
2. If yes, is it treated with insulin injections on a strict timetable?*
- Yes
- No
2. If yes, is it treated with insulin injections on a strict timetable?*
- Yes
- No
2. If yes, is it treated with insulin injections on a strict timetable?*
- Yes
- No
3. Do you suffer from any heart or circulatory disorders?*
- Yes
- No
4. Do you suffer from any form of stomach or intestinal disorders, such as ulcers?*
- Yes
- No
5. Do you suffer any form of chest disorders?*
- Yes
- No
6. Do you suffer from any other medical conditions requiring regular medication on a strict timetable?*
- Yes
- No
7. Do you suffer from any form of epilepsy?*
- Yes
- No
8. Do you suffer from any medical condition affecting sleep?*
- Yes
- No
9. Do you smoke?*
- Yes
- No
10. Do you suffer from back trouble or any other condition, which would affect your ability to lift weights of up to 20kgs?*
- Yes
- No
11. Do you suffer from vertigo or any other condition which would affect your ability to work at heights?*
- Yes
- No
12. If you have worked regular night shifts did you suffer any health problems?*
- Yes
- No
13. Is your eyesight normal without glasses or contact lenses?*
- Yes
- No
Please give details if you have answered yes to any of the questions 1 to 12
Checking this box will act as your electronic signature*
- Please check this box.
Date

Declaration
Please think carefully about your answers to the following questions. Where your answer to question 1 or question 2 is Yes and your answer to question 3 and 4 is No, please provide brief details. A copy of this form may be entered into our database as reference. We can provide copies of your file if requested. We ask question about ethnic origin etc. to make sure we don’t discriminate.
1. Do you have any problems which could affect your ability to work or restrict the type of work we can offer you?*
- Yes
- No
Enter Details if Yes.
2. Have you got a criminal record or case pending, including motor offences?*
- Yes
- No
Enter Details if Yes.
3. Are you eligible to work in the UK?*
- Yes
- No
Enter Details if No.
4. Do you wish to opt out of the 48 hour working week limit for days, with respect to any assignment?*
Understand that you can withdraw this consent by giving Link2Recruit one month notice.
- Yes
- No
5. Your preferred minimum pay rate is stated on your applicant card; understand that you will be advised of the actual rate when you are offered a job. The rate may vary from job to job.
6. Understand that leave (holiday) pay if both paid weekly, in addition to your basic pay, or on accrual, and is based on the number of slandered or normal hours worked.
7. If you cannot get to the work assigned to you, you must tell us at least one hour before you are due to start work. This is so we can organise a suitable replacement.
8. You must notify us immediately of any changes to your circumstances. This relates to health, criminal convictions and driving licence endorsements, which could affect your ability to work.
9. Link2Recruit may submit brief personal details to a client in order to secure work for you. This information is restricted to name, age, driving licence and work history.
I have received my Terms of Engagement and have agreed the type of work offered.*
- Checking this box will act as your electronic signature
Full Name*
Date*
Data Protection Act 1998
In order to comply with the terms of the Data Protection Act 1998 it is essential that you read, accept and sign the following declaration:
The company will hold personal data relating to you. Such data will include your registration form, references, address & telephone details, bank details, work, holiday and sickness records, next of kin details, pay and remuneration details and other records (which may, where necessary include sensitive data relating to your health and data held for equal opportunities purposes). The company will hold such personal data for personnel administration and management purposes and to comply with its obligations with regard to the retention of your records. Your right to access such data is prescribed by law. By signing the contract you agree that the company may process personal data relating to you for personnel administration and management purposes and may, when necessary for those purposes, make such data available to its advisors, third parties providing products and/or services to the Company and as required by law.
*
- Check the box to agree

Work experience
Please start with your present employer and work in reverse order.
*

<p>1. Present employer: Enter Name of Your Present Employer. Dates from: Enter Dates of Employment. <br> Type of business: Enter Type of Business.<br> Address: Enter Employer’s Address. Postcode: Enter Postcode.<br> Telephone: Enter Employer’s Telephone. Manager: Enter Name of Manager. Position held: Enter Name of Position Held.<br> Type of work and responsibilities Enter Type of Work You Did and Responsibilities You Had.<br> Reason for leaving Enter Reason For Leaving Employment.</p> <p>2. Enter Name of Your Employer. Dates from: Enter Dates of Employment. <br> Type of business: Enter Type of Business.<br> Address: Enter Employer’s Address. Postcode: Enter Postcode.<br> Telephone: Enter Employer’s Telephone. Manager: Enter Name of Manager. Position held: Enter Name of Position Held.<br> Type of work and responsibilities Enter Type of Work You Did and Responsibilities You Had.<br> Reason for leaving Enter Reason For Leaving Employment.</p> <p>3. Enter Name of Your Employer. Dates from: Enter Dates of Employment. <br> Type of business: Enter Type of Business.<br> Address: Enter Employer’s Address. Postcode: Enter Postcode.<br> Telephone: Enter Employer’s Telephone. Manager: Enter Name of Manager. Position held: Enter Name of Position Held.<br> Type of work and responsibilities Enter Type of Work You Did and Responsibilities You Had.<br> Reason for leaving Enter Reason For Leaving Employment.</p>
Referees
Please provide information of two referees, including your present/last employer, who have known you in a professional capacity.
<p><strong>1st Reference</strong></p> <p>Company Name: Enter Company Name. Position held: Enter Position Held.<br> Company Address: Enter Company Address. Contact Name: Enter Company Names.<br> Postcode: Enter Company Postcode. Telephone Enter: Telephone.</p> <p><br> <strong>2nd Reference</strong><br> Company Name: Enter Company Name. Position held: Enter Position Held.<br> Company Address: Enter Company Address. Contact Name: Enter Company Names.<br> Postcode: Enter Company Postcode. Telephone: Enter Telephone.</p> <p><br> <strong>3rd Reference</strong><br> Company Name: Enter Company Name. Position held: Enter Position Held.<br> Company Address: Enter Company Address. Contact Name: Enter Company Names.<br> Postcode: Enter Company Postcode. Telephone: Enter Telephone.</p>

Identification
Please insert a clear image of the following in the picture links provided.
Passport OR Visa OR Birth Certificate:
P45 OR Payslip OR National Insurance Card OR National Insurance Letter OR Bank Statement
Any False statements, answers or omissions made in my application may result in my dismissal if I am offered an assignment and it later comes to light that I may have given false information. In order to comply with the provision of the Asylum and Immigration Act 1996, I understand that offers are conditional on production of legal documentation as evidence that I can live and work within the EU. I confirm that the information given by me in the above application is true and accurate.
*
- Checking this box will act as your electronic signature
Date*
We are obliged to and shall comply with the requirements of the Data Protection Acts 1984 and 1998 in respect of all the information provided by you in this application. We may use such information for our internal administrative purposes and to comply with all obligations imposed on us by law. For instance, we may use such information to comply with equal opportunities legislation and our internal equal opportunities policy.

About Link2Recruit

Link2Recruit recruitment consultants in Birmingham and Liverpool were established in June 2007 when the three directors, who all came from ‘big name’ high street agencies, decided that a boutique consultancy that complimented the categories of staff supplied by Link2Recruit would be a ‘one stop shop’ for most clients.

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