PLEASE COMPLETE THIS FORM

Your Details

Do you have a valid driving licence?

YesNo

Do you have use of a car for work?

YesNo

Health & Disability

Do you have any health issues or a disability relevant to the position or role you seek?

YesNo

Identity & Eligibility to work

Eligibility

Please select one of the following statements. I am eligible to work in the UK because:

either

A. I am a UK or EU national and do not require immigration permission to work in the UK.

or

B. I have obtained immigration permission to work in the UK

In line with Home Office guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK.

Criminal Convictions

Do you have any unspent* criminal convictions?

YesNo

*Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details for all criminal convictions must be given. The information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Crossmatch Recruitment, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.

Your Skills

References

It would be handy if you are able to fill in two references now but don't worry if you don't have all the information to hand.

It may be that you need to ask permission from the referee too and that's fine.

We will need this information at some point though so now may be a good time to start finding out.

If you do supply references on this form, please only give details of people you are happy for us to contact now.

If you are employed at present, DO NOT GIVE YOUR CURRENT EMPLOYER AS A REFERENCE, unless you are completely happy for us to go ahead and contact them.

Referee 1 details

Referee 2 details

Almost there..

Is there anything else you need to tell us?

Data Protection Statement

The information that you provide on this form and any CV given will be used by Crossmatch Recruitment to provide you work-finding services. 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 check the information collected, with third parties or with other information held by us.

We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in any other way permitted or required by law.

Candidate declaration

I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed on to potential employers.

If, during the course of a temporary assignment, the Client wishes to employ me directly, I acknowledge that Crossmatch Recruitment will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).

I accept this declaration

Thats it! Please read over your entries carefully. Click here to go to the top of this page and do so.

If you're happy with what you have entered then submit this form.