First Name
Last Name
Home Address - Number/Name
Home Address - Street
Home Address - Town/City
Home Address Postcode
Contact Telephone Number
Email Address
Date of Birth
What role/s are you looking for?
So we can align you with the right opportunities and ensure you’re speaking to a consultant who specialises in your area.
Your National Insurance Number
Proof of this right is required before an offer of employment can be confirmed as required by the Immigration, Asylum and Nationality Act 2006. Please provide one of the following:
Education & Qualifications
Please add your Qualification: School / College / University
Any other relevant qualifications, tickets or certificates and their expiry date e.g. CSCS card, SMSTS:
Please list memberships of any industry bodies e.g. CIH:
Eligibility and Criminal Convictions:
The Rehabilitation of Offenders Act 1974 requires applicants to give details of any convictions that are not spent. Failure to disclose such convictions could result in immediate dismissal.
If yes, please give details below, including date(s) and sentence(s):
If yes, please give details below, including date(s) and sentence(s):
References:
Please share a recent work reference. This helps us confirm your experience and make sure we match you with the right roles, while meeting client and site requirements.
Reference - Full Name
Reference - Tel/Mobile Number
Reference - Company Name
Reference - Position Held
Work History:
Please add your work history here:
Please add your recent work history, including job roles, companies, and dates. This helps us understand your experience and match you with suitable roles.
Injury, Illness and Medical Conditions:
Please state below any injury, illness or medical condition that we need to be aware of: (By leaving this blank, we will assume there are none)
Equality of Opportunity:
Power recruitment solutions are committed to equality of opportunity in our recruitment selection processes. By completing this section of the form, you will help us to ensure that our policies and procedures are effective in avoiding discrimination and promoting equality of opportunity or even equity for our candidates. The information you supply on this form will be kept confidential. The monitoring portion of this form will not be sent to prospective hirers unless explicitly agreed with yourself and the answers you give will have no bearing on the outcome of your application.
If you answered yes from the last question, please select all of the following that apply to you:
Blind or have a visual impairment uncorrected by glasses D/deaf or have a hearing impairment Learning difference such as dyslexia, dyspraxia or AD(H)D Long-term illness or health condition such as cancer, HIV, diabetes, chronic heart disease or epilepsy Mental health condition, challenge or disorder, such as depression, schizophrenia or anxiety Social/communication conditions such as a speech and language impairment or an autistic spectrum condition An impairment, health condition or learning difference not listed above (specify, if you wish) Development condition that you have had since childhood which affects motor, cognitive, social and - emotional skills, and speech and language Physical impairment (a condition that substantially limits one or more basic physical activities such as walking, climbing stairs, lifting or carrying) Prefer not to say
Working Time Opt-Out Agreement:
In accordance with the Working Time Regulations 1998, you are not required to work more than 48 hours per week. This is averaged over a 17 week period. This means that a worker might work more than 48 hours in one week, and less in another during a 17 week period - as long as the average is not more than 48 hours. Workers can opt out of this restriction on weekly hours. By signing this agreement, you indicate that you are prepared to work more than 48 hours in any week. This is not a guarantee that you will be offered work in excess of 48 hours in any week. This is just an indication that you are prepared to opt out of the restriction. You are entitled to give 4 weeks notice if you wish to cancel this agreement. Such notice should be given in writing.
Email Notifications:
Emergency Contact Details:
Emergency Contact Name:
Nature of Relationship to Applicant:
Emergency Contact Telephone Number:
Emergency Contact Address:
Declarations:
Please confirm the following statements: • I confirm that the information provided in this application and within any Curriculum provided, is both truthful and accurate. • I confirm that all facts that have been omitted will not affect my employment. • I understand that any false or misleading statement or information could place any subsequent employment in jeopardy. • I understand that any offers of work will be subject to documentary evidence of their right to work in the UK, identification and qualifications being provided prior to the start of the contract. • I understand that any offers of work will be subject to satisfactory references being taken by Power recruitment solutions. • I consent to personal data contained within this form being recorded for the purposes of assessing suitability for potential offers of work, which may also form the basis of any subsequent work file. • I understand and consent to Power recruitment solutions passing select personal data to prospective or intended employers solely for recruitment purposes? • I understand that Power recruitment solutions will treat any personal information provided in accordance with the requirements of the Data Protection Act 1998, and that these details may be kept on file pending suitable opportunities that arise in the future. • I confirm consent to the data contained in my personal file being made available to other relevant organisations for audit and inspection purposes. This includes personal and sensitive data including, without limitation, all documentation/ information related to any criminal record checks. I, the candidate, also agree that I may be required to present a copy of my criminal record check certificate or other related documentation if your file is selected for audit as soon as possible. • I understand that I must inform Power recruitment solutions immediately of any changes to the information provided in this document.
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