Candidate Registration Form

Thank you for approaching Jackie Wilsher Staff Service/Queensway Personnel to assist you in your search for employment.

Jackie Wilsher Staff Service/Queensway Personnel are a Recruitment Employment Business & Employment Agency. This means we supply both Temporary and permanent employment and we will endeavour to find you suitable employment within the field you require. We may however offer you alternative employment should your required field not be available.

We are committed to a policy of Equal Opportunities for all work seekers and shall adhere to such a policy at all times and will review on an on-going basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally irrespective of sex, sexual orientation, gender reassignment, marital or civil partnership status, age, disability, colour, race, nationality, ethnic or national origin, religion or belief, political beliefs or membership or non-membership of a Trade Union and we place an obligation upon all staff to respect and act in accordance with the policy.

We shall not discriminate unlawfully when deciding which candidates/temporary worker is submitted for a vacancy or assignment, or in any terms of employment or terms of engagement for temporary workers. Jackie Wilsher Staff Service / Queensway Personnel will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualification, and ability to perform the relevant duties required by the particular vacancy.

We are a Recruitment Employment Business & Employment Agency. This means we supply both Temp & Permanent employment and we will endeavour to find you suitable employment within the field you require. We may however offer you alternative employment should your required field not be available.

Registration Form

Full or Part Time Hours:

Temporary or Permanent:

I am a student:

Salary Required:

Notice Period:

National Insurance Number:

First Name:

Middle Name:

Surname:

Date of Birth:

Location Preferred:

Driving Licence:

Own a Car:

Reason for Leaving Current role?

Do you require any special assistance for interviews?

Nationality:

Foreign Languages:

House Number & Street Name:

Town:

Post Code:

Home Telephone Number:

Mobile Telephone Number:

Email Address:

Have You Received Career Advice? (Only applicable if you are under 18):

How did you hear about us?

Have You Contacted Any Companies Already For Employment? (please list):

Please upload a copy of you current CV (max size 1MB):

If you do not have a CV please provide employment details below:

Employment Dates:

Company:

Position Held:

Reason for Leaving:

Employment Dates:

Company:

Position Held:

Reason for Leaving:

Employment Dates:

Company:

Position Held:

Reason for Leaving:

Please answer the following questions below:

1. Do you have any unspent* criminal convictions?

If yes, state convictions and dates:

*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 Jackie Wilsher Staff Service/Queensway Personnel 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.

2. Are you an EU/UK citizen?

If no do you have immigration permission to work in the UK?

Health and Disability

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.

3. Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek?

If yes, please specify:

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc? Please specify:

Candidate Declaration

Please confirm:

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 onto potential employers.

Please confirm:

If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that Jackie Wilsher Staff Services/ Queensway Personnel 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).

Please confirm:

I confirm and agree to your standard Terms and Conditions / Terms of Engagement.

I confirm that I fully understand the above (please put your name here):

Today's Date: