Registration – Job Ready

Name *

First

Last

National Insurance Number

Nationality *

Email *

Right to Work in UK *

Full Name on Account *

Bank Name *

Sort Code *

Account Details *

Name of Next of Kin *

Name of Company *

Job Title / Details of Role *

Reference Name *

Reference Email Address

Reason for Leaving *

Name of Company

Job Title / Details of Role

Reference Name

Reference Email Address

Reason for Leaving

Are you available to start immediately: *

Do you have any unspent criminal convictions? *

If yes, please provide the offence dates, dates of conviction/caution, offence types and sentences below.

Do you currently hold a UK Drivers License *

Any other Qualifications please type into the box below:

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.?

Do you have any disability or health issues that may make it difficult for you to carry out functions which are intrinsic to the role you seek?

Are you medically fit to work Night Shifts – If no please specify

Specify Below

Do you suffer from any condition that may impact your ability to work a night shift? If yes, please specify

Specify Below

Do you suffer from any allergies to any food; including nuts, alcohol, or any other substance?

Are you currently taking any medication which may cause side effects?

Do you have any difficulty bending, lifting or reaching from floor level or shoulder height?

Do you have any difficulty walking or climbing steps, or stairs?

Do you suffer from any back, neck or shoulder pain?

Do you suffer from any condition that would affect your ability to work alone? Some examples: Epilepsy, diabetes, dizziness, vertigo or unexplained blackouts.

Do you have any skin conditions that may affect your ability to work with certain substances?

Are you taking any medication that may affect your ability to work with or near machinery or vehicles?

Do you have any injuries, such as bone, joint or muscular conditions that may affect your ability to carry out the specific requirements of the role?

Worker Name *

Name *

First

Last

Worker Name *

Your Name *