Employment Registration

Your Information

Name

First

Last

Telephone

Email

Address

Town

City

Postcode

Date of Birth

Gender

National Insurance (NI) Number

Share Code

Nationality

Bank Details

Sort Code

Bank Details - Account Number

Account Number

Next of Kin

Name

Next of Kin - Telephone Number

Telephone Number

Next of Kin - Relationship

Relationship

Form of Identification

Maximum file size: 33.55MB

Do you have a current driving licence?

Yes

No

If yes please upload a relevant copy

Maximum file size: 33.55MB

Health & 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.

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?

Yes

No

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

Do you suffer from diabetes?

Yes

No

Do you suffer from heart or circulatory disorders?

Yes

No

Do you suffer from stomach or intestinal disorders?

Yes

No

Do you suffer from any conditions that cause difficulty sleeping?

Yes

No

Do you suffer from chronic chest disorders?

Yes

No

Do you suffer from any medical condition requiring medication to a strict timetable?

Yes

No

Do you suffer from any health factors that might affect fitness at work?

Yes

No

Do you suffer from any allergies?

Yes

No

If you have answered ‘yes’ to any of the above questions, you may be asked to see a doctor or nurse for further assessment, please confirm your consent:

48 Hour Opt Our Agreement

Do you consent to the 48 hour opt out agreement?

Voluntary Donation Opt Out

We work very closely with a brilliant charity called Best Mates. You are automatically enrolled in to a voluntary donation scheme direct from your salary (£1.50 per week). Check this box to opt out.

Criminal Record Disclosure

Do you have any unspent criminal convictions?

Yes

No

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

Employment History

Employer 1 - Name

Date Started

Date Finished

Job Role

Managers Name & Telephone Number

Employer 2 - Name

Date Started

Date Finished

Job Role

Managers Name & Telephone Number

Please state your forklift experience:

Upload Your CV

Maximum file size: 33.55MB

References

Reference 1 - Name & Company

Relationship

Telephone Number

Email

Reference 2 - Name & Company

Relationship

Telephone Number

Email

Manual Handling

TRAK Employment and all of its Clients operate standard Health & Safety Procedure by offering Manual Handling Training, this is done through the CHILDS Play Video that is shown to you during the registration process.

Use this link to watch the video - once completed please select you consent to receiving a walk through and explanation of the manual handling hazards involved with the work I will be carrying out.

Policies & Procedures

It is important that as part of this application you read and understand our policies and procedures. Once you have read all these documents please toggle to confirm your acceptance.

Click Here To View Our Equal Opportunities Policy

Select to confirm your acceptance

Click Here To View Our Data Protection & GDPR

Select to confirm your acceptance

Click Here To View Our Operational Policies & Procedures

Select to confirm your acceptance

Click Here To View Our Terms of Engagement

Select to confirm your acceptance

Your Acceptance

I hereby confirm that the information provided is true and correct to the best of my knowledge. I have thoroughly read and understood all of these Policies & Procedures.

Final Declaration

Please select to confirm all the information submitted on this form is factually correct

Confirm Name

Date of Completion

Register Today

If you are interested in applying for one of our roles please register via the following form and one of our team members will be in contact:

Your Information

Health & Disability

48 Hour Opt Our Agreement

Voluntary Donation Opt Out

Criminal Record Disclosure

Employment History

References

Manual Handling

Policies & Procedures

Final Declaration

Office hours

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Call: 01793 613813