Step 1 of 14 - Personal Details

Personal Details

This information is about you. Please fill in the required fields to the best of your ability.

Title*

Mrs

Miss

Other

Name*

First Middle Last

Date Of Birth*

DD slash MM slash YYYY

Nationality*

Passport, Right to work or Identity Document type and number, for example “Passport, 123456789”*

Expiry Date*

DD slash MM slash YYYY

Passport / National Identity Document / Visa / BRP / Immigration Documents / National Insurance Number Confirmation/ Birth Certificate*

Drop files here or

Max. file size: 512 MB.

Please provide all documentation to show you are legally allowed to work in the UK. If you are British or Irish Citizen, we can accept Passport or Birth / Adoption Certificate and an official letter or document from a previous employer or a government agency. The letter must show your name and National Insurance number. Driving licence is not accepted.

Share Code

We need your share code if you are a European Union, Switzerland, Norway, Iceland or Liechtenstein Citizen, Frontier Workers, or Visa Holder. You can get your share code online on https://www.gov.uk/prove-right-to-work

Contact Details

This information is about you. Please fill in the required fields to the best of your ability.

Telephone*

Email*

Address*

Street Address Address Line 2 City/Town County Post Code Country

Next of Kin

In the event of an emergency, please provide us with the details of at least one person that you would like us to contact.

Name of Contact*

First Last

Relationship to You*

Contact Number*

National Insurance

This information is about you. Please fill in the required fields to the best of your ability.

Do you have a National Insurance Number?*

Yes

National Insurance Number*

Have you applied for a National Insurance Number? Please provide a date of your appointment.*

Criminal Convictions

This information is about you. Please fill in the required fields to the best of your ability.

Do you have any criminal convictions?*

Yes

Please provide details of your conviction*

Transport And Shift Preferences

This information is about you. Please fill in the required fields to the best of your ability.

Do you have your own transport?*

Yes

Would you like to work full or part time?*

Full Time

Part Time

Why would you prefer to work part time?*

What shifts do you prefer?*

Day

Afternoon

Night

All

Are you an international student?*

Yes

Upload your Tier 4 Work Letter*

Max. file size: 512 MB.

What are your term times at University?*

Please provide official letter ( please use the drop file box above), or link to your University Term Times website.

Medical Information

This information is about you. Please fill in the required fields to the best of your ability.

Doctor's surgery name*

Doctor's surgery telephone number*

Do you have any persistent medical conditions?*

Yes

Please provide more details*

Do you currently take any medication?*

Yes

Please provide details of medication taken*

Tax Declaration

This information is about you. Please fill in the required fields to the best of your ability.

Please select the option that is most relevant to you:*

This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.

This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension

- As well as my new job, I have another job or receive a State or Occupational Pension.

Work History

This information is about you. Please fill in the required fields to the best of your ability.

Qualifications / Licences / Degrees

How would you prefer to supply your Work History information?*

Upload your CV

Complete your Work History

CV / Qualification Upload*

Drop files here or

Max. file size: 512 MB.

If you are unable to upload a CV, please complete the work history below.

Previous Employer*

Address of previous employer*

Position held*

Start and Finish Date*

For example: July 2022 to July 2024

Reason for leaving*

Do you have any other Work History you'd like to tell us about?*

Yes

How many previous positions would you like to tell us about?*

Please provide further information for Position 1*

For each job position please include: Employer's name and address, position held and main duties, start and finish date, reason for leaving.

Please provide further information for Position 2*

For each job position please include: Employer's name and address, position held and main duties, start and finish date, reason for leaving.

Please provide further information for Position 3*

For each job position please include: Employer's name and address, position held and main duties, start and finish date, reason for leaving.

Please provide further information for Position 4*

For each job position please include: Employer's name and address, position held and main duties, start and finish date, reason for leaving.

48 Hour Opt Out

This information is about you. Please fill in the required fields to the best of your ability.

If you’re over 18, you are able to choose to work over an average of 48 hours per week and this process is known as “opting out”.*

I wish to opt-out of the 48-hour working week restriction under the Working Time Regulations 1998. (This mean I would like to work over 48 hours a week)

I do not wish to opt-out of the 48-hour working week restriction under the Working Time Regulations 1998. ( I don't want to work over 48 hours a week )

This is your choice and is entirely voluntary. Whatever your decision it will not have an impact on the service you have from us and how we treat you. If you want to change your mind you can do so by writing to us and giving us three weeks’ notice.

Health Questionaire

This information is about you. Please fill in the required fields to the best of your ability.

Have you ever suffered from any of the following conditions?*

Any skin condition? (Including persistent spots, eczema or dermatitis)

Discharge or infection of the ears or defects of hearing?

Asthma or hay fever, any allergic condition and sensitivity to antibiotics or other medicines?

Sore throats?

Chest problems (e.g persistent cough for over 3 weeks, with fever and/or weight loss)?

Tuberculosis?

Chickenpox?

Measles or German Measles?

Hepatitis?

Heart Problems?

High Blood Pressure?

Severe Headaches (including Migraines)?

Blackouts (including fits and epilepsy)?

Mental illness (including depression, nervous breakdown or eating disorders)?

Neck or back problems?

Difficulty in lifting or bending?

Rheumatism, arthritis or painful joints?

Varicose vein or foot problems?

Stomach problems?

Kidney or bladder problems?

Eye conditions (including injuries or defects of vision)?

Diabetes?

Blood disorders, sickle cell, jaundice or liver problems?

Any conditions requiring attendance at hospital?

None of the above are applicable to me

Would you like to add more details?

Do you consider yourself disabled?*

Yes

Would you like to add more details?

Does your condition affect normal day to day activities (e.g. shopping, concentration etc.)*

Yes

Would you like to add more details?

Are you at present having any form of treatment from a doctor?*

Yes

Would you like to add more details?

Is it possible that the disability might prevent you from being able to carry out the duties of the post?*

Yes

Would you like to add more details?

Have you taken any medication for longer than a week or had occasion to do so in the last 2 years?*

Yes

Would you like to add more details?

Do you smoke?*

Yes

How many cigarettes per day?*

Would you consider that you have or have had a drink problem?*

Yes

How many units do a you drink in a typical week?*

Do you have any medical conditions not listed on this form?*

Yes

Would you like to add more details?

Have you been advised for medical reasons not to do night work, shift work, or any other kind of work?*

Yes

Would you like to add more details?

Consent*

I certify that I have answered the questions in this questionnaire honestly and fully and that I am not otherwise aware of any physical or mental disability which will or may affect my working capacity before retirement age. I am aware that any false or incomplete statement may affect my appointment or future employment.

Declarations

Workforce Agreement

I understand that time to time there may be an unforeseen uplift in the volume of work and this may mean that I will be asked to work over 60 hours in a week. I can confirm by signing below that should any unforeseen uplift in volume happen then I am happy to work over 60 hours in these weeks.

Data Protection Declaration*

In order to help you find work, we need your permission to process some of the information that you have given us. Please read the statement below and then sign and date if you agree to us processing your data. Should you wish to withdraw your consent at any point then you can do so by contacting the offices of NE European Recruitment Limited. I agree to my data being held and processed by NE European Recruitment Limited, both electronically and manually, during the course of my assignment for the purpose of the administration and management of their staff and their business and for compliance with applicable laws, procedures and regulations.

Candidate Declaration*

I can confirm that I consent to receive all of my documents such as Payslips, Letters and Employee Handbook from NE European Recruitment Limited by email to the address I have given in this application form. I confirm that all of the information I have provided in this document is true and accurate at the time of completion. Should any of my personal details change, I will notify NE European Recruitment’s offices immediately.

Important information

Have you booked any holidays or appointments in the coming weeks/months?*

Where did you hear about us?*

Social Media (for example, Facebook, Instagram, X/Twitter or LinkedIn)

Indeed

Word of Mouth

Other

Please provide further details*

Any additional information you would like to add?

Signature*

Please sign to certify this form has been filled in to the best of your ability and knowledge.

Date of Submission*

DD slash MM slash YYYY

Name

This field is for validation purposes and should be left unchanged.

Candidate Application Form

Personal Details

Contact Details

Next of Kin

National Insurance

Criminal Convictions

Transport And Shift Preferences

Medical Information

Tax Declaration

Work History

48 Hour Opt Out

Health Questionaire

Declarations

Important information