Application Form

Name: *

Home Address: *

Post Code: *

Preferred Work Location(s): *

Home Telephone No: *

Mobile Telephone No: *

Email: *

LinkedIn URL:

Twitter Name:

Skype Address:

FaceTime Address:

GCSE's:

A Levels:

Further Education (i.e. Degree or IT Qualifications etc):

Preferred Position: *

What type of work are you looking for? *

Temporary Permanent Part Time

For Temporary work:

Minimum Hourly Rate:

Availability From / To:

For Permanent work:

Minimum Salary Required:

Notice Period:

For Part Time work:

Hours Required:

Days Required:

Do you have any conviction(s) other than those spent?

No Yes

Please give details below of any previous conviction(s) and any pending court appearances: *

Number of sick days in the past year: *

Have you suffered any disabilities or illnesses in the past 3 years?

No Yes

Please advise of any reasonable adjustments we need to make during the recruitment process:

Do you have a full driving licence?

No Yes

Do you own a vehicle?

No Yes

Please state any other agencies you have registered with:

If you have had any interviews or temporary assignments, please state company name(s) and location(s):

How did you hear about us? *

By ticking this box you consent to the company using and keeping the information you have provided. This information will be used in the recruitment process and your details kept on file at YourRecruit (IT). Any information relating to equality such as gender, ethnic origin or disability is used for monitoring purposes only and will in no way whatsoever form part of the application process. The information I have supplied in this application form is accurate to the best of my knowledge. I Agree: *

Application Form

Personal Details:

Contact Details:

Qualifications:

Job Specification:

For Temporary work:

For Permanent work:

For Part Time work:

Important Information:

Declaration:

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