Step 1 of 6 - Personal Details 0% Registration FormRotherwood Recruitment is 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. Rotherwood Recruitment shall not discriminate unlawfully when deciding which candidate/temporary worker is submitted for a vacancy or assignment, or in any terms of employment or terms of engagement for temporary workers. Rotherwood Recruitment 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. Today’s date DD slash MM slash YYYY Which branch are you registering with?(Required) Keighley Burnley Which job or sector are interested in? Personal DetailsName TitleMissMrMrsMs Title First Middle Last Eligibility to work in the UKNationalityBritishAustralianCzechPilipinoFrenchGermanHungarianIndianIrishItalianLatvianPakistaniPolishPortugueseRomanianRussianSlovakianSpanishUkrainianUS CitizenOtherPlease state your nationality Are you eligible to work in the UK? Yes No What document supports your eligibility?(Please upload a copy at the end of the form) UK Passport Visa EU Settlement scheme Contact DetailsAddress Address Address Line 2 Town Post Code Your Email Address Contact Number(Required) Work DetailsWhat job role are you seeking? What type of work are you looking for? Temporary Temp to Perm Permanent Anything What days are you wanting to work? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Hours of work? Full time Part time Shifts Nights Are you flexible on the hours/days? Yes No Do you have any PPE? Yes No Please list your PPE:How do you travel to work? Own car Public transport Licences – do you have any FLT? Yes No Please list: Criminal ConvictionsBefore completing this section please read our policy regarding candidates with criminal convictions found under policies on this website. We are asking you to complete this form in relation to job roles which are not exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020). For this reason you are only required to disclose information about unspent convictions. You are not required to disclose spent convictions on this form. We will seek to put forward/supply the best possible candidates to our clients. Having a criminal conviction will not necessarily exclude you from the process. Do you have any unspent criminal convictions?(Required) Yes No Please provide the offence dates, dates of conviction/caution, offence types and sentences:The information given will be treated in the strictest of confidence and only taken into account where, in our reasonable opinion, 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 if the offence is not declared but later comes to light. If you are working in an assignment with a client at the time that we are made aware of a conviction that have not disclosed to us, we may be legally required to inform our client of that information and your assignment may be terminated. Health and DisabilityWe want to ensure that we provide work finding services to all work seekers fairly and equally. If a permanent role or temporary assignment requires an intrinsic* function to be completed, we will discuss your ability to undertake this function after you have been successfully registered with the Agency. * Intrinsic means if that particular task could not be performed the job could not be carried out.Do you have any disability or health issues? 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 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? Work HistoryPlease list your previous employers, the dates you worked and the position you heldEmployer 1Employer Name Employer AddressPosition held Employed from: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for leaving Referee Name Position Contact Number Contact Email Permission to contact(Required) Yes No Add new employer?(Required) Yes No Employer 2Employer Name Employer AddressPosition held Employed from: MM slash DD slash YYYY Employed to: MM slash DD slash YYYY Referee Name Position Contact Number Contact Email Permission to contact(Required) Yes No Add new employer?(Required) Yes No Employer 3Employer Name Employer AddressPosition held Employed from: MM slash DD slash YYYY Employed to: MM slash DD slash YYYY Referee Name Position Contact Number Contact Email Permission to contact(Required) Yes No Self EvaluationPlease tick which 6 statements relate to you the most (be honest!) Flexible Organised Attention to detail Realistic Committed Problem Solver Night Owl Morning Bird Determined Good with numbers Computer whiz Team Player Likes working alone Patient Accurate Reliable Day Dreamer Multi-lingual Articulate Proud Payment InformationNI Number orDate of Birth MM slash DD slash YYYY Gender For temporary or supply workers, we will need bank details once your application is verified.Additional InformationHave you ever registered with Rotherwood before? Yes No When? Additional information to take into considerationData Protection StatementRotherwood Recruitment provides work-finding services to its clients and work-seekers. We must process personal data (including sensitive personal data) so that we can provide these services – in doing so, we act as a data controller. This is why we have asked for your personal data on this form. When we process your personal data we must do so in accordance with data protection laws. Those laws require us to give you a Privacy Statement to explain how we manage your personal data which is available here. Declaration and Consent of Personal Information(Required)I confirm that the information I have given herein is true and correct. I understand that the service that the service provided by Rotherwood will incur no cost to myself. If, during the course of a temporary assignment, the client wishes to employ me direct that Rotherwood will be entitled either to charge the client an introduction fee or agree to an extension of the hiring period with the client (after which I may be employed by the client without further charge to the client). I hereby agree to keep all information gained by Rotherwood and their clients strictly confidential. I hereby give Rotherwood permission to obtain references on my employment as stated in references. I will inform Rotherwood immediately if any circumstances that may affect my work. I hereby confirm that I am happy for Rotherwood to act as an Employment Business / Employment Agency on my behalf. I AgreeDocuments uploaded – tick which apply CV Passport ID Card Right to work permit EU settlement scheme Birth Certificate Driving Licence FLT Licences NI Terms of engagement with an agency worker(Required)[post-content id="32879"] I agree to the Terms of Engagement Upload Your Documents Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 20 MB. Δ Get in touch to see how we can help you or your organisationCONTACT