Permanent Worker Registration Form

Worker Details

First name(s):

Last name:

Home address:

Mobile number:

Emergency contact number:

Date of birth:

Current Salary (£):

Notice Period:

Location preference for work:

Holiday dates booked:

Do you have a car for work?

National Insurance Number:

Ascendant Recruitment seeks to offer employment opportunities irrespective of physical or mental disabilities wherever possible and will make any reasonable adjustments to ensure that disabled people can complete equally with nondisabled people.

Do you consider yourself to have a disability that is relevant to the roles for which you are applying?

If “yes” please give brief details of the effects of the disability and any assistance you would need:

Have you ever been convicted of a criminal offence? If “yes” please give details (under the Rehabilitation of Offenders Act 1974, spent convictions need not be declared).

Detail if YES to above:

I confirm that the information I've given on this form is correct.

Full Name:

Date:

Systems knowledge

Word:

Excel:

Powerpoint:

Outlook:

SAP:

Other programs used?

References

Please detail the contact information for two of your most recent previous employers. These need to be direct Line Managers. We use the information we gather to strengthen your application and enhance your chances of gaining a 1st interview or temporary assignment.

Reference 1

Company:

Manager Name:

Position:

Telephone:

Email:

Reference 2

Company:

Manager Name:

Position:

Telephone:

Email: