Application Form - Freemans Choice Recruitment.

PERSONAL DETAILS - Step 1 of 2

Position Applying For: *

Name *

First

Last

Gender *

Date of Birth *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Passport Photograph *

Please provide a photograph (chest up). We need this for employee profile.

Ethinicity *

Sexuality *

Religion *

Passport *

Please upload the data page of your passport

Work Permit *

Please attach the front and the back of your work permit

Proof of National Insurance

Name of Current Employee who reffered you (If referred)

Next of Kin *

First

Last

Next of Kin Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship

Training and Skills *

List all Trainings and Skills

Do you have any convictions disclose? *

Because of the nature of the work involved, the post for which you are applying is exempt from section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Offenders Act (Exemption order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had. Any information should be given on a separate sheet and sent along with the application. This information will be treated as confidential and will not necessarily preclude you from employment.

Upload DBS Certificate

By uploading your consent, you give ongoing consent to: Freemans Choice Limited to carry out a Status check (DBS and Regulated Activity) on you each time it is necessary, in accordance with the DFE and DBS guidelines. Should you wish for the consent to be withdrawn, please provide Freeman's Choice with written notice confirming your withdrawal. IF YOU NEED FREEMAN'S CHOICE TO APPLY FOR DBS ON YOUR BEHALF, PLEASE CONTACT US.

Reference Name 1 (Professional) *

First

Last

Relationship *

Phone *

Email *

Reference 2

Reference Name 2 (Professional or Character) *

First

Last

Relationship *

Phone *

Email *

Are you registered disabled?

Have you had BCG Vaccination? *

Have you had Hepatitis B Vaccination? *

Have you had Chicken pox or had Varicella Vaccination? *

Have you had Covid Vaccination? *

I confirm I am fit and well to perform tasks within the job role applied for *

Proof of Covid Vaccination or NHS pass

From the 11th November, it is mandatory that those working within the Health and Social Care are fully vaccinated from covid-19.

Choose the statement that applies to you, either A, B or C, and tick the appropriate box. *

STATEMENT A: Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies. This is my first job since 6 April and since the 6 April I’ve not received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit
STATEMENT B: Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies. Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit
STATEMENT C: Choose this statement if: • you have another job and/or • you’re in receipt of a State, Works or Private Pension

Tell us if any of the following statements apply to you: *

You do not have any Student or Postgraduate Loans
You’re still studying full-time on a course that your Student Loan relates to
You completed or left your full-time course after the start of the current tax year, which started on 6 April
You’re already making regular direct debit repayments from your bank, as agreed with the Student Loans Company
If No, choose this option and go to the next question

File Upload

Click or drag a file to this area to upload.

Any additional information you think we need to know?

Reference 2

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