Recruitment Registration Form | Webform Portal

Recruitment Registration Form:

Personal Details

Marketing Preferences:

Health

Employment History

Reference Request

Work related / Skills

Supporting Documents

Payment Details:

Please provide five years employment history.

Please provide three professional reference details.

Title:

Name:

Address:

Telephone number:

Email address:

Date of Birth:

National Insurance Number:

Nationality:

Emergency contact name:

Emergency contact number:

Do you have a clean driving licence?

If you answered no to the above please specify reasons:

Do you have your own vehicle?

I wish to be contacted by:

PHONE EMAIL

I would like to opt in to receive Recruitment 360 newsletters via email:

Do you have, or have you ever had, any of the following?

BACK PROBLEMS DEPRESSION NERVOUS DISORDER SIGHT PROBLEMS HIGH BLOOD PRESSURE HEART DEFECT HEARING DIFFICULTY EPILEPSY DIABETES

Have you ever had a history of long term sickness?

Do you consider yourself to have a disability?

If you answered yes to the above, then please describe your disability / working environment adjustments

Employment history:

Employer Name:	Position Held:	Date From:	Date To:

Current salary including bonus:

£

References:

I give Recruitment 360 the permission to request references from my current and previous employers.

Tap or click on the signature above to sign

Skills:

I would consider the following work:

FULL TIME PART TIME CONTRACTURAL

Please specify what area of work / job title you would be looking for:

What is your notice period?

When are you available to start work?

Please take a photo of your CV for reference

Please take a photo of your identification document e.g: passport, driving licence or birth certificate.

Employer Name:

Position Held:

Date From:

Contact Name:

Contact email address:

Contact phone number:

Account Name:

Bank / Building Society Name:

Account number:

Sort Code:

I confirm that the information given on this registration is, to the best of my knowledge, accurate and true. I understand that it is my responsibility to update these details with Recruitment 360 as soon as any changes arise.

Tap or click on the signature above to sign