Jobseekers Application Form | Ardent Personnel

Personal details

Please re-enter your name and Email address

Name *

First

Last

E-mail Address *

National Insurance Number *

Date of birth *//

Do you need a permit to work in the UK? *

Yes
No

Do you have a full driving license *

Yes
No

Do you have daily use of a car? *

Yes
No

How long are you prepared to spend travelling to work? *

Do you have any unspent criminal convictions *

Yes
No

Next of kin name *

First

Last

Next of kin phone number *

What kind of work are you looking for? *

Permanent
Temporary or Contract

Select one or more

When are you available to start work? *//

Education and qualifications

Please include both educational and vocational qualifications starting with the most recent and going backwards in time. *

Pleas use the format of: Date (from - to), Educational Institution, Qualifications Obtained

Employment history *

Please detail your full employment history starting with your most recent employer (stating if it was a recruitment agency) and continuing backwards in time. Please ensure that dates provided include both month and year.

Medical questionnaire

Have you been absent from work in the last two years due to illness *

Yes
No

Have you ever left or retired from a job for medical reasons? *

Yes
No

Have you ever had any illness that may have been caused by or made worse by work? *

Yes
No

Do you consider yourself to have a disability? *

Yes
No

Have you seen any doctor in the last two years for any kind of health problem? *

Yes
No

Are you having any treatment or investigations of any kind now? *

Yes
No

Are you waiting for any treatment or investigations? *

Yes
No

Do you have any eyesight problems not corrected by glasses? *

Yes
No

Do you have any hearing problems not corrected with a hearing aid? *

Yes
No

Do you have any difficulty in standing, bending, lifting or any other movements? *

Yes
No

Have you ever had any back, shoulder, arm, wrist, or neck pain lasting more than 3 days? *

Yes
No

Have you ever had any problem with your joints, including pain, swelling or stiffness? *

Yes
No

Have you ever had any mental illness or psychological problems including depression, anxiety, schizophrenia, or self-harm? *

Yes
No

Do you have any digestive problems? *

Yes
No

Have you ever had any drug or alcohol related problems? *

Yes
No

Have you ever had seizures, epilepsy, blackouts, sudden unexplained dizziness, or loss of consciousness? *

Yes
No

Are there any other conditions you should mention? *

References

Please provide details of two previous employers from whom we can obtain references. Any offer of employment is conditional on our receiving two satisfactory references. We will not approach your present employer until an offer of employment has been made and verbally accepted. Providing two references will assist with the application process

Most recent employer contact name *

First

Last

Most recent employer job title *

Most recent employer company name *

Most recent employer address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Most recent employer telephone *

Most recent employer email address *

Other employer contact name

First

Last

Other employer job title

Other employer company name

Other employer address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Other employer telephone

Other employer email address

Agreement

48 Hour Opt Out

Note: You are under no obligation to agree to the provisions set out in this Schedule. If you indicate in the signature box of the agreement that you agree to opt out in accordance with this Schedule, this Schedule will then apply. Otherwise the limit set in the WTR shall apply.

Agreement:

The nature of an Assignment may require you to choose whether to work in excess of the maximum working time specified in Regulation 4(1) WTR, namely an average of 48 hours each Week calculated over a 17 Week reference period.
You wish to have the opportunity to provide the Services during any excess period required from time to time, whether or not you choose to work for that time.
Pursuant to Regulation 5 WTR you accordingly agree that the limit specified in Regulation 4(1) WTR shall not apply to any Assignment or the work you perform, and this agreement shall have effect immediately.
The agreement set out in the above clause 3 of this Schedule applies to each Assignment but you may, by giving written notice to us of not less than one month, terminate your agreement to disapply the limit on weekly working time without otherwise affecting the operation of the terms of your employment.
By signing this agreement, you confirm that you are over 18 years of age.

Signature *

DECLARATION

By signing below, you are:

Confirming that the information you have given is correct and that you have not withheld any information of which the company should be made aware. You also understand that giving any incorrect or misleading information could lead to your subsequent dismissal, withdrawal of a job offer or termination of an assignment.
Giving your explicit consent for Ardent Personnel Ltd to collect, process and share your personal data and sensitive personal data with relevant internal and external third parties in order to process your application, complete pre-employment/pre- engagement vetting and checks and obtain references to support your job search.

Detailed information about how your data will be used, together with your rights under the General Data Protection Regulations (GDPR) can be found in our Privacy Policy which is available at www.ardent-personnel.co.uk

Signature (copy) *

Personal details

Education and qualifications

Medical questionnaire

References

Agreement

48 Hour Opt Out

Agreement:

DECLARATION

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