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Data Protection

Part 1

I acknowledge and consent that Human One may collect and process personal information and data about me. I understand that all of my information (including my personal data) is collected and processed in accordance with the Data Protection Act 1998, and the General Data Protection Regulations 2016. I agree and consent to the personal information that I provide being processed by Human One, and the relevant 3rd party, to carry out a basic disclosure check on my behalf.

I have read and acknowledged this information*

Part 2

I acknowledge that the information I provide on this form and on any CV given will be used by Human One to provide me work finding services. In providing this service to me, I consent to my personal data being included on a computerised database and consent to Human One transferring my personal details to their clients. Human One may check the information collected, with third parties or with other information held by them.

Human One may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.

I have read and acknowledged this information*

About You

Job types applying for *

Title

First name*

Middle name

Last name*

Date of Birth

Gender*

Contact details

Mobile number*

Telephone number

Email address*

Emergency Contact details

Emergency Contact Name	Emergency Contact Relationship	Emergency Contact Telephone	Emergency Contact Mobile	Remove
Emergency contact name	Emergency contact relationship	Emergency contact telephone	Emergency contact mobile

Right To Work & Pre-employment Screening

Some of the below information is required for a basic disclosure check to take place.

Do you have immigration permission to work in the UK?

Yes

Do you have a National Identity Card?

Yes

National identity card number

National identity card expiry date

Do you have a Passport?

Yes

Passport ID

Passport expiry date

Do you have an Entry Visa/BRP?

Yes

Visa/BRP ID

Visa/BRP expiry date

Do you have a British Birth Certificate?

Yes

UK Birth Certificate ID

Nationality*

Country of Birth*

Town/City of Birth*

Region of Birth*

Mother's maiden name*

Nationality changed since birth?

Yes

Birth nationality

Date Nationality Changed

Surname changed since birth?

Yes

Previous Surname

Date Surname Changed

Driving Licence available?

Yes

Driving Licence Number

Driving Licence Expiry

SIA Licence Available?

Yes

Food Safety Certificate Available?

Yes

Food Safety Certificate Level

Food Safety Certificate Expiry

Has unspent criminal convictions?

Yes

Convictions description (details & dates)

Your Address

Previous 5 years of residency required

Bank Details

Do you have a bank account available?

Yes

Bank name

Account holder name

Sort code

Account number

Employment History

One previous job required.

Referee Consent

Please note that it is our policy to obtain references from your previous employer, school, college or university

I hereby give Human One my permission to contact the above named referees

Employment Scheme

Which type of employment contract do you require?

Standard PAYE

Permanent

Do you have a national insurance number?

Yes

Your national insurance number

Previous Agencies

What other agencies have you worked with and where did they send you?*

Working Hours

What hours and days are you available to work? (Please leave days you cannot work blank.)

Monday		Remove
From	To

Tuesday		Remove
From	To

Wednesday		Remove
From	To

Thursday		Remove
From	To

Friday		Remove
From	To

Saturday		Remove
From	To

Sunday		Remove
From	To

Working Time Regulations - 48 Hour Week Opt-Out

The Working Time Regulations 1998 (as amended), effective from 1 October 1998, state that a worker's average working time shall not exceed 48 hours per week on average over a 17 week period (or other reference period as agreed), unless the worker agrees in writing that the limit shall not apply in their case.

Please confirm your agreement to work in excess of an average of 48 hours per week by signing the declaration below.

Yes

Health & Disability

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustment to access our recruitment service and to find out your needs in order to perform the job or position sought.

Do you have any health issues of disability relevant which make it difficult for you to carry out functions which are essential for the role you seek?

Yes

Please detail your relevant health issues/disabilities.*

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? Please detail.*

Equal Opportunities

Human One 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 all aspects of recruitment to avoid unlawful or undesirable discrimination.

We will treat everyone equally irrespective 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.

Human One 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. Human One 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.

I have read and acknowledged this information

Candidate signed as*

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