Candidate Registration Form Please enable JavaScript in your browser to complete this form. - Step 1 of 7Candidate RegistrationName *FirstLastTitle *Previous NamesAddress: *Date of Birth *Date of BirthEmail *Phone *NextEmergency ContactNext of Kin or Emergency Contact Name *Relationship to you *Address: *Phone *Work EligibilityAre you eligible to work in the UK? *YesNoType of Visa/Work PermitVisa Expiry DateEducation Education Qualifications *Dates obtained *School/UniversitySubjects & Grades Add Remove PreviousNextWork HistoryName of Employer *Address:Dates From *To *Job Title *Salary/Rate Per Day *Reason for Leaving *Would you like to add an additional employer?YesName of EmployerAddress:Dates FromToJob TitleSalary/Rate Per DayReason for LeavingWould you like to add an additional employer?YesName of EmployerAddress:Dates FromToJob TitleSalary/Rate Per DayReason for LeavingPreviousNextReferences - Please give details of 2 refereesReferee 1Name *FirstLastPosition *Company *Phone: *Email *Referee 2Name *FirstLastPosition *Company *Phone: *Email *PreviousNextType of WorkWhat type of work are you looking for? *TemporaryPermanentBothSelect all that applyRequired Rate / Salary *Type of WorkHolidaysIMPORTANT - Holidays require a formal request and are not payed automatically.Do you have any planned days off or pre-booked holidays? *YesNoIf yes, please give details below *Criminal Record & Security Checks (where applicable)A criminal record check from the Criminal Records Bureau may be required.Do you hold a Criminal Records Bureau Disclosure or overseas police check within the last 3 years? *YesNoHave you ever been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974? *YesNoDo you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) *YesNoIf yes, please give details:UK ResidencePlease state any periods of residence outside your country of origin within the last 5 years and any periods of more than 12 months at any time.Interview and AssessmentAre there any adjustments that need to be made for you to attend an interview or undertake an assessment as part of an interview process? *PreviousNextRegistration DocumentsAttach your CV * Drag & Drop Files, Choose Files to Upload Attach your Passport or National Identity Card * Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Attach your Proof of Address * Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Attach your Right to Work Document * Drag & Drop Files, Choose Files to Upload Specific documents: List A: Documents confirming British citizenship (UK passport, birth certificate, etc.), or those demonstrating EEA or Swiss citizenship (passport, national ID card, etc.). List B: Documents showing a person's right to work in the UK, such as a passport with a Home Office endorsement or a biometric residence permit. Proving right to work: You can prove your right to work with your passport, an online share code, or other relevant documents, as mentioned abovePreviousNextDeclarationConfirmation *I confirm that the information provided on this form and within my CV, if applicable, is both truthful and accurate. I have omitted no facts that could affect my future employment. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and, in the case of temporary assignments, subject to satisfactory references. I expressly consent to any sensitive or personal data, disclosed as part of my application, being used in connection with the search for work, subject to the relevant Data Protection legislation. I will inform Simon Lincoln Recruitment Solutions Ltd immediately of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work.Signature * Clear Signature Name *FirstLastDate *PreviousSubmit