Temporary Worker Application Form

TEMPORARY WORKER – APPLICATION FORM

DRIVING INDUSTRIAL SECURITY DOMESTIC

Surname First Name Last Name

Date of Birth National Insurance No: Nationality

Address Do you have a full driving license? Passport photo

YES NO

Number of Points on License Reason for Points ------

Have you got your own car or access to a car?

Post code: Telephone: Mobile no:

When are you available to start: Any preferred Location for work: Minimum pay rate: Do you have any pending criminal charges? How did you know bout Classic Recruitment: YES NO Are you Disable: If yes give details:

Mark to show areas of experience where certification is required, you will be asked for relevant documents

Vehicle Type Operations Equipment Warehouse Security 3.5 Tonne Driver Stock taking Order Packing Refuse Loader 7.5 Tonne Driver Multi - drop Counter Balance Certification Production Operative Trailer: Draw Bar Narrow Reach Certification Order Picking Car Delivery Trunking Goods In/Out Cleaning Tipper Airports Fork Lift Certification Drivers Mate Tankers Supermarkets Refrigeration Labouring PSC single/double International Skips Ground Maintenance ADR Shunting Lorry Mounting Litter Picker HIAB Night out Chain Toggle Street Cleaner Where have you driving skills been practically assessed? Company: Date:

Do you consider fit to carry out Light work Medium work Heavy Work What safety equipment do you own? Safety Boots Helmet Gloves High visibility Jacket

lease mark to indicate your times and days availability Time Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Give dates you are available for work References / Previous Employment / Professional Bodies

Position: Address:

Phone No:

How do you know this person?

Position: Address

Phone Number:

How do you know this person?

BANK DETAILS Sort Code: Bank/building society Account Number: Bank Address: Ref/Roll Number:

Name of Account Holder:

Rehabilitation of Offenders Act (1974)

Do you have any convictions that are unspent under the rehabilitation of offenders act 1974 YES NO

If yes, please give details/ dates of offence (s) and sentences:

PERSONAL DECLARATION

I confirm that the information I have given is correct and I have not with held any information of which the company should be made aware. I also understand that giving any incorrect or misleading information could lead to mu subsequent dismissal or withdrawal/termination of assignment.

I authorize Classic Recruitment Ltd to use the personal information I have given on this application from to obtain references and also supply any of this information to a prospective employer.

Signature of Applicant______Date ______EDUCATION

Date Name of institution and Address Qualification/Examinations Grades Obtained

Any other relevant qualification to the job you are applying for (please include name of institution and result of all)

CURENT/PREVIOUS EMPLOYMENT – Please start with your current or most recent employers first (cover the last 5 years)

From To NAME & ADDRESS OF COMPANY JOB TITLE &DETAILS SALARY REASON FOR LEAVING

Please send back or email the completed form to

2 Ground floor, Woodberry Grove London, N12 ODR, United Kingdom Tel No: 01753534359

Email: [email protected] Fax: +44(0) 175357861