> You can find your Key Information Document here and your Terms of Candidate Agreement here >

> Personal Information >

Position applied for(Required)

Area of work(Required)

Branch(Required)

Interview Date(Required)

First name(Required)

Surname(Required)

Address(Required)

Street Address Address Line 2 City/Town County Postcode Country

National Insurance Number(Required)

Phone(Required)

Email(Required)

Can contact you at work?(Required)

Yes

No

If no, please specify hours(Required)

Are you free to remain and take up employment in the UK with no current immigation restrictions?(Required)

Yes

No

Driving License - If relevant to post applied for. Do you have a full, clean driving license in the UK?(Required)

Yes

No

> Next of Kin Details >

Name(Required)

Relationship(Required)

Contact Number(Required)

Name(Required)

Relationship(Required)

Contact Number(Required)

> The processing and use of your personal information is in accordance with our Privacy Notice which you can obtain here >

> Applicant bank account details > >
Please be sure that all of the below bank details are correct and accurate as Newstaff Employment Services Ltd cannot be held accountable for wages being paid into incorrect accounts if stated below. If your bank details change, please inform the consultant you work for as soon as possible to avoid wages being paid into incorrect, previous or closed accounts.
>

Title(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City/Town County Postcode

NI Number(Required)

D.O.B (Date of Birth)(Required)

Bank Name(Required)

Bank Address(Required)

Account Number(Required)

Sort Code(Required)

> Education Section >

Teaching Number(Required)

TA Level (if applicable)(Required)

SEN Qualification (if applicable)(Required)

Safeguarding Course(Required)

Yes

No

If yes, confirm date(Required)

Other Relevant Qualifications (Include in this section all the desirable relevant qualifications. Please also indicate subjects currently being studied)(Required)

Training Courses Attended (Include in this section any relevant training courses that you have attended or details of courses that you are currently)(Required)

> If professional registration is not required, then go to Employment History >

If you are registered, then please enter relevant details below (please include, professional body, membership or registration type, membership/registration pin, & expiry/renewal date)(Required)

> If you are applying for a post that requires professional registration you are required to provide the following information: >

Are you currently the subject of a fitness to practice investigation or proceedings by a licensing or regulatory body in the UK or in any other country?(Required)

Yes

No

Have you been removed from the register or have conditions been made on your registration by a fitness to practice committe or the licensing regulatory body in the UK or in any other country?(Required)

Yes

No

> Employment History >

> Current Employment >

Employer Name(Required)

Address(Required)

Type of Business(Required)

Telephone(Required)

Job Title(Required)

Start Date(Required)

End Date(Required)

Grade(Required)

Salary(Required)

Speciality

Job Type(Required)

Reason for leaving (if applicable)(Required)

Description of your duties and responsibilities(Required)

> Previous Employment >

>Please record below the details of your previous employment beginning with the most recent first. Please explain any gaps in employment in the ‘Supporting Information’ section below. Please add additional employers/information on a separate sheet. >

> Previous Employer 1 >

Employer Name(Required)

Address(Required)

Job Title(Required)

Grade(Required)

From Date(Required)

To Date(Required)

Speciality(Required)

Job Type(Required)

> Previous Employer 2 >

Employer Name(Required)

Address(Required)

Job Title(Required)

Grade(Required)

From Date(Required)

To Date(Required)

Speciality(Required)

Job Type(Required)

> Previous Employer 3 >

Employer Name(Required)

Address(Required)

Job Title(Required)

Grade(Required)

From Date(Required)

To Date(Required)

Speciality(Required)

Job Type(Required)

> Previous Employer 4 >

Employer Name(Required)

Address(Required)

Job Title(Required)

Grade(Required)

From Date(Required)

To Date(Required)

Speciality(Required)

Job Type(Required)

> References >

>Please note the name and address of 2 professional people from whom the company may obtain work experience references. >

>Please give the name and address of your 2 most recent employers (if applicable). If you are unable to do this, please clearly outline who your references are. >

> Reference 1 >

Name(Required)

Position/Job Title(Required)

Work Relationship(Required)

Organisation(Required)

Address(Required)

Postcode(Required)

Telephone Number(Required)

Email(Required)

> Reference 2 >

Name(Required)

Position/Job Title(Required)

Work Relationship(Required)

Organisation(Required)

Address(Required)

Postcode(Required)

Telephone Number(Required)

Email(Required)

> Reference 1 >

Are you willing for this referee to be approached prior to the interview?(Required)

Yes

No

> Reference 2 >

Are you willing for this referee to be approached prior to the interview?(Required)

Yes

No

> Employee Statement >

You need to select only one of the following statements A, B, or C(Required)

A - This is my first job since last 6th April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, Taxable Incapacity Benefit, State or Occupational Pension.

B - This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.

C - As well as my new job, I have another job or receive a State or Occupational Pension.

> Working Time Regulations 48-Hour Opt-Out Agreement >

I wish to opt out of the 48-hour working week limit, with respect to any assignment. I understand that I can withdraw this consent by giving Newstaff Employment Services Ltd one months’ notice.(Required)

Yes

No

> Criminal Convictions >

Do you have unspent criminal convictions?(Required)

Yes

No

If yes, please state conviction and dates(Required)

> Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases, particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details for all criminal convictions must be given. The information given will be treated in the strictest of confidence and only considered where, in the reasonable opinion of Newstaff Employment Services Ltd, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light. >

Do you have a DBS clearance?(Required)

Yes

No

> Health and Disability >

Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek?(Required)

Yes

No

If yes, please specify(Required)

If you have a disability, what are your needs in terms of reasonable adjustments to access this recruitment service and/or to attend interviews?(Required)

> Health and Safety Inductions >

> You should receive Health and Safety inductions before starting work on every assignment if you are unclear or not sure about anything please ask the client or call your consultant. >

> Data Protection Statement >

> The information that you provide on this form and on any CV given will be used by Newstaff to provide you work finding services in accordance with our Privacy policy in with a copy has been given to you. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. >

> Candidate/Temporary Worker Declaration >

> 1. I hereby confirm that the information I have given is true and correct. 2. I am eligible to work in the UK 3. My preferred minimum pay rate is stated on my Application form. I understand that I will be advised of the actual rate when I am offered a job. The rate may vary from job to job. 4. I undertake to notify Newstaff Employment Co. Ltd. of changes in my circumstances, including health, criminal convictions and driving licence endorsements, which would or could affect my ability to work. 5. You must tell us at least one hour before you are due to start work if you cannot get to the work assigned to you. If you do not notify us in time, we may offer a reduced rate of pay or we may not offer any further work. >

Name(Required)

First Last

Date(Required)

Education Application Form

Education Application Form