Candidate Register

Surname

Forename(s)

Title

Address

Town / City

Postcode

Home Tel

Mobile Tel

E-Mail

NI Number

Date of Birth

Emergency Contact Name

Emergency Contact Number

Please explain the basis on which you are entitled to work in the UK. E.g. UK/EU Citizen, Indefinite Leave to Remain. If you have a visa permitting work, please provide details of the type and expiry date

Please provide the details of at least one referee. If you do not have professional referees, you may provide details of academic or personal referees.

Reference One

Contact Name

Position

Company Name

Tel. No

E-mail

Type

Reference Two

Contact Name

Position

Company Name

Tel. No

E-mail

Type

Do you have any unspent criminal convictions?

Yes No

If yes, please provide details of the conviction, sentence and date of conviction

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

Yes No

If yes, please provide details

If you have a disability, what steps or adjustments do you require Nuco or a potential employer to make for the purpose of arranging an interview with you or conducting the recruitment process?

Under the Working Time Regulations 1998, you are not permitted to work more than an average of 48 hours per week unless you opt out. If you opt out, you will be permitted to work more than 48 hours per week but are not under any obligation to do so. You may withdraw your consent by giving us seven days’ notice in writing.

Do you wish to opt out of the 48 Hour Working Week?

Yes No

DECLARATION

I confirm that the information provided in this form and on my CV is accurate and understand that giving false or misleading information may give rise to civil or criminal liability. I will notify Nuco without delay if any information becomes out of date or inaccurate.
I understand that Nuco will retain and process my personal data and sensitive personal data in accordance with their Privacy Notice, which is available to view on their website.
IauthoriseNuco to represent me in respect of potential opportunities in the construction, property and built-environment sector. I will notify Nuco without delay if I have previously applied for a position directly or through any other recruitment business. Once I have authorisedNuco to submit my details for a position, I confirm that I will not apply for the same position directly or through any other recruitment business.
I understand that Nuco is under no obligation to find an assignment for me and I am under no obligation to accept any offer of engagement.If I receive an offer of engagement through Nuco, I acknowledge that I must make reasonable enquiries of the hirer to ensure that the relevant position is suitable.
I acknowledge receipt of and agree to the enclosed Contract for Services. I understand that this contract will apply to any assignment which I carry out for Nuco unless I elect to contract as a Limited Company Contractor or through an Intermediary Company. (not applicable to permanent jobseekers)
I acknowledge that Nuco will act as an Employment Business when providing temporary work-finding services to me and as an Employment Agency when providing permanent work-finding services.

Signed

Print Name

Date

Nuco Ltd are committed to equality of opportunity in its recruitment and selection process to help achieve and maintain a diverse workforce. The criteria used for selecting the right candidate are based solely on merit and ability to do the job.
The Equality & Human Rights Commission recommends that employers collect and monitor information to ensure that their recruitment practices are fair and open to all sections of the community. To help Nuco to monitor the effectiveness of its Diversity Policy in this area, please take a few moments to complete this section of the form.
We are aware that you may be hesitant in providing the personal details requested. Please be assured that this section of the form will be detached from the application form upon receipt and the information provided will not be used as part of the selection process in any way. The information will be treated in confidence and will only be used for monitoring purposes.

Job title applied for

Date of birth

Male / Female (delete as appropriate)

The descriptions listed above are those used in the 2001 Census of Population and allow comparison of statistics to be produced. This question is not concerned with your nationality, place of birth or citizenship but aims to establish the broad ethnic groups of people responding to our job advertisements.

Reference One

Reference Two

DECLARATION

Thank you for assisting Nuco Ltd to monitor the effectiveness of its Diversity Policy.

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