Client/Candidate Portal

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We will only use the necessary minimum level of data to secure references.

Pre-Employment Screening Form

- Step 1 of 4

Position Applied For: *

This form is intended to give a complete record of your personal and career history. It must be completed in full and all requirements where applicable must be supplied.

1. Personal Information

Title *

Name *

First

Middle

Last

Have you been known by any Other Names? *

Previous Name

First

Last

Maiden/Former Name

Maiden/Former Name Used From *

Date of Birth *

Gender *

Town of Birth *

Country of Birth *

Other

Nationality *

Other

Telephone Number

Mobile Number *

Email *

Marital Status *

Do you have a UK National Insurance Number? *

National Insurance Number *

Copy of HMRC 5 Year Work History (NI Records)

Click or drag files to this area to upload. You can upload up to 10 files.

Do you have a Passport? *

Copy of Passport

Click or drag a file to this area to upload.

Please ensure that a copy of your passport is uploaded following either certification by the Post Office or your prospective Employer

Passport Number *

Passport Expiry Date *

Passport Country of Issue *

Do you require a work permit / visa to work in the UK? *

Copy of Visa

Click or drag a file to this area to upload.

Please ensure that a copy of your visa is uploaded following either certification by the Post Office or your prospective Employer

Type of Visa *

Visa Expiry Date *

Do you have a Driving Licence? *

Copy of Driving Licence

Click or drag a file to this area to upload.

Please ensure that a copy of your driving licence is uploaded following either certification by the Post Office or your prospective Employer

Driving Licence Number *

Driving Licence Expiry Date *

Driving Licence Country of Issue *

Do you have a SIA License? *

Copy of SIA License

Click or drag a file to this area to upload.

Please ensure that a copy of your SIA License is uploaded following either certification by the Post Office or your prospective Employer

SIA License Number *

SIA License Expiry Date *

2. Address History

Address history for the last 5 years must be provided with the most recent first, including your current address. To add another, click on 'Add Address History'.

Address 1 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Resident From Date *

Resident To Date *

Copies of Proof of Address

Click or drag files to this area to upload. You can upload up to 2 files.

Please ensure that 2 x documents confirming you proof of address are uploaded following either certification by the Post Office or your prospective Employer. For acceptable forms of documentation please visit - https://www.gov.uk/government/publications/dbs-identity-checking-guidelines/id-checking-guidelines-for-dbs-check-applications-from-3-september-2018

Add Additional Address History *

Address 2 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Live From *

Lived To *

Add Additional Address History

Address 3 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Live From *

Lived To *

Add Additional Address History

Address 4 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Live From *

Lived To *

Add Additional Address History

Address 5 *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Live From *

Lived To *

3. Employment History

Please provide the last 5 years of employment history starting with your most recent current employer/educational establishment. All employment should be included no matter how short, since your time there will need to be referenced. If you were self-employed, please provide your accountants name, address, contact number and email address. To add another employer/educational establishment, please select 'add previous employer/educational establishment'.

Most Recent or Current Employer / Educational Establishment

Employer / Educational Establishment Name *

Status *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employed From *

Employed To *

If you are still currently employed please put today's date

Are you happy for us to contact your current employer? *

Position Held *

Reason For Leaving *

Manager / Supervisor Name *

Email *

Telephone Number *

Add Previous Employer / Educational Establishment? *

Employer / Educational Establishment Name *

Status *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employed From *

Employed To *

Position Held *

Reason For Leaving *

Manager / Supervisor Name *

Email *

Telephone Number *

Add Previous Employer / Educational Establishment?

Employer / Educational Establishment Name: *

Status *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employed From *

Employed To *

Position Held *

Reason For Leaving *

Manager / Supervisor Name *

Email *

Telephone Number *

Add Previous Employer / Educational Establishment?

Employer / Educational Establishment Name *

Status *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employed From *

Employed To *

Position Held *

Reason For Leaving *

Manager / Supervisor Name *

Email *

Telephone Number *

Add Previous Employer / Educational Establishment?

Employer / Educational Establishment Name: *

Status *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employed From *

Employed To *

Position Held *

Reason For Leaving *

Manager / Supervisor Name *

Email *

Telephone Number *

4. Periods of Unemployment

Have you had any periods of unemployment during the last 5 years? *

Date From *

Date To *

Did you claim job seekers allowance or income support? *

Please give the location of the Job Centre(s) you attended

Add More Unemployment Dates *

Date From *

Date To *

Did you claim job seekers allowance or income support? *

Please give the location of the Job Centre(s) you attended

Add More Unemployment Dates

Date From *

Date To *

Did you claim job seekers allowance or income support? *

Please give the location of the Job Centre(s) you attended

4. Additional Information

Do you have any criminal convictions including motoring offences, pending or not regarded as spent under the Rehabilitation of Offenders Act 1974/N.I Order 1978? *

Please provide further details: *

Within the last 6 years, have any County Court Judgements been made against you? Have you been declared Bankrupt/Insolvent? Have you made any Individual Voluntary Arrangements (IVA's)? *

Please provide further details: *

Are you a Director, Secretary or Officer of another organisation? *

Please provide further details: *

5. Security Screening Authorisation

Paragraph Text

Signed Authorisation Form

Click or drag files to this area to upload. You can upload up to 2 files.

Applicant Name *

Date *

Applicant Signature *

Do you know anyone looking for a similar role? *

Contact Details for Referral