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Home » Work with York Limited General Application Form

Work with York Limited General Application Form

Please fill in all parts of this application form. If some parts do not apply to you, put ‘N/A’ (not applicable) in the space provided. Your application form should be geared towards the type of work you would like to be offered. Make sure the information you provide is clear, precise and easy to understand.

"*" indicates required fields

Personal Information

Title

First Name *

Last Name *

Former Names (if any)

Address *

Town/City *

Postcode *

Contact Telephone Number *

Contact Email Address *

Date of Birth (dd/mm/yyyy) *

National Insurance Number *

Do you require a work permit?YesNo

If you already hold a work permit when does it expire? (Date (DD/MM/YYYY)

Do you have a full UK driving license? *YesNo

Type of License *CarPCVLGVHGVOther

If 'other' Type of Licence, please specify below: *0 / 150

Please state license class(es) below: *0 / 150

Do you have use of a car? *YesNo

Please let us know where you heard about Work with York Limited *

Please specify which jobs fair it was here *0 / 100

Please specify who recommended our services below: *0 / 100

If 'other', please specify below: *0 / 100

Types of Work

(Please select all that apply)

What areas of work are you interested in? *AdministrationCustomer ServiceFinance & AccountingIT & TechnicalProject & ProfessionalSocial CareSocial WorkManual WorkOtherPlease select all that apply.

Please tell us more about you and the work you are looking for below: *(Please add N/A in the box if this is not relevant)

What date can you start work? (Date DD/MM/YYYY)

(please do not apply more than 3 months before you are available)

What hours are you looking for?No limitOccasional days offShort term onlyLong term only(Please tick one box only)

What is your availability for work?(Please click in the box, scroll down the options and select all that apply).

Are you registered with any other agency? *YesNo

Agency Name(s) *

Where was the work based at?

What was the rate of pay?

Present/Most Recent Employment

Text

Is this your current employer? *YesNo

Employer Name *

Date From (dd/mm/yyyy) *

Date To (dd/mm/yyyy) *

Address *

Town/City *

Postcode *

Your Job Title *

Main Duties *

Contact Name

Contact Email Address

Contact Tel Number

Reason for Leaving *

Present/Final Salary *

What is your notice period?

If 'other', please specify notice period here

Previous Full Employment History

Please enter any other relevant work experience below:Select the 'Add Employment' button at the end of this section to include additional experiences.

Employer Name

Date From (dd/mm/yyyy)

Date To (dd/mm/yyyy)

Address

Town/City

Postcode

Job Title

Reason for Leaving

Salary on Leaving

Main Duties

If you have a copy of your CV, please upload your file below:

No file chosen

References

Please supply the names and addresses of two people to whom we may write for references. One of these must be your current employer if you have one or most recent employer if not. References will not be accepted from relatives or from people writing solely in the capacity of friends. Both referees should be able to comment on your work and should be from someone of appropriate authority (a manager or supervisor). Please ask permission from your proposed referees prior to naming them. Please include a direct and preferably business email for your references as this will considerably speed up the application process. Both references may be taken up prior to interview.

Referee 1

Title

First Name *

Last Name *

Referee Position *

What is their relationship to you? *

Is this your current employer? *

Do you consent to your current employer being contacted for a reference prior to a job offer? *

Referee Address *

Town/City *

Postcode *

Contact Telephone Number *

Contact Email Address *

Referee 2

Title

First Name *

Last Name *

Referee Position *

What is their relationship to you? *

Is this your current employer? *

Do you consent to your current employer being contacted for a reference prior to a job offer? *

Referee Address *

Town/City *

Postcode *

Contact Telephone Number *

Contact Email Address *

Privacy

Your privacy is important to Work with York Limited and we are committed to protecting and safeguarding your privacy rights - for full details about how we collect, use and process your personal data and how we comply with our legal obligations to you, please see our Privacy Policy.

Education

You may be asked for original evidence of your qualifications and we reserve the right to approach any education providers to verify the qualifications stated.

Do you have any educational qualifications that you would like us to know about? *YesNo

Secondary QualificationsSelect the 'Add Qualification' button at the end of this section to include additional secondary qualifications.

Institution Name *

Subject *

Level (e.g. Degree, Diploma, BTEC, C&G, NVQ or equivalent) *

Grade *

Date of Exam/Award (dd/mm/yyyy) *

Further & Higher QualificationsSelect the 'Add Qualification' button at the end of this section to include additional further or higher education qualifications.

Institution Name *

Subject *

Level (e.g. Degree, Diploma, BTEC, C&G, NVQ or equivalent) *

Grade *

Date of Exam/Award (dd/mm/yyyy) *

Do you have any professional qualifications that you would like us to know about? *YesNo

Professional QualificationsSelect the 'Add Qualification' button at the end of this section to include additional professional qualifications.

Qualification Gained *

Date of Exam/Award (dd/mm/yyyy) *

Are you a member of/registered with a Professional Body? *YesNo

Professional BodiesSelect the 'Add Professional Body' button at the end of this section to include additional professional qualifications.

Professional Body *

Membership Status (if applicable)

Registration Number (if applicable)

Renewal Date (dd/mm/yyyy)

Declaration of Criminal Records, Convictions and Cautions

Important information about declaration.

BEFORE COMPLETING THIS SECTION PLEASE READ THE

Work with York Limited Recruitment of Ex Offenders Policy Statement

Please answer all the questions and sign the declaration;

1. The work for which you are applying is subject to the Rehabilitation of Offfenders Act (1974) as amended. This means that you do not need to disclose information about spent convictions in applying for this work.

2. You are not required to declare any information about 'protected' offences (offences to which the filtering rules apply). For further information about convictions which are unspent/spent or protected please see the Rehabilitation Act guidance or you can contact organisations such as NACRO or Unlock for further assistance.

Do you have any unspent criminal convictions?YesNo

If yes, please provide the offence dates, dates of conviction/caution, offence types and sentences below. You are not required to provide any information about protected (filtered) offences.

Additional information about the declaration

If you declare any convictions you may also want to provide Work with York Limited with additional relevant information which will help to determine your suitability for work. Work with York Limited will seek to put forward/supply the best possible candidates to our clients and we will discuss this further with you at interview.

Having a criminal conviction will not necessarily exclude you - for more details please see Work with York Limited Recruitment of Ex Offenders Policy Statement.

Signature

Start signing your signature here.

By signing this declaration you also agree to update Work with York Limited in the event that you are subject to any kind of investigation or prosecution relating to a criminal act and/or which could lead to a conviction after the date of acceptance for work by Work with York Limited.

NamePlease add your full name here as part of the declaration.

Date

Please enter today's date as part of this declaration.

Important information about this declaration

Failure to complete and sign this declaration will invalidate your application for work. Failure to declare a conviction may require Work with York Limited to exclude you from our recruitment database of staff, if the offence is not declared but later comes to light. If you are working in an assignment with a client when Work with York Limited are made aware of a conviction not previously disclosed, Work with York Limited may be legally required to inform the client of that information and your assignment may be terminated.

Declarations

More information about Declarations

I acknowledge that my acceptance for work at Work with York Limited is subject to:

A personal face-to-face interview;
Verification of my employment history;
Verification of my identity and proof of address;
Confirmation of my right to work in the UK, including permits, clearances or immigration documents;
A minimum of two current satisfactory written references, at least one from my last employer and both commenting on my work.
Declaration of any unfiltered convictions or cautions;
Verification of my relevant qualifications and/or membership of professional body;
Confirmation by declaration or occupational health report that I am medically fit to work;
Ability to demonstrate a level of fluency in English sufficient for the work I have applied for;
Agreeing (by signing and dating) both the Work with York Limited Agency Worker Temporary Terms and Data Consent Form

Please see guidance notes attached for more details.

Have you ever been dismissed from a post because of misconduct or resigned whilst disciplinary action has been taken against you? *YesNo

If 'yes', please provide further details below: *

Please state whether you have, to your knowledge, any family or a close relationship with any existing employee of Work with York Limited, or City of York Council, including councillors or school governors. *YesNo

If 'yes', please give further details below: *

Consent

I understand that any appointment is conditional on these declarations and the checks explained above. I also understand that any incorrect, false or misleading information may make this application void. In addition, I am aware, that should this situation occur after I join the employment of Work with York Limited, I would be liable to disciplinary action that may result in my dismissal and possible referral to the police.
I declare that all the information contained in every section of this application is true and accurate.

Please add your signature, full name and date below.

Signature for Declaration

Start signing your signature here

Please add your signature to this Declaration

Full Name for DeclarationPlease add in full name here as part of this Declaration.

Date declaration signed

Equal Opportunities Monitoring Form - Confidential

What gender do you identify as?

If you prefer to use your own gender identity, please specify below:

Is the gender you identify with the same as your gender registered at birth?YesNoPrefer not to say

What is your age?

What is your marital status?

If 'other', please specify:

What is your ethnic origin?Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please select the appropriate option.

If 'other', please specify:

Do you consider yourself to have a disability or health condition?YesNoPrefer not to sayThe information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is the effect or impact of your disability or health condition on your work? Please specify below:

What is your sexual orientation?

What is your religion or belief system?

If 'other', please specify your sexual orientation below:

If 'other', please specify your religion or belief system below:

Do you have caring responsibilities?NonePrimary carer of a child/children (under 18)Primary carer of a disabled child/children (under 18)Primary carer of a disabled adult (18 and over)Primary carer of an older personSecondary carer (another person carries out the main caring role)OtherPrefer not to sayPlease select all that apply

If 'other', please specify: