Work Seekers Registration Form

A. YOUR PERSONAL DETAILS & CIRCUMSTANCES

Surname *

First Name *

Other name/s known by

Address Building # *

Street Address *

City/Town *

County *

Post Code *

Country

Daytime Phone Number *

Email Address *

Do you hold a current full UK Driving License *YesNo

License No. *

Type / Class of Driving License *

Endorsed *YesNo

Card Number *

FOR HEALTHCARE ASSISTANTS, SUPPORT WORKERS AND OTHERS who need an Enhanced DBS Certificate (Working with Children & Vulnerable persons): *Yes (Send a copy / photo proof) No (We can assist you to get one)

DBS Certificate No.

Any other relevant certificate

Type of work required *TemporaryPermanent Both

Position Applying For *

Date You Can Start *

Do you consider yourself to have a disability? *YesNo

If Yes, please give details. *

Please tell us why you applied for this job and why you think you are the best suited for the job. You may attach / add a covering letter if you wish.

B. YOUR ELIGIBILITY TO WORK IN THE UK / PASSPORT DETAILS

Nationality

Eligibility to work in the UK *YesNo

I NEED AND HAVE a work permit to work in the UK *YesNo

Work Permit / Visa / BRP Number *

Work Permit / Visa / BRP Expiry *

If other please specify

Type of visa *

Passport Number *

National Insurance Number

C. QUALIFICATIONS, EXPERIENCE & PROFESSIONAL CONDUCT

List any relevant CERTIFICATIONS, QUALIFICATIONS, TRAINING and expiry where applicable.

List any relevant EXPERIENCE & TRANSFERABLE SKILLS

Others

D. YOUR EMPLOYMENT & VOLUNTARY EXPERIENCE HISTORY

Please print clearly. Give details of the last 3 YEARS OF EMPLOYMENT AND VOLUNTARY EXPERIENCE. You must state reasons for any breaks in employment. Please start with your most recently held position. Continue on a separate sheet if necessary and enclose a copy of your current CV.

EMPLOYMENT EXPERIENCE

Date From

Date To

Position & Principal Duties

Employer's Name & Address *

Reason for Leaving

May We Contact This Employer? *YesNo

Date From

Date To

Position & Principal Duties

Employer's Name & Address *

Reason for Leaving

Date To

Date From

Position & Principal Duties

Employer's Name & Address

Reason for Leaving

VOLUNTEER EXPERIENCE

Type of Volunteer Experience

Where / Dates

Experience Gained

Type of Volunteer Experience

Where / Dates

Experience Gained

E. EDUCATION AND RELEVANT TRAINING

Please start with your most recent.

Name of School / College / University

Dates of Training / Attendance

Qualifications Obtained

Name of School / College / University

Dates of Training / Attendance

Qualifications Obtained

Name of School / College / University

Dates of Training / Attendance

Qualifications Obtained

Name of School / College / University

Dates of Training / Attendance

Qualifications Obtained

F. DECLARATIONS

PROFESSIONAL CONDUCT

Has there been any proceedings of negligence or professional misconduct against you? YesNo

Have you ever been suspended or dismissed? YesNo

If “Yes” please provide details

REHABILITATION OF OFFENDERS ACT

The position you are applying for (whether paid or voluntary) may be listed in Schedule 1, Part II of the Rehabilitation of Offenders Act (Exceptions) Order 1975, so we are entitled to ask Exempted Questions as defined by Section 113(5) of The Police Act 1997 about you. The nature of the work placements offered by us means the terms of Section 4 part 2 of the Rehabilitation of Offenders act (1974) (exceptions) Order 1975, apply. You must declare here any convictions or cautions you have ever received, even those which would normally be considered spent

Have you got any unspent conviction either criminal or civil? *YesNo

If "Yes", please give details *

G. YOUR NEXT OF KIN / EMERGENCY CONTACT DETAILS

1. Name *

Relationship to you *

Address Building # *

Street Address *

City/Town *

County *

Post Code *

Country

Contact Phone Number *

Email Address *

2. Name *

Relationship to you *

Address Building # *

Street Address *

City/Town *

County *

Post Code *

Country

Contact Phone Number *

Email Address *

H. WORKING TIME REGULATIONS

Chose A or B and C (Must)

A. I wish to work for 48 hours or MORE a week YesNo

B. I DO NOT wish to work for hours in excess of 48 hours a week No

B. I DO NOT wish to work for hours in excess of 48 hours a week Yes

C. I understand I may withdraw this consent by giving Job Angels not less than 3-months’ notice. *Yes

I. YOUR REFERENCE DETAILS

Please supply the names and work addresses of 2 references.
One must be from your present or most recent employer.
Your references must either be 2 work related references, one work related and one character reference, BUT NOT 2 Character references.

REFERENCE 1

Name *

Position / Relationship *

Address Building # *

Street Address *

City/Town *

County *

Post Code *

Country

Contact Phone Number *

Email Address *

Date From *

Date To *

REFERENCE 2

Name *

Position / Relationship *

Address Building # *

Street Address *

City/Town *

County *

Post Code *

Country

Contact Phone Number *

Email Address *

Date From *

Date To *

I hereby give permission for my referees to be contacted and for my references to be shared with third parties, including job seeking purposes if necessary.*

YesNo

J. YOUR DETAILS FOR PAYROLL

Please Select your details for Payroll * I wish to be paid through an Umbrella Company of my choice and enclose details.I am on P.A.Y.E I have my own Limited Company

Umbrella Company Name

Umbrella Company Email

Umbrella Company Phone Number

(You will be paid as P.A.Y.E until you provide all your documents to Job Angels Ltd)

National Insurance Number *

(Please enclose a P45 Form if we are your main employer)

(IF YOU HAVE YOUR OWN LTD COMPANY, you MUST provide a copy of your Certificate of Incorporation, Company Bank details and proof of Indemnity Insurance. We can NOT make payments into a personal Bank Account.)

BANK ACCOUNT DETAILS

Account Holder / Business Account Name

Name of Bank

Branch Name

Sort Code

Account Number

Branch Address

Postcode

Please note that we will pay you weekly in arrears into your nominated account.

I confirm that the information I have given in this application, is to the best of my knowledge, true. I am permitted to work in the UK. I understand that my registration is subject to the receipt of at least two satisfactory references. I undertake to inform Job Angels Ltd should I be convicted of an offence that would affect my job in the future. I undertake to inform Job Angels immediately if I am engaged through their introduction, including the offer of permanent employment following a temporary assignment. I agree to respect the confidentiality of staff and any other information I may have access to, at all times. I am clear that Job Angels cannot guarantee assignments and that they have no responsibility to pay for hours not worked, no matter the situation.

I confirm that I have been given / downloaded a copy of the STAFF HANDBOOK and I confirm that I have read, understand and will abide by the Code of Conduct set by Job Angels Ltd.

Signed *Only CAPITAL LETTERS would be acceptable as duly signed

Date

Date signed

EQUALITY & DIVERSITY MONITORING FORM

Job Angels aims to ensure that we provide fair treatment and equal opportunities to everyone who registers to work with us. We gather the information below to help us analyse where our applications are coming from. The information you provide is anonymous and will be held in accordance with the Data Protection Act 1990.

Please tick all boxes that apply to you:

Please tick the relevant response

BLACKAfrican CaribbeanAny other Black Background (please specify)

MIXED RACE / MULTIPLE ETHNIC RACEBlack Caribbean & WhiteBlack African & White Asian & White Any other mixed race (Please specify

OTHER ETHNIC GROUPArab Any other Ethnic Background (Please Specify)

Do you have a physical or mental disabilityYesNo

The Equality Act 2010 defines a disability as “a physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out their normal day to day activities”.

WORK SEEKERS AGREEMENT

This Agreement is between: Job Angels Ltd of Crown House, 27 Old Gloucester Street, London WC1N 3AX (“Job Angels”, the “Agency”, “us”, “we” and “our”); and (Full Name) of (Address Including Post Code) (“you”, “your” and the “Work Seeker”).

Full Name *

Full Address *

1. DEFINITIONS

1.1 The definitions and rules of interpretation in this clause apply to this Agreement:

“Assignment”: means the period during which services are carried out by the Work Seeker for a Client for a particular assignment.

“Client”: means the person, firm or corporate body requiring the services of the Work Seeker, together with any subsidiary or associated company defined by the Companies Act 2006.

“Work Seeker”: means the individual introduced by the Agency to the Client for an Assignment.

“Work Type”: means the type of work which the Agency will seek placements for the Work Seeker will be in: Labourer.

“Conduct Regulations 2003”: means The Conduct of Employment Agencies and Employment Businesses Regulations 2003.

“Intermediary Company”: means the entity that may engage the Work Seeker for an Assignment accepted by the Work Seeker. Where the Work Seeker is engaged by such an entity, Job Angels will engage with this entity for the provision of services.

1.2 The headings contained in this Agreement are for convenience only and do not affect their interpretation.

2. THE CONTRACT

2.1 These terms set out the entire agreement between Job Angels and the Work Seeker for the supply of services to the Client (including, for the avoidance of doubt, where the Work Seeker undertakes an Assignment without having signed these terms). Job Angels has the right to refuse any Work Seeker’s application.

2.2 For the purposes of the Conduct Regulations 2003, Job Angels acts as an Employment Business in relation to the introduction and supply of the Work Seeker to the Client.

2.3 For the avoidance of doubt, these terms shall not give rise to a contract of employment between the Agency and the Work Seeker. The Work Seeker may at a later stage, be engaged by us under a contract for services or alternatively, engaged by and supplied to us via an Intermediary Company.

2.4 Subject to clause 2.1, for the avoidance of doubt these terms shall be agreed when the Work Seeker signs and returns a copy to Job Angels or when the Work Seeker confirms their agreement to these terms.

3. OUR SERVICES

3.1 Job Angels provide work seeking services to work seekers registered with Job Angels and whose details are on Job Angels’ database.

3.2 Job Angels is not obliged to offer an Assignment to the Work Seeker and the Work Seeker shall not be obliged to accept any Assignment offered by Job Angels.

3.3 Where work is found, Job Angels may engage the Work Seeker directly under a contract for services or provide arrangement for work seekers to provide services to Clients through an Intermediary Company.

3.4 Job Angels will seek work for the Work Seeker, solely on the basis set out in this Agreement, until this Agreement is terminated in accordance with clause 6.

3.5 Whilst the Work Seeker’s personal details are registered on Job Angels’ database, it is agreed that:

3.5.1 Job Angels may search for opportunities within the Work Type for the Work Seeker from time to time at Job Angels’ absolute discretion. If Job Angels consider any opportunity may be suitable for the Work Seeker to undertake, Job Angels may inform the Work Seeker of the opportunity.

3.5.2 Where appropriate, Job Angels may arrange an interview with a Client and may conduct negotiations with Clients. However, Job Angels offer no guarantee that when the Work Seeker is informed of an opportunity that the Client will make an offer of an Assignment.

3.5.3 Job Angels have no obligation to provide the Work Seeker with any information or service other than as stated in this Agreement or as required by law.

3.5.4 Job Angels do not guarantee that any work will be found and Job Angels do not accept any liability if Job Angels do not locate any work for the Work Seeker, nor does Job Angels guarantee that any work found will be suitable for the Work Seeker.

3.5.5 The Work Seeker recognises that a Client may withdraw an opportunity at any time, and, whilst Job Angels endeavour to obtain accurate information from a Client, whether as to a role, duration, nature of work or otherwise, Job Angels cannot guarantee its accuracy.

3.5.6 Job Angels may remove the Work Seeker’s registration details from Job Angels’ database at any time.

4. WORK SEEKER’S OBLIGATIONS

4.1 In consideration of registration of your details on our database, you agree:

4.1.1 To provide us with a full and accurate summary of your personal employment history, proper evidence of your entitlement to work in the United Kingdom and evidence of any qualifications, such as certificates or diplomas.

4.1.2 To provide us with any information we reasonably request which will enable us to assess your suitability for an Assignment. We may request details relating to your health where this may affect your ability to perform tasks which are intrinsic to the role. Where we do request this, you agree to provide us with your medical report and/or occupational health report and Job Angels and a relevant third party being given access to your medical report and occupational health report so that they can review your medical history as part of their examination. We may also request details of any criminal convictions in accordance with our statutory obligations.

4.1.3 To notify Job Angels immediately of any change in any of the information that you have provided to Job Angels at any time.

4.1.4 To our retention and use of all information and documents we obtain, either from you or from any other party relating to you for the purpose of both our work finding services and our statutory obligations.

4.1.5 To the provisions of such information and documentation to a Client and relevant use by the Client. You may withdraw your consent by notice in writing to us at any time.

4.1.6 At our request to provide us with names and contact details of suitable referees.

4.2 Where the Work Seeker accepts an Assignment offered by Job Angels, and is engaged directly by Job Angels under a contract for services the Work Seeker agrees:

4.2.1 To inform Job Angels as soon as possible but in any event, at least 24 hours prior to the commencement of the Assignment in the event that the Work Seeker wishes to withdraw their acceptance to an Assignment.

4.2.2 Not to engage in any conduct detrimental to the interest of the Client and Job Angels.

4.2.3 Subject to the Work Seeker providing a properly authorised timesheet for each Assignment, Job Angels will make payment to the Work Seeker, for each hour worked at the rate agreed when offering an Assignment regardless of whether Job Angels has received payment from the Client.

4.2.4 The minimum rate of pay that Job Angels reasonably expects to achieve for the Work Seeker will be no less than the applicable National Minimum Wage per hour.

4.2.5 Where the Work Seeker accepts an Assignment, Job Angels will pay the Work Seeker for each hour worked in each week (subject to the terms of the contract for services agreed between Job Angels and the Work Seeker). Such remuneration will be paid to the Work Seeker weekly in arrears.

4.2.6 In the event the Work Seeker accepts an Assignment, the Work Seeker will be entitled to paid annual leave in accordance with the Working Time Regulations 1998.

4.2.7 That the Client can cancel an Assignment for any reason and at any time, including but not limited to after the Work Seeker has arrived at the Client’s site. Where an Assignment is cancelled after the Work Seeker has arrived at the Client’s site but prior to commencing an Assignment, any payment will be made at the discretion of the Client and Job Angels to the Work Seeker. Timesheets must still be submitted directly to Job Angels. Job Angels does not guarantee that payment will be made and does not accept any liability.

4.2.8 To ensure the timesheets are signed by a supervisor at each Client site and use different timesheets for each Client.

4.2.9 To maintain complete confidentiality regarding all Agency and Client information.

4.2.10 In the event that the Client requests the Work Seeker to work additional shifts/ hours or Assignments, the Work Seeker must inform Job Angels as soon as possible.

4.2.11 To inform Job Angels immediately in the event the Client offers the Work Seeker a permanent position (or any other work) with the Client.

4.3 Where the Work Seeker is engaged by an Intermediary Company on an Assignment, you agree:

4.3.1 To inform Job Angels or, where relevant, the Intermediary Company, whichever is more practically appropriate, as soon as possible but in any event, at least 24 hours prior to the commencement of the Assignment in the event that the Work Seeker wishes to withdraw their acceptance to an Assignment.

4.3.2 Not to engage in any conduct detrimental to the interest of the Client and Job Angels.

4.3.3 That you will be solely responsible for the contractual agreement between you and the Intermediary Company including your rate of pay, intervals at which you will be paid and your entitlement to holidays and holiday pay.

4.3.4 That the Client can cancel an Assignment for any reason and at any time, including but not limited to after the Work Seeker has arrived at the Client’s site. Where an Assignment is cancelled after the Work Seeker has arrived at the Client’s site but prior to commencing an Assignment, any payment will be made at the discretion of the Client and Job Angels to the Intermediary Company which supplies the Work Seeker to Job Angels. Timesheets must still be submitted to Job Angels either directly or where relevant through the Intermediary Company. Job Angels does not guarantee that payment will be made and does not accept any liability.

4.3.5 To ensure the timesheets are signed by a supervisor at each Client site and use different timesheets for each Client.

4.3.6 To maintain complete confidentiality regarding all Agency and Client information.

4.3.7 In the event that the Client requests the Work Seeker to work additional shifts/ hours or Assignments, the Work Seeker must inform Job Angels and, where relevant, the Intermediary Company of this as soon as possible.

4.3.8 To inform Job Angels immediately in the event the Client offers the Work Seeker a permanent position (or any other work) with the Client.

4.3.9 To inform Job Angels immediately in the event the Intermediary Company offers the Work Seeker any other work.

4.5 Any failure to comply with the terms of this clause 4 may result in Job Angels terminating the Agreement with the Work Seeker without any liability and Job Angels may take any legal action against the Work Seeker as Job Angels deems necessary.

5. DATA PROTECTION

5.1 Job Angels will process personal data and sensitive personal data (also known as special categories of personal data) relating to you in accordance with the General Data Protection Regulation ((EU) 2016/679) (GDPR) and any national implementing laws, regulations and secondary legislation, as amended or updated from time to time, in the UK and then (ii) any successor legislation to the GDPR or the Data Protection Act 2018 (Data Protection Legislation).

6. TERMINATING THE AGREEMENT

6.1 Subject to clause 6.2 and clause 6.3, this Agreement may be terminated by either party by giving the other one week’s written notice to the other.

6.2 If the Work Seeker wishes to work directly or otherwise than through Job Angels for any Client with whom the Work Seeker has had contact via Job Angels, the Work Seeker is required to provide one week’s written notice to Job Angels and the Client may be charged an introduction fee and / or a transfer fee.

6.3 This Agreement and any obligations, on Job Angels, arising out of or in consequence of this Agreement shall automatically terminate when the Work Seeker is contractually engaged by an Intermediary Company.

6.4 This Agreement and any obligations, on Job Angels, arising out of or in consequence of this Agreement shall automatically terminate when the Work Seeker accepts an Assignment.

7. GENERAL TERMS

7.1 The Work Seeker is not an employee or a worker of Job Angels. The Work Seeker is responsible for their own contractual arrangements with an Intermediary Company in the event that the Intermediary Company supplies the Work Seeker to Job Angels.

7.2 This is the sole agreement between yourself and Job Angels and it supersedes any previous agreements whether written or oral.

7.3 You agree that you have not relied on any representations made by Job Angels that are not set out in this Agreement.

7.4 No variation or alteration of these terms shall be valid unless approved by a Director of Job Angels in writing. The failure by Job Angels Ltd to enforce at any particular time any one or more of the terms of this Agreement shall not be deemed a waiver of such rights or of the right to subsequently enforce the terms of this Agreement.

7.5 If any provision of this Agreement (or part of a provision) is found by any court or administrative body of competent jurisdiction to be invalid, unenforceable or unlawful, the other provisions shall remain in force.

7.6 If any invalid, unenforceable or unlawful provision would be valid, enforceable or lawful if some part of it were deleted, the provision shall apply with whatever modification is necessary to give effect to the commercial intent of the parties.

7.7 This Agreement is governed by the laws of England & Wales and are subject to the exclusive jurisdiction of the Courts of England and Wales.

Signed by Work Seeker *Only CAPITAL LETTERS would be acceptable as duly signed

Date

Date signed

To make your application complete, please submit all the required SUPPORTING DOCUMENTS as well.

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