1. Choose one of the following statements

A: This is my first job since last 6 April and I have not been receiving taxable jobseeker's allowance, employment and support allowance, taxable incapacity benefit, state pension 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 pension or occupational pension.

C: As well as my new job. I have another job or receive a state pension or occupational pension.  *

2. Do you have a student loan which is not fully repaid and all of the following apply:

– you left a course of UK higher education before last 6 April.

– you received your first student loan instalment on or after 1 September 1998.

(Select ‘NO' if you are repaying your student loan direct to the student loans company by agreed monthly payments.)  *

1. HAVE YOU WORKED FOR US PREVIOUSLY?

YES

NO
 

*

2. ARE YOU PREPARED TO UNDERGO A MEDICAL EXAMINATION AND/OR A DRUGS TEST SHOULD IT BE REQUESTED?

YES

NO
 

*

1. 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 taken into account where, in the reasonable opinion of More Recruitment, 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.

Filtering rules: as of 29 May 2013 you are no longer required to disclose information about any ‘filtered’ offences. You are not required to disclose on any part of this form any convictions or cautions that have been filtered.

Guidance and criteria on the filtering of these cautions and convictions can be found on the disclosure and barring service website. I confirm that the information provided is true, complete and accurate.

Name:                                                                         

*

1. More Recruitment operates an equal opportunities policy, which means that we will not unlawfully discriminate, directly or indirectly, against people on the grounds of their sex, marital status, age or disability, or on the grounds of race, colour, national origin or political opinions or religious belief.

More Recruitment will not discriminate in advertising, selecting, offering training or providing benefits and services. Every vacancy will be open to those who have the required qualifications.

The following is for monitoring purposes only and is voluntary. If you do not wish to complete this section it will in no way prejudice your registration.

If you choose to provide information about your ethnic origin, we will use it only in accordance with our Privacy Policy.
 

I give my explicit consent to More Recruitment to process the details of my ethnic origin for the purposes of monitoring equal opportunities in support of the company’s legal obligations and in accordance with the documents above.

Sign:  

*

1. NAME AND ADDRESS OF GP *

2. DO YOU WORK TWILIGHT HOURS/NIGHTS ONLY? 

YES/NO

*

3. DO YOU WORK INTERNAL ROTATION SHIFT?

YES/NO

*

4. HAS YOUR EMPLOYMENT EVER BEEN TERMINATED ON THE GROUNDS OF ILL HEALTH? YES/NO

IF YES, PLEASE PROVIDE DETAILS

*

5. APPROXIMATELY HOW MANY DAYS/WEEKS SICKNESS ABSENCE DID YOU HAVE IN THE LAST TWELVE MONTHS? *

6. HOW MANY UNITS OF ALCOHOL DO YOU CONSUME WEEKLY? *

7. DO YOU SMOKE?

YES/NO

*

8. ARE YOU CURRENTLY TAKING PRESCRIBED MEDICINE?

YES/NO

*

9. ARE YOU CURRENTLY UNDER THE CARE OF A DOCTOR OR OTHER MEDICAL PROFESSIONAL?

YES/NO

*

1. HEART TROUBLE

YES/NO

*

2. STOMACH ULCERS

YES/NO

*

3. FREQUENT DIARRHOEA

YES/NO

*

4. CHEST PAINS

YES/NO

*

5. CIRCULATORY PROBLEMS

YES/NO

*

6. DIGESTIVE DISORDERS

YES/NO

*

7. ANGINA

YES/NO

*

8. HIGH BLOOD PRESSURE

YES/NO

*

9. KIDNEY / BLADDER DISORDER

YES/NO

*

10. DRUG / ALCOHOL ABUSE

YES/NO

*

11. ASTHMA

YES/NO

*

12. DEPRESSION / ANXIETY

YES/NO

*

13. IF YOU HAVE ANSWERED YES TO ANY QUESTIONS ABOVE, PLEASE GIVE DETAILS AND APPROXIMATE DATES WHERE RELEVANT. *

14. 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?

YES/NO *

1. It is anticipated that your average weekly hours of work, excluding meals and rest breaks, may exceed 48 hours. Your acceptance of this statement signifies your agreement to work more than 48 hours when required.

In the event that you wish to withdraw from this agreement you undertake to give three month's written notice to that effect or if you do not wish to work more than 48 hours please email us separately at https://www.morerec.co.uk/contact/.

I understand that I may be required to work more than 48 hours a week.  *

1. It is agreed that the company and the employees will adopt the flexibility permitted by the regulations as set out below. This agreement will remain in force for a period of 5 years when we will establish another workforce agreement:

- We will calculate your average working time over a 26-week fixed calendar reference period. The reference period we will use begins at midnight on the 1st of March every year.

- The second reference period begins at midnight on the 1st of September every year.

- Night work: A night worker's normal hours of work may exceed the limit of 10 hours in each 24 hour period. I confirm my agreement with the above.  *

1. All employers must have a Health & Safety Policy stating who is responsible for Health & Safety and the arrangements that are put in place.

It is your responsibility to familiarise yourself with this policy, particularly the procedures for fire, first aid and accidents upon arrival at the client's premises.

All workers have a duty under the Health & Safety Act to take reasonable care to safeguard their own safety and the safety of anyone who may be affected by their activities and actions and to co-operate with the client and others in meeting statutory regulations.

The Act also requires workers not to interfere with or misuse anything provided to protect their health, safety or welfare in compliance with the Act. I confirm that I have read and agree to the above.  

*

1. I understand that PPE is essential to work safely.

Should More Recruitment supply me with PPE I agree that: •

All items provided to me will be in new condition.

• All items provided to me are the property of More Recruitment and I will take responsibility for the condition of the above items.

• I agree that I have all the required safety equipment to carry out my job safely.

• I agree to wear this safety equipment at all times whilst carrying out my job.

• I agree that I will report any fault, loss or damage of this PPE to More Recruitment.

• If I fail to return the items at the end of my assignment, More Recruitment may deduct the replacement cost of the item from my wages.

I confirm my agreement with the above.  *

1. I hereby confirm that the information provided by me in this application form is true, complete and accurate.

 I understand that More Recruitment will forward my personal data and/or my CV to clients to find work for me. I have obtained the consent of my next of kin and referees to use their details in this application.

I have informed my referees that their references may be forwarded to clients to support their efforts to find work for me.

If, during the course of a temporary assignment, the client wishes to employ me direct, I acknowledge that More Recruitment will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the client (after which I may be employed by the client without further charge being applicable to the client).

I confirm that I understand and agree with this declaration and have fulfilled all of the associated requirements.  *

1. I understand that More Recruitment will use my personal data for the purposes of identifying suitable job opportunities in accordance with the company's . This involves contacting myself and potential employers and partner agencies, using my personal data in respect to jobs that are relevant to me, both now and in the future. I confirm my agreement with the above.  *

1. *

1. I agree for a deduction of £4.00 for 2 shifts or £8 for 3 shifts plus to be deducted from my weekly pay for each shift that I work as this is to cover myself on Drivers Negligence Insurance. Insurance Excess / Gross Negligence At More Recruitment Group we understand that accidents can and do happen, however when loss or damage to company vehicles or equipment up to the value of the insurance excess is due to gross negligence or careless actions by the worker then the cause of any incident will be determined by an internal investigation in accordance with the More Recruitment Group driver negligence procedure. If the incident is proven to be of gross negligence or careless in nature then More Recruitment Group reserve the right to deduct the insurance excess over an agreed period of time or in one lump sum payment. This has been communicated between myself and More Recruitment Group. 

2.

1.