Workshop Registration Form (#3)

REGISTRATION

 

Fill in the form below for your registration or download the offline registration form

 
 

Personal Details 

 
Your Personal Details

NAME *


Driving license


COMMUNICATION SKILLS


EDUCATION & FORMAL TRAINING

Please complete in date order all educational institutions you attended starting with the most recent


EMPLOYMENT RECORD

Details of Full Employment History in chronological order Including ALL GAPS make sure you continue from education and starting with the most recent


REFERENCES

Please provide the names and addresses of 2 Professional referees in the UK, 1 of who must be your most
recent employer

(Professional references will not be accepted from relatives or work colleagues in an official capacity on behalf of the organization or from people writing solely in the capacity of friends)


 STANDARD PERSONAL STATEMENT FORM: EMPLOYEES STRICTLY CONFIDENTIAL

 
Your Personal Details

HEALTH QUESTIONNAIRE – CONFIDENTIAL


Immunisations

Have you been vaccinated, immunised or tested for/against any of the following?


HAVE YOU HAD ANY OF THE FOLLOWING?


DECLARATION AND AGREEMENT

I, have been made aware of my rights as an employee under the provisions of the Working Time Regulations 1998. I hereby voluntarily agree to waive my rights under the regulations to restrict my average working weekly hours to 48. I accept that my employer may, therefore, require me to work more than an average of 48 hours per week, and I understand that this Agreement should be read in conjunction with my terms and conditions of service.

Furthermore, I agree to be bound by this Agreement unless I give my employer three months' notice in writing of my intention to revoke this Agreement.


STATEMENT OF CRIMINAL CONVICTIONS

Rehabilitation of Offenders Act 1974 (Exceptions Order 75)

As the position for which you are applying is exempt from Section 4.2 of the above Act, you are required to disclose information concerning any convictions, including those that are regarded as "spent" under the Act for other purposes.

Any information provided in this respect will be kept completely confidential and will only be considered in relation to this application. Failure to disclose any such convictions could result in dismissal or disciplinary action by the health authority.


BANK DETAILS