RSE Group Ltd 53 Gildredge Road, Eastbourne East Sussex, BN21 4SF T: +44 1424 830000 F: +44 1424 830735 info@rsegroup.agency PRIVATE & CONFIDENTIAL APPLICATION FORM Surname Address Title First Name Middle Names Tel - Day time Tel - Home Tel - Mobile Email Address Post Code N.I No Passport No. Date of Birth * * This is to ensure you receive the correct hourly wage in line with the National Living Wage legislation which comes into effect from 1st April 2016. The RSE Group is committed to a policy of equal opportunities for all work seekers and shall adhere to such a policy at all times and will review on an on-going basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. For further details of this, please visit www.rsegroup.agency Are you eligible to work in the UK? Yes ☐ No ☐ Is a Visa Required ☐ In line with Home Office guidance on the prevention of illegal working, we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by The RSE Group for any temporary work. Under the terms of the rehabilitation of Offenders Act 1974, you are required by law to disclose any unspent convictions. Please provide relevant details. HEALTH The Disability Discrimination Act protects all workers from being treated less favourably on the basis of any disability. The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service, and to find out your needs in order to perform the job or position sought. The RSE Group is committed to supporting diversity in the workplace. 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 (please delete clearly as appropriate) If yes, please specify …………………………………………………………………………………………………….………..… If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc? Please specify …………………………………………………………………………………………………………………………….…... The RSE Group., 53 Gildredge Road, Eastbourne, East Sussex BN21 4SF Forms and Docs / Application Form / version 3/March 2016 Page 1 of 4 KEY SKILLS AND EXPERIENCE Briefly either list your key skills and experience or give a resumé of your profile SKILLS please tick the appropriate boxes Software Type MS Word MS Access MS Outlook MS Projects MS PowerPoint MS Excel MS Sharepoint Photoshop Coral Draw Dreamweaver Prince 2 Sage Other: Other: Basic Int Adv ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Languages Basic Int French German Spanish Mandarin Other: ☐ ☐ ☐ ☐ ☐ Estimated ☐ ☐ ☐ ☐ ☐ Speed Keyboard Skills Adv ☐ ☐ ☐ ☐ ☐ Copy Typing Audio Typing Shorthand Data Input(kdph) Switchboards - type EDUCATION AND QUALIFICATIONS (Please be aware that employers will ask for verification of your grades) Secondary School Qualifications Subject Grade Qualifications Subject Grade College/University Qualifications Subject Grade Do you have any special qualifications / clearances that may help in your search for a job? CRB checked Level FSA Approved Level Security Clearance Level Other (please name) Level The RSE Group., 53 Gildredge Road, Eastbourne, East Sussex BN21 4SF Forms and Docs / Application Form / version 3/March 2016 Page 2 of 4 PRESENT EMPLOYMENT Name of employer Current job title Date started current post Date commenced with employer Salary/Wage Benefits Notice required Address Postcode Briefly describe your present job: its main purpose; who you report to and your responsibilities:- PREVIOUS EMPLOYMENT Please list in chronological order (including any vocational work and services with H.M. Forces) Name and address From / To Salary The RSE Group., 53 Gildredge Road, Eastbourne, East Sussex BN21 4SF Main duties & responsibilities Reason for Leaving Forms and Docs / Application Form / version 3/March 2016 Page 3 of 4 Do you have a current UK driving licence Yes ☐ No ☐ Do you have, or have access to a vehicle? Yes ☐ No ☐ How do you currently travel to work? Car ☐ Train ☐ Bus ☐ How long in duration of time are you prepared to travel each day? ……… Hours REFERENCES : please supply details of two referees who can be approached immediately if looking for temporary work or upon job offer if looking for permanent work:Name Address Name Address Postcode Tel No Email Address Position Relationship to you Postcode Tel No Email Address Their Position Relationship to you CANDIDATE DECLARATION In our recent telephone conversation/meeting/correspondence you informed us that you wish us to seek employment. You authorise The RSE Group to seek work on your behalf. The RSE Group will collect the personal details which you provide to us for the purposes of providing you with work-finding services. In providing this service to you, we will need to transfer your personal details to our client companies. I hereby confirm that the information I have given within this document is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed onto potential employers. Temporary Work If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that The RSE Group will be entitled to charge the client an introduction/transfer fee, or to agree an extension of the hire period with the Client, (after which I may be employed by the Client without further charge being applicable to the client). And / Or Permanent Work The RSE Group is to provide you permanent recruitment services, that is to say, it will act as an agency as defined under The Employment Agencies Act 1973. I am looking for (please tick as appropriate): Permanent work Temporary work Either Date Signed The RSE Group., 53 Gildredge Road, Eastbourne, East Sussex BN21 4SF Forms and Docs / Application Form / version 3/March 2016 Page 4 of 4