Job Application Form

Rapid Response Online Application Form
Personal Information
Photo: *help
CV: *help
Position Applied For: *
First Name: *
Last Name: *
Post Code:
National Insurance No:
Date of Birth:
Tel No:
Email: *
Do you need a visa to work or remain in the UK :
Visa Type:
Expiry date:
Do you posseses a valid frontline SIA licenece:
License Type:
SIA License Number:
Expiry date:
Do You have any other Qualifiation?
Criminal Record
State Any Criminal Convictions(Subject to Rehabilitation of Offenders Act 1974)
If None Please State NONE:
Current/Last Employment
Start Month/Year Finish Month/Year Name and Address of Employer What were you doing
Contact Name:
Contact Number:
Reason for Leaving:
Before we can proceed with your application we require 2 character references from persons not related to you, not living at your address and known to you for min 5 years: Supply the information below and we will write to them
Name: *
Address: *
Relationship to you:
Relationship to you:
WTR 48 hour Opt Out Agreement
In this agreement, ‘You’ means the employer – and ‘I’ means the employee
  • I understand that the Working Time Regulations (WTR) limit the average number of hours I work each week to 48 hours, measured over a reference period of 17 or 26 weeks.
  • I agree to disapply the statutory 48 hour limit and work for more than an average of 48 hours a week when required. Arrangements to work additional hours will be agreed with my manager as the need arises. If I no longer wish to work beyond 48 hours a week I will give you [ up to three months - notice period to be agreed with employer] notice in writing to end this agreement.
  • I understand that I am still covered by the rest of the WTR including rest requirements.
  • Payment for any such additional hours will be separately agreed.
  • I understand that the additional hours that I work for you may be covered by your normal NHS indemnity arrangements.
  • I understand that it is my decision whether I sign this agreement.
Employee Name:
Employee Signature: *
Date: *
Employer Representative:
Please type the character: *