Major Healthcare Online Registration

Personal Information – Step 1 of 6

Name *

First

Last

Gender *

Date of Birth *

Mobile *

Home Phone

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please select your nearest branch *

How did you hear about us?

Next of Kin

Next of Kin Name *

First

Last

Relationship to you *

Phone *

National Insurance Number

Or awaiting NI number

Do you need a permit or visa to work in the UK? *

We require ID documents in order to verify your right to work. Are you able to provide your ID now or later in branch or via a call?

Now
Later

Right to Work ID *

Valid UK Passport
Valid EEA Passport or ID Card
Other valid Passport AND valid VISA
UK Birth Certificate
UK expired Passport (less than 10 years expired)

Please select what ID you have to upload. If you cannot provide any of the above, please contact your local branch for more advice https://www.major-recruitment.com/contact-us/our-locations/

Right to Work ID File Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload front cover of passport and picture page. For ID cards please upload front and back.

Proof of National Insurance *

National Insurance Number Card (NINO Card)
Official letter from the Jobcentre
P45 or P60

Please note we cannot accept a wage slip as Proof of National Insurance. If you cannot provide any of the above, please contact your local branch for more advice https://www.major-recruitment.com/contact-us/our-locations/

Proof of National Insurance File Upload *

Click or drag a file to this area to upload.

Proof of Address *

Driving License
Utility Bill
Letter from the Jobcentre
Bank Statement
Tenancy Agreement
Other (please specify)

If you cannot provide any of the above, please contact your local branch for more advice https://www.major-recruitment.com/contact-us/our-locations/

Other Proof of Adress provided *

Proof of Address File Upload *

Click or drag a file to this area to upload.

Select one of the following statements *

Statement A – Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies. This is my first job since 6 April and since the 6 April I’ve not received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit
Statement B – Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies: Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit
Statement C – Choose this statement if: • you have another job and/or • you’re in receipt of a State, Works or Private Pension

Select the statement that applies to you, either Statement A, B or C

Major Recruitment Ltd will retain the information for payment purposes only. All information submitted will be kept confidential in compliance with the Data Protection Act 1998 and the Equity Act 2010.

We require your bank details in order to pay your wages during any temporary assignments. Are you able to provide your bank details now or later in branch or via a call? *

Now
Later

Bank or Building Society Name *

Bank Account Name *

Sort Code *

Account Number *

We require proof of bank account, are you able to provide your proof of bank account now or later in branch or via a call? *

Now
Later

We only require your sort code and account number confirming your name (so we know this bank account in genuinely yours!). This can be a photo of the front of your bank card with the long number covered, or a recent bank statement.

Please upload Proof of Bank Account *

Click or drag a file to this area to upload.

Either a photo of the front of your bank card (please do not upload the back of your card) or a bank statement.

What type of work are you looking for *

How would you travel to work? *

Own car
Public transport
Lift from family or friends
Bicycle
Motorbike
Other (please specify)

Please specify how you would travel to work

When are you available from? *

Preferred location(s)? *

Full time or part time hours? *

Full time
Part time
Either

Preferred shifts / times? *

Days
Nights
Weekends

What qualifications do you have / could be relevant?

What other skills or experiences do you have that could be relevant?

What type of work do you dislike?

What is most important to you about your next role?

Are there any Companies that you would prefer to work for?

Are there any Companies you wouldn't want to work for?

Do you have any family or friends looking for work? If so, what are their contact details?

Any other notes or requirements you would like to mention?

Have you worked for an employment agency in the last 6 weeks? *

This information is required in line with AWR Regulations

Employment agency name *

Company name *

Name of the Company that you completed your assignment at

Date from *

Date to *

Duties

Reasons for leaving

Do you have a CV you could upload? *

Please upload your CV *

Click or drag a file to this area to upload.

Please provide your previous employment details (for a minimum of the last 2 years)

Company name *

Date from *

Date to *

Duties *

Reasons for leaving

Can we approach this Company or Agency for a reference? *

Contact or Manager's name *

First

Last

Phone

Have you provided at least 2 years of employment history? *

Company name *

Date from *

Date to *

Duties *

Reasons for leaving

Can we approach this Company or Agency for a reference? *

Contact or Manager's name *

First

Last

Phone

Have you provided at least 2 years of employment history? *

Company name *

Date from *

Date to *

Duties *

Reasons for leaving

Can we approach this Company or Agency for a reference? *

Contact or Manager's name *

First

Last

Phone

Have you provided at least 2 years of employment history? *

Company name *

Date from *

Date to *

Duties *

Reasons for leaving

Can we approach this Company or Agency for a reference? *

Contact or Manager's name *

First

Last

Phone

We have reach the maximum employment history to provide, thank you and please continue with the registration form.

Do you have any booked holidays or other planned absences? *

Please specify the dates you are unavailable to work *

Drug and Alcohol Policy *

I can confirm that I have read and fully understand the below Drug and Alcohol Policy

In Compliance with the Road Traffic Act 1988 and the Transport and Works Act 1992. Drivers of road vehicles must not be under the influence of alcohol or drugs while driving, attempting to drive or when they are in charge of a vehicle.

Major Recruitment adopts a zero tolerance approach towards the misuse of alcohol and substances. The Company has a responsibility to provide a safe and healthy working environment for all it’s employees, both temporary and permanent. The Company recognises that this can be put at risk by those who misuse alcohol or drugs to such an extent that it affects their Health and Safety, the Health and Safety of others, their performance, their conduct or relationships at work. Anyone suspected or proven to be in breach of this policy will have their contract ended with immediate effect. Our clients may reserve the right to conduct testing procedures and we ask that our drivers comply.

Holiday Disclaimer *

I can confirm that I have read and fully understand the below guidelines regarding holiday accrual, and procedures.

The holiday year runs from 1st of April to the 31st March.

You are entitled to 28 days (including Bank Holidays) based on accrued hours for each holiday year. All holidays must be taken during the current holiday year or they will be lost, under no circumstances will Major Recruitment carry holidays over or money paid in lieu.

Holidays are accrued on an hourly basis (0.5 days per week based on working 39 hours per week) and paid by a mean average of total hours worked over the last 52 weeks. Any sickness, lateness or non attendance will lower your accrual.

At least 1 weeks’ notice has to be given for any holiday requests and requested in writing by email to your local branch. All up-to-date contact details can be found on our website: www.major-recruitment.com/contact-us/our-locations/

Following termination of your assignment, requests for outstanding holidays must be made in writing within 4 weeks via email.

The above statement is in accordance with Section 224 of the Employment Act 1996.

GDPR Disclaimer *

I agree to Major Recruitment’s privacy statement outlined below.

I hereby give my consent to Major Recruitment Ltd to process the following information:

Personal data

Name

Date of Birth

Contact details, including telephone number, email address and postal address

Experience, training and qualifications

National insurance number

Sensitive personal data

Disability/health condition relevant to the role

Criminal conviction

I consent Major Recruitment to process the above personal data for the following purposes:

To provide me with work-finding services,

to process or transfer my personal data to their client(s) in order to provide me with work-finding services,

to process my data on a computerised database in order to provide me with work-finding services,

to process my data using automated decision making processes,

include any other relevant purposes for processing personal data.

I also consent Major Recruitment processing my personal data with third parties for the purposes of internal audits and investigations carried out on the Company to ensure that the Company is complying with all relevant laws and obligations.

I understand that if I work for Major Recruitment, some details to be kept for 7 years for payroll purposes.

I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.

48 Hour Opt-Out Agreement *

Opt in to Major Recruitment’s 48 hour opt-out agreement outlined below. (Unable to work over 48 hours weekly)
Opt out to Major Recruitment’s 48 hour opt-out agreement outlined below. (Able to work over 48 hours Weekly)

1. DEFINITIONS
1.1 In this Agreement the following definitions apply:
“Agency Worker” means the Agency Worker supplied by the Employment Business to provide services to the Hirer;
“Assignment” means the period during which the Agency Worker is supplied to provide services to the Client;
“Client” means the person, firm or corporate body using the services of the Agency Worker;
“Employment Business” Major Recruitment Limited (registered company no. 06570143 of 16a Market Avenue, Huddersfield, HD1 2BB;
“Hirer” means the person, firm or corporate body together with any subsidiary or associated person, firm or corporate body (as the case may be) to whom the Agency Worker is supplied or introduced; and
“Working Week” means an average of 48 hours each week calculated over a 17-week reference period.

1.2. References to the singular include the plural and references to the masculine include the feminine and vice versa.

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

2. RESTRICTION
The Working Time Regulations 1998 (as amended) provide that the Agency Worker shall not work on an Assignment with the Client in excess of the Working Week unless s/he agrees in writing that this limit should not apply.

3. CONSENT
The Agency Worker hereby agrees that the Working Week limit shall not apply to the Assignment.

4. WITHDRAWAL OF CONSENT
4.1 The Agency Worker may end this Agreement by giving the Employment Business 1 weeks notice in writing.
4.2 For the avoidance of doubt, any notice bringing this Agreement to an end shall not be construed as termination by the Agency Worker of an Assignment with a Client.
4.3 Upon the expiry of the notice period set out in clause 4.1 the Working Week limit shall apply with immediate effect.

5. THE LAW
This Agreement is governed by the law of England & Wales and is subject to the exclusive jurisdiction of the Courts of England & Wales.

DBS Disclosure

Please disclose anything that may be on your DBS

Health & 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.

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? *

What are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview or take aptitude tests etc? *

Criminal Convictions

Do you have any unspent* criminal convictions *

*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 Major Recruitment Ltd, 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.

Please state all convictions and dates *