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*We take the privacy and security of your personal information seriously. Any details you provide on this contact form will only be used for the purpose of assessing your application and contacting you regarding potential opportunities. Your information will be handled in accordance with our privacy policy and will not be shared with third parties without your consent. By submitting this form, you acknowledge that you have read and agree to our data protection policy.*

*VIEW DATA PROTECTION POLICY*

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Your details

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Medical Conditions

Full Name:

Address:

Post Code

Nationality

National Insurance (NI) Number

Date of Birth:

Mobile Number:

Email:

Have you previously worked for, or are you currently working for [Employer hidden] Solutions (CFS)?

Yes No

Position you are applying for:

Labourer Carpenter/Joiner/Fixer Site Manager Apprenticeship

Are you Self Employed or an LTD?

Self Employed (I can provide a UTR Number) Limited Company (I have Employer Liability insurance and Public Liability Insurance)

UTR Number or Company Number:

Next of Kin

CSCS Card

None (NO CSCS Card) Green CSCS (Labourer) Blue CSCS (Fixer/Carpenter/Skilled Worker) Gold CSCS (Supervisor) Black CSCS (Site Manager)

Right To Work:

I have a British Passport I have a Settled Status and can provide a Share Code

Share Code for Settled Status:

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Do you have any existing medical conditions that could affect your concentration or safety on site?

Yes No

Are you diabetic? - If ‘yes’ state what type of medication you use in the additional information section below

Yes No

Do you suffer from Asthma? - If ‘yes’ state what type of medication you use in the additional information section below

Yes No

Do you suffer from Epilepsy? - If ‘yes’ state what type of medication you use in the additional information section below

Yes No

Have you ever had recurrent dizziness or any condition, which could cause collapse or incapacity?

Yes No

Do you suffer from discomfort, chest pain or shortness of breath? e.g. after climbing a single flight of stairs

Yes No

Are you taking any drugs/medication that could affect your concentration or safety on site?

Yes No

Do you have difficulty hearing normal conversation?

Yes No

Do you need to wear prescription glasses to carry out your job role?

Yes No

Do you have prescription Eye Protection to the same standard?

Yes No

Please specify if you require any additional support or provide any further information regarding the above questions.

Document Checklist - Please tick the boxes if you have any of the following:

You have evidence of Right to Work in the UK (Required) You have a valid CSCS Card (Required) You have a current First Aid Certification (Not Required) You have a PASMA card (Not Required) You have a IPAF card (Not Required) You have a SSSTS/SMSTS Certificate (Not Required) You have a Banksman/Traffic Marshall Certificate (Not Required).

Please upload your CSCS card and other qualifications

Declaration Form:

By ticking this box, and completing the above form, you are confirming: The information you have provided on this form, is true to the best of your knowledge and you acknowledge receipt and understanding of [Employer hidden] solutions Limited’s privacy notice.

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"As a recruitment manager, our commitment lies in cultivating our team's potential to drive organisational growth and ensure the delivery of exceptional service."

Bobby Ivanov

Recruitment Manager