Candidate Registration Form - GUERNSEY

CONFIDENTIAL

Candidate Registration Form - GUERNSEY

/ Candidate Ref:
(For Office Use Only)
1. Candidate Personal Information
Title: /

MrMsMrsMiss

/ Date of Birth:
Forename(s) / Surname:
Previous Name(s): / Private Email Address:
Home Telephone: / Mobile Telephone:
Type of Work: / Permanent | Temporary/Contract | Part-Time AM | Part-Time PM
2. Candidate Home Address for Previous 6 Years
Current Address / Previous Address 1 / Previous Address 2 / Previous Address 3
Full Postal
Address:
Post-Code:
Date From:
Date To:
3. Candidate Residence Status
Born In Guernsey (Local)
Residentially Qualified (Month/Year):
On Licence (Period from/to):
Other (please give details):
Non EU Nationals Visa Status Period from/to
4. Disabilities
Do you consider yourself to have a disability that affects your day-to-day work? YES NO
If Yes please provide details below:
If Yes please choose agree to signify we can pass this information onto any potential employers. Select: Agree
5. Criminal Convictions
Do you have any unspent criminal convictions (excluding minor speeding or parking fines)? YES NO
If Yes please provide details below:
If Yes please agree to signify we can pass this information onto any potential employers. Select: Agree
6. Credit References
Have you ever been subject to a Petty Debt or County Court Debt Judgement? YES NO
If Yes please provide details below:
7. Have you had any prolonged spells of absence in the last 2 years (longer than 2 weeks)?
No Yes If Yes, please explain here:
If Yes please agree to signify we can pass this information onto any potential employers. Select: Agree
8. AP Courses - Business and Skills Training Provider
Would you like to discuss business/skills development training with an AP Courses Consultant?YES NO
9. CV sent out
I agree that the Agency can send my CV (anonymously) to any company in Guernsey without contacting me, except the following:
10. Confidential Information
All information supplied to you and which relates to potential job opportunities is confidential to AP Group; and is done so on the strict understanding that it is provided solely to enable you to decide whether to instruct us to put forward your details to a client for a position. Such confidential information must not be used by you to make direct contact with a client; nor must such information be disclosed to a third party. Any breach of this condition may be actionable by a claim for damages.
In acknowledgement of this statement please select: I have read and understood the above statement
11. Company Introduction
I acknowledge and agree that should the agency introduce me to a company but my application is unsuccessful, should I wish to approach that company again within 12 months from the initial introduction, I will contact the agency to request that they resubmit / introduce my details and I will not approach the company directly.
In acknowledgement of this statement please select: I have read and understood the above statement

Candidate Declaration, Confidentiality Agreement and Personal Data Statement

I confirm that all the information I have given is correct.
I am aware that personal data relating to myself (including, where relevant, sensitive personal data*), whether obtained from myself or from any other source, will be retained by AP Group, (hereafter the ‘Agency’) for the purposes of providing me with temporary work and/or employment opportunities and/or training.
I acknowledge that this may require my personal data to be forwarded to other persons for the purpose of conducting checks and references, to find me work and for other lawful purposes related to the Agency recruitment services. The Agency will request employmentand/or personal references covering the past 2 years (or fromthe previous 2 employers immediately before your current employerif the applicanthas worked for the sameemployer for the past 2 years)and in certain circumstances, will, in accordance with the consent contained in this document, obtain a credit reference and / or fraud check from a credit reference / fraud prevention agency and/or a may require me to obtain a Disclosure from Criminal Records Bureau/Disclosure Scotland/Local Police Authority. The Agency will not request a reference from my current employer without my consent.
I understand and agree that the Agency may pass information contained within and resulting from my application (including references and credit checks received and all forms completed by me) to organisations (including their employees and agents) who employ or engage me directly or through the Agency. This information may be used by such organisations for the purpose of processing my application, ongoing personnel administration, additional screening, inspecting the Agency's files, to allow them to make searches on relevant databases for crime prevention purposes, and other lawful purposes. I hereby consent to the Agency passing such information and a copy of my application (together with any related documentation) to such organisations and for this information to be used and retained by them for the above purposes**. I hereby consent that AP Group may present my CV to their clients and without necessarily advising me beforehand in each instance.
To prevent or detect fraud or assist in verifying your identity, the Agency or the Agency’s clients may now and periodically make searches of company records and at fraud prevention agencies. They may also pass information to other organisations to protect them and their customers from theft and fraud. If you give the Agency or the Agency’s clients false or inaccurate information and they suspect fraud, they will record this. The Agency or the Agency's clients and other organisations with access to this information may use and search these records to;
§  help make decisions about credit and credit related services, for you and members of your household;
§  help make decisions on motor, household, credit, life and other insurance proposals and insurance claims, for you and members of your household
§  trace debtors, recover debt, prevent fraud, and to manage your accounts or insurance policies
§  check your identity to prevent money laundering. / If you want to receive details of those fraud prevention agencies from whom we obtain and with whom we record information about you, contact/write to us at AP Group, PO Box 619 Charles House, Charles Street, St Helier, Jersey JE4 0YT.
I acknowledge that without my consent to process my personal data in this manner the Agency are unable to assist me in my search for work. I agree that the Agency may contact me by telephone, email, SMS/text message, post or any other appropriate form of communication with details of employment opportunities and/or temporary employment and/or for the purposes set out above.
I hereby consent to the holding and disclosure of my personal data by the Agency for the purposes and in the manner set out above and accept that the Agency will not be liable for any subsequent release of my details to any unauthorised third party through any method beyond its control.
I acknowledge that during the course of my search for employment with the Agency, all information supplied to me in relation to their organisation and/or its clients organisation is deemed as ‘Confidential Information’. I hereby acknowledge that the disclosure of this Confidential Information to any third party will be deemed as breach of confidentiality. I hereby wholly indemnify the Agency for any breach of confidentiality due to my actions. Furthermore this declaration in respect of Confidential Information shall continue after the expiry or termination of this or any other agreement between the Agency and myself until such time as the Agency instructs otherwise.
I understand that all my details held by the agency will be deletedthree years after I no longer require the agency’s services. I will be notified prior tothe deletion of myrecords and will be given the option toremain on the agency’sregister ifI so wish.
By virtue of signing this declaration and/or providing my details to the Agency and/or accepting information in relation to my search for employment from the Agency deems me in acceptance of the above.
* Sensitive personal data is personal data consisting of information as to a person’s: racial or ethnic origin; political opinions; religious beliefs or other beliefs of a similar nature; membership of a trade union; physical or mental health or condition; sexual life; commission or alleged commission of any offence; or any proceedings for any offence committed or alleged to have been committed, the disposal of such proceedings or the sentence of any court in such proceedings.
** We can confirm that any information held on you will not be used for any purposes other than processing your employment application and completing the appropriate screening for employment or to prevent and detect fraud and crime.
Signed / Print Name / Date
I have read and understood the above statement
If you require a copy of your completed declaration, please request.
From time to time AP Group of companies may wish to send you information relating to products or services provided by the AP Group,
if you do not wish to receive this information, please tick this box
For Office Use Only
Employer References Request: / Credit Reference Request:
Education Reference Request: / Police Check Required:

AP Group is committed to a policy of equal opportunities relating to all aspects of recruitment in order to avoid unlawful or undesirable discrimination. A copy of this policy is available on request.