Agency Drivers (UK) Ltd
    Howard Building
    Burpham Lane
    Guildford GU4 7LX

1 Equal opportunities Agency Drivers (UK) Ltd 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 all aspects of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally irrespective of sex, sexual orientation, marital status, age, disability, race, colour, ethnic or national origin, religion, political beliefs or membership or non- membership of a Trade Union and we place an obligation upon all staff to respect and act in accordance with this policy.
Agency Drivers shall not discriminate unlawfully when deciding which candidate/temporary worker is submitted for a vacancy or assignment, or in any terms of employment or terms of engagement for temporary workers. Agency Drivers will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualification and ability to perform the relevant duties required by the particular vacancy.

2 Criminal Convictions Do you have any unspent* criminal convictions? Yes   No
If Yes, Please specify:



*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 Agency Drivers, 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.

3 Permission to work in the UK Do you have immigration permission to work in the UK? Yes   No
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 Agency Drivers for temporary work

4 Health and 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 to the position or role you seek? Yes   No
Please specify:


If you have a disability, what are your needs in terms of reasonable adjustments to enable you to perform the role sought? Please specify

5 Data Protection Statement The information that you provide on this form and on any CV given will be used by Agency Drivers to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.

6 Candidate Declaration I hereby confirm that the information given 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. If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that Agency Drivers (UK) will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).

    Agency Drivers (UK) Ltd
    Howard Building
    Burpham Lane
    Guildford GU4 7LX

EMPLOYMENT HISTORY

Please tell us how you have been employed for at least the last five years including periods of unemployment

Employers Name & Address	Contact & Tel No	Job Description & reason for leaving	Start & End Dates (mm/yy)
Indicate with a cross in the margin those employers whom you DO NOT wish us to contact for reference

1. I declare that the information I have given on all three pages of this form is true.
2. I understand that I am engaged as a self-employed worker under a contract for services.
3. I have received a copy of, read and had explained to me the Terms of Engagement/Contract for Services and agree to be bound by its provisions.
4. Whilst I am working for a client of Agency Drivers I am under the direction and control of that client just as if I were employed by him.
5. If I am engaged in work subject to EU drivers hours rules, I have completed a declaration as required by the Road Transport (Working Time)Regulations 2005.
6. I acknowledge that Agency Drivers can only pay me for for hours worked and not for breaks or travelling time, as confirmed by a timesheet signed by the client and by myself.
7. I confirm that I am responsible for conducting myself in a correct and professional manner and will abide by all relevant laws, by-laws and regulations of the client for whom I am working.
8. Where appropriate, I will return tachograph charts to the vehicle operator within the specified time.
9. I have noted my work history above, covering at least the last five years, together with details of any unspent criminal convictions or offences pending, as well as details of any physical or mental disability which may affect my work.
10. I hereby authorise Agency Drivers to disclose my telephone number to any client for whom I may be working in order for contact to maintained during the working day

    Agency Drivers (UK) Ltd
    Howard Building
    Burpham Lane
    Guildford GU4 7LX