Call us on: 01925 234 994 Register Online

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About you




First name


Marital status

Telephone number

Mobile number

Email address

House number and street name

Address cont...



Date of Birth

Place of birth


Dependent children

Please tick this box if you are registering on behalf of someone else

Education information

Name of school attended

School address

Subject & qualifications


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Employment finance information

P46 Statement

A: This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.

B: This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.

C: As well as my new job, I have another job or receive a State or Occupational Pension.

If you have a P45 please hand it in to the office/consultant.

NI number

Please tick this box if you do not have NI Number

Payment method

Bank account name

Bank account number

Sort code

Please tick this box if you are currently paying a student loan

Additional work information

Do you have permission to work in the UK?


Do you have any current or unspent criminal convictions?


If yes, what was it for?

Do you have the following:

Driving licence:


Car or motorbike:




Own safety boots:


Own overalls:


FLT licence:


Which industries are you interested in?

CommercialFood ProductionIT and DigitalIndustrialAutomotiveDriving

Is there anywhere you wouldn’t work?


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Literacy and numeracy test

  1. Picking – When going to pick an item from a pick location. The item to pick is the wrong size, what should you do?

    1. Still pick the item and send the incorrect size
    2. Ignore it and leave it off the order
    3. Report it to a team leader and leave it off the order
    4. Answer

  2. On the pallet should be 14 layers of boxes. You are working on the palletising position and the pallet next to you is 7 layers high. How many layers on the pallet are still missing?

    1. 6
    2. 7
    3. 8
    4. Answer

  3. You are in the returns department. You see that a faulty product has been sent back. What should you do?

    1. Report to Team Leader
    2. Ignore it
    3. Continue chatting to your colleagues
    4. Answer

  4. The tolerance weight of the product is between 1200g – 1530g. Which of the numbers are still in the tolerance weight?

    1. 1400g
    2. 1190g
    3. 1532g
    4. Answer

  5. Boxes could be wrapped in the pack of 6 or 8 in the case. How many boxes in sum will be wrapped when there are four cases with 6 boxes in each case?

    1. 20
    2. 24
    3. 27
    4. Answer

  6. The total weight of the bag should be 1200g. Each product weighs 30g. How many pieces of the product should be in the bag?

    1. 38
    2. 40
    3. 42
    4. Answer

  7. On the packing line (which can’t be stopped) you are packing the product into the blue bag. You notice that the amount of blue bags is low. What should you do?

    1. Inform supervisor and ask them to bring more bags
    2. Ignore it and wait to see if somebody else will notice
    3. Leave the position to bring more the blue bags
    4. Answer

  8. You are packing an item and you notice it is the wrong colour as per the dispatch order. What should you do? (2 correct answers)

    1. Send the item
    2. Change the item for the correct colour
    3. Ask supervisor or any free person to replace it
    4. Answer

  9. What should you do when you hear the fire alarm?

    1. Run, collect your belongings and get out of the building
    2. Carry on working
    3. Exit the building in a calm and sensible manner and report to the designated fire assembly point
    4. Answer

Describe yourself in one sentence.

  1. What are your top 3 strengths?

  2. What are your 3 main areas for improvement?

  3. Where would you like to be in 12 months?

  4. When do you think it is acceptable to be absent from work?

  5. Has there ever been a time when your workday was over but your tasks weren't finished? What did you do?

  6. Why do you want this job?

  7. What did you least like about your last job?


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Previous employment

Company name

Area of company


Name of manager

Date started employment

Date ended employment

Pay per hour - £

Shift pattern

Name of agency


Reason for leaving

Add another job


Please supply your two most recent workplace details for reference purposes

Company name

Contact name



Telephone number

Company name

Contact name



Telephone number


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Health assessment

GP name

GP Telephone number

Next of Kin name

Next of Kin telephone number

Do you, or have you suffered from any of the following? * (tick if relevant)

Heart troubleHigh or low blood pressureAnaemiaTBChest troubleBronchitisAsthmaAllergiesAre you on medicationBack injuriesStomach ulcersBowel problemsBladder or kidney problemsHerniaDiabetesGlandular disordersEpilepsyFaintingDepressionRecurrent headachesHead injuriesLoss of visionHearing disordersAre you disabledDo you drink alcoholRheumatismDo you smoke

Marketing information

Please complete all the following details in order for us to assist temporaries in the future

Which job are you applying for?

How did you hear about us?

What types of work would you consider?

Your minimum hourly rate required? - £ per hour

What area’s can you get to?

What times of the day can you not work?

Are you looking for long or short term work?

Option to opt out of 48 hour working week agreement

Download before signing

The working time regulations 1998 provide that the temporary worker shall not work on an assignment with a client in excess of the working week (an average of 48 hours each week calculated over a 17 week period) unless agreed in writing that this limit should not apply.



You will be auto enrolled into a pension scheme.


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