POWER INTEL RECRUITS Application Form
Our business is to match the right people to the right jobs, please complete this form as fully
and accurately as possible. If you need any assistance please do not hesitate to call us
0312296341. If you have a CV please enclose this in addition. Thank you.
How did you hear about PIR?
Equal opportunities
Power Intel Recruits (PIR) 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 on all aspects
of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally
irrespective sex, sexual orientation, gender reassignment, marital or civil partnership status,
age, disability, colour, race, nationality, ethnic or national origin, religion or belief, 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 the policy.
PIR 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. PIR will ensure that each candidate is assessed only in accordance with
the candidates merits, qualification and ability to perform the relevant duties required by the
particular vacancy.
Your Personal Details
Title (Mr, Mrs, Miss, Ms, Other)
Surname
Forename (s)
Address
Postcode
Home Telephone
Mobile
Email Address
What Kind of Job are you Looking For?
Please tell us the type of positions that you are interested in
Please tick the relevant answer to the following questions:
Are you employed at present
Are you able to work
Yes
Temporary
What is the earliest time you can start
Permanent
Full Time
No
Part Time
and the latest time you can finish
What towns and areas are you able to work in?
Do you have your own transport
Yes
No
Do you hold a full current driving licence
Yes
No
If Yes, is it a clean licence (away from any traffic offence?)
Yes
No
Have you ever undertaken a Criminal Records Bureau Disclosure? Yes
No
Please give details of any driving offences or convictions
Which other Recruitment Agencies are you registered with?
If yes, when was it undertaken
? Was it an Enhanced or Standard Disclosure?
Education
Dates
Secondary School
Results
Dates
College
Results
Dates
University
Results
Do you have any Professional Qualifications
Yes
No
If yes please give details
Your Skills & Experience
If you have considerable experience ion any of the following areas, please tick the
appropriate box.
Sales & Customer
Service Management
Human Resources
Administration
Account Management
Appraisals
HR Admin
Data Entry
Business Development
Budget Setting
HR Assistant
Senior Admin
Business to Consumer
Coaching
HR Advisor
Data Analysis
Cold Calling
Disciplining
HR Officer
Reception
Field Based
Recruitment
HR Senior Advisor
Switchboard
Inbound Call
Resource Planning
HR Manager
Scanning
Outbound Calls
Training & Development
Recruitment
Secretarial
Accounts/Finance
Industrial/Driving
Catering/Domestic
Audio Typing
Balance Sheets
Production
Bar
Copy Typing
Banking
Warehouse
Chef
Personal Assistant
Credit Control
FLT Driver
Cook
Legal
Payroll
Engineering
Cleaning
Medical
Purchase Ledger
Driving
Waiting
Minutes
Sales Ledger
Gardening
Head Chef
Short Hand
VAT
Labouring
Schools
PC and Software knowledge and experience
Please tell what packages you have experience of;
Word
Excel
Access
Outlook
PowerPoint
Sage
Sap
Photoshop
If not listed above detail
Agresso
Employment History
Please start with your current or most recent position. Please submit a CV in addition if you have
one.
1. Company / Agency
Job Title
Start Date
End Date
Wage/Salary
Notice Period
Duties
Reason For Leaving
2. Company / Agency
Job Title
Start Date
End Date
Wage/Salary
Notice Period
Duties
Reason For Leaving
3. Company / Agency
Job Title
Start Date
End Date
Wage/Salary
Notice Period
Duties
Reason For Leaving
4. Company / Agency
Job Title
Start Date
End Date
Wage/Salary
Notice Period
Duties
Reason For Leaving
Have you ever been involved in any disciplinary action or dismissed from an employer
Yes
If yes please give details
No
References
Please give details of two referees which should be your current or most recent employers. The
references we obtain must cover your last two positions or at least the last 3 years of your work
history. Please highlight below if you do not wish us to contact your current employer.
Contact Name
Contact Name
Company
Company
Position/Title
Position/Title
Address
Address
Telephone
Telephone
Email
Email
Current Employer
Yes
No
Can we contact this person now Yes
Current Employer
No
Yes
Can we contact this person now Yes
No
No
Next of Kin
The details below will only be used in case of emergency, please ensure they are completed
accurately.
Next of Kin name
Relationship
Address
Contact Number/s
For the purpose of monitoring diversity please tick the following which is applicable to you. This
is not a mandatory part of the application form.
Male
Female
Ethnic Group - please tick
White
British
Other
Mixed
White & Black Caribbean
White & Black African
White & Asia
Pakistani
Bangladeshi
African
Other
Other
Asian/Asian British
Indian
Black/Black British
Caribbean
Other
Criminal Convictions (please delete clearly as appropriate)
Do you have any unspent* criminal convictions?
Yes
No
If yes, state convictions and dates
*Certain types of employment and professions are exempt from the Rehabilitation of Offenders 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 PIR, 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.
Permission to work in Ghana
Do you have immigration permission to work in Ghana?
(Please tick clearly as appropriate)
Yes
No
In line with the law 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 Ghana if you are to
be engaged by PIR for temporary work.
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.
1.1.
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?
Yes
No
(Please tick clearly as appropriate)
If yes, please specify
1.2.
If you have a disability, what are your needs in terms of reasonable adjustments in
order to access this recruitment service and to attend interview, or to take aptitude
tests etc?
Please specify
Working Time Directive
Are you able to work over 12 hours in any full working day?
Yes
No
(Declaration subject to working Time Regulations under the laws of Ghana)
Payroll Information
If you start work for or through PIR we will need to pay you the last day of every month.
Please complete the below clearly for the purposes of our payroll department.
Bank
Sort Code (If applicable)
Name of Account Holder
Account Number
Branch
Roll Number (If applicable)
Social Security No
Date of Birth
Data Protection Statement
The information that you provide on this form and on any CV given will be used by PIR 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.
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 PIR will b e
entitled either to charge the client an
introduction/transfer fee, or c h a r g e m e 1 5 % o n m y b a s e s a l a r y e v e r y m o n t h
f o r o n e y e a r , o r 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).
I agree to PIR Terms & Conditions: Yes
No
Candidate Signature
Candidate Name
Date
Office Use Only
Client
Comments
Comments
Comments
Start
Work
Pay
Charge
Finish
