Unified World Ltd Employee Registration Form

Employee Registration Form

Please complete fully. This application will be reviewed and a decision made to proceed. Successful Applicants will be contacted for a telephone screening and Face to Face interview.
Personal Details
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid UK number
Nationality*
National Insurance Number*
For recent applications, please provide your NI Application Reference
Current Address

Please supply copies of two proof of addresses such as a recent utility bill, a credit card bill, bank statement, tenancy agreement or council tax bill.
Current Address*

House Name or Number / Flat Number

Street

CityState / Province

Postal Code
Start Date*

DayMonthYear
Lived in the address from this date
End Date

DayMonthYear
Moved away from this address on this date
Previous Address

For Criminal Record check purposes, addresses covering the five years up to the application date in the UK must be supplied.
Previous Address 1

House Name or Number / Flat Number

Street

CityState / Province

Postal / Zip Code
Start Date

DayMonthYear
Lived in the address from this date
End Date

DayMonthYear
Moved away from this address on this date
Previous Address 2

House Name or Number / Flat Number

Street

CityState / Province

Postal / Zip Code
Start Date

DayMonthYear
Lived in the address from this date
End Date

DayMonthYear
Moved away from this address on this date
Work Information
Position Applied for:*
Approximately number of hours wanted*
Preferred Schedule*

DaysMorningsEveningsWeekendsNightsAll of the above
Transport*

I have a UK/EU Drivers Licence and own a carI have a UK/EU Drivers Licence but do NOT own a carI have a UK recognised International Drivers LicenceNone of the above
Training and Education History
School/College/University Attended*
Degree Awarded*
Provide your highest level of qualification
TRAINING HISTORY/PROFESSIONAL STATUS
Provide any training or professional certification
Additional Courses Attended
Assistance with Interview and Assessment
Do you require us to make any special arrangements in order for you to participate in the recruitment process? For example, large print forms? Or additional time to complete forms?*

YESNO
If yes, please give details: This information will not be used in reaching a decision on whether to offer employment*
If No, type N/A
Next of Kin Details
Full Name*

First NameLast Name
Phone Number*
Please enter a valid UK number
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
REFEREES

You must provide at least two references from below. All will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us.
Current or most recent employer
Full Name*

First NameLast Name
Phone Number*
Please enter a valid UK number
Email*
example@example.com
Job Title*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous employer
Full Name*

First NameLast Name
Phone Number*
Please enter a valid UK number
Email*
example@example.com
Job Title*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Character Reference
Full Name*

First NameLast Name
Phone Number*
Please enter a valid UK address
Email*
example@example.com
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Character Reference

(Only if NO employer reference can be provided above i.e. applicant has NO previous or current work experience OR employer NO longer exist OR non-contactable)
Full Name

First NameLast Name
Phone Number
Email
example@example.com
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Diversity Monitoring
Gender*

FemaleMaleTransgender FemaleTransgender MalePrefer Not The AnswerNot Listed
Disabilities*

I have no disabilityI have one or more impairments and/or disabling medical conditions.Prefer not to answer
State your specific disability
Race*

American Native or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesDecline to specifyOther
Additional Notes
Please Upload Resume*

Cancelof
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Employee Registration Form

Personal Details

Current Address

Previous Address

Work Information

Training and Education History

Next of Kin Details

REFEREES

Current or most recent employer

Previous employer

Character Reference

Additional Character Reference

Diversity Monitoring