Join MSW Events team.
Staff Form (Ad-Hoc). Please complete this form as accurately as possible.
PERSONAL DETAILS
Full Name
*
Prefix
First Name
Middle Name
Last Name
Contact Number
*
-
Area Code
Phone Number
E-mail Address
*
Confirmation Email
Home Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
National Insurance Number
*
National Insurance Number
Supporting Statement (Please give a short overview of your experience).
*
Supporting statement
Please tick
*
FREC 3
FREC 4
FREC 5 / EMT
Student Paramedic
Nurse
Paramedic
Advanced / Specialist Paramedic
Doctor
Power Boat
Swift Water Rescue
Lifeguard
Door Supervisor
Security Guard
Close Protection
Cash and Valuables
CCTV
Other
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EMERGENCY CONTACT
Full Name
*
Prefix
First Name
Middle Name
Last Name
Relationship
*
Relationship To You
Contact Number
*
-
Area Code
Phone Number
E-mail Address
Confirmation Email
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QUALIFICATIONS
Most Relevant Qualifications
Rows
Qualification
Awarding Bodt
Expiry Date
No1
No2
No3
No4
No5
No6
No7
No8
No9
No10
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EMPLOYMENT/ WORK HISTORY
Please detail employment history for the last five years. You can also include any voluntary, committee, board, work expereince or representative roles.
Employer 1
Business Name & Postcode
*
Position Held
*
Duties
Start Date
*
-
Day
-
Month
Year
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End Date
-
Day
-
Month
Year
Date Picker Icon
Employer 2
Business Name & Postcode
Position Held
Duties
Start Date
-
Day
-
Month
Year
Date Picker Icon
End Date
-
Day
-
Month
Year
Date Picker Icon
Employer 3
Business Name & Postcode
Position Held
Duties
Start Date
-
Day
-
Month
Year
Date Picker Icon
End Date
-
Day
-
Month
Year
Date Picker Icon
Employer 4
Business Name & Postcode
Position Held
Duties
Start Date
-
Day
-
Month
Year
Date Picker Icon
End Date
-
Day
-
Month
Year
Date Picker Icon
Employer 5
Business Name & Postcode
Position Held
Duties
Start Date
-
Day
-
Month
Year
Date Picker Icon
End Date
-
Day
-
Month
Year
Date Picker Icon
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REFERENCES
Please provide work related references that have known you for at least 2 years.References will be contacted. If you are a student, please put your course lead and a placement mentor.
Referee 1
Full Name
*
First Name
Last Name
Position
*
Business/ Organisation Name
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Referee 2
Full Name
*
First Name
Last Name
Position
*
Business/ Organisation Name
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
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CRIMINAL RECORD
Declaration subject to the Rehabilitation of Offenders Act 1974 (amended 2001).
Have you been convicted/cautioned for any offence?
*
Yes
No
Have you been convicted/cautioned but the offence is time spent?
*
Yes
No
Have you been convicted/cautioned for an offence, which is still on your record?
*
Yes
No
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DRIVING DECLARATION
In order to satisfy the requirements of our vehicle insurer please complete the following questions accurately.
Do you hold a current full UK license?
*
Yes
No
Does your license have C1 category?
*
Yes
No
Does your license have a trailer category?
*
Yes
No
Have you completed the IHCD D1/D2 CERAD, future quals or other blue light ambulance-driving course?
*
Yes
No
Do you have more than 3 points on your license?
*
Yes
No
Do you have your own vehicle for work?
*
Yes
No
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APPLICATION DECLARATION
In order to satisfy the requirements of our vehicle insurer please complete the following questions accurately.
I agree to follow company procedures and protocols.
*
Yes
No
I agree to a no compete, and will not approach any organisers with the intent to poach work from MSW Events.
*
Yes
No
I am medically fit to work.
*
Yes
No
I have consulted my GP in relation to required and recommended immunisations.
*
Yes
No
I agree to stay up to date with manual handling and infection control best practices.
*
Yes
No
I am familiar with the scope of JRCALC Guidelines
*
Yes
No
I agree to practice within the scope of the training I have received.
*
Yes
No
I have completed as accurately as possible and will notify the company of any changes.
*
Yes
No
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KIT
Do you have your own medical/water kit?
Yes
No
If yes, please give details:
Detail own kit.
MEDICAL HISTORY
Do you have any medical conditions?
*
Yes
No
Prefer not to say
If yes, please give details:
Detail own kit.
UNIFORM
Polo shirt / jacket size
XS
S
M
L
XL
XXL
Trousers: Waist/Leg
eg. W32 / L32
PLEASE UPLOAD COPIES OF ANY: Current CRB/DBS, Driving Licence, Passport, Photo for ID, Copies of any qualification certificate.
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