If yes please provide details on seperate sheet

ETHNIC MONITORING FORM

Anjel Direct (Recruitment) Solutions Ltd wishes to promote equal opportunities in employment. Our aim is to ensure that applicants for employment are not discriminated against on the grounds of gender, age, disability, marital status, race, religion or sexual orientation.

In order to monitor these aims, we would be very grateful if you would complete and return this form with our application. The information will be treated as strictly confidential and is subject to the provisions of the Data Protection Act 2018. It will not be used at any stage of the selection process

 

REHABILITATION OF OFFENDERS ACT 1974

By virtue of the Rehabilitaion of Offenders Act 1974 (Exceptions) (Amendment) Order 1986, the provisions of Section 4.2 of the Rehabilitation of Offenders Act do not apply to any employment, which is concerned with the provision of health services and which of such a kind as to enable your answer to the following question should include any 'Spent' convictions.

 

DCH circular (88/89) Protection of Children requires us to carry out checks on police records for Members whose assignment will give them substantial access to children.

REFERENCES

Please provide full contact details for two references who have known you in a professional capacity. One must be your most recent employer 

Reference 1

Reference 2

DECLARATION

I confirm that I am 18 years of age or over and that I am eligible to work in the UK.

I fully accept that I am applying for Membership of ANJEL Direct (Recruitment) Solutions Ltd (hereafter Anjel Direct) in the full knowledge and understanding that should ANJEL Direct offer an introduction to a client and I accept that such an introduction, any services that I provide are provided as a self-employed person. As a self-employed person, I accept that ANJEL Direct Ltd’s duty is that of agent, not employer, and in signing this disclaimer I acknowledge that neither ANJEL Direct, nor its employees, hold any responsibility or liability whatsoever for the services I provide, nor the consequences of the provision of such services, including personal accident, damage to client’s property etc.

I declare that the information given is true and I understand that any false or misleading information may result in my removal from ANJEL Direct’s register of Members.

I agree that premiums, for Professional Negligence Indemnity Insurance may be deducted from my fees.

I have read and agree to abide by Anjel Direct policies.