Step 1 of 3 33% DRIVER APPLICATION PACKWhere did you hear about us?* Word of Mouth Website Advert Other PHOTO: Please email or text a digital photo (passport style) quoting your application number to: [email protected] (address will receive texts)Personal DetailsTitle*MrMrsMsName* First Name Middle Names Surname Date* MM slash DD slash YYYY Date of Birth* Email* SexNationality* NI Number* Contact Tel No (HO):Contact Tel No (M):*Address* Street Address ZIP / Postal Code Next of Kin: Relationship Contact Tel No (H):*Years Driving HGV's Years Driving HGV's in the UK Settlement check code (if applicable)Driving License Number*Driving License Expiry Date*CPC Card Expiry Date*Digi Card Expiry Date*Any points or endorsements held*Visa expiry date (if applicable)TWO REFERENCES: Please provide your previous 3 employers. References will be sought immediately on completion of this documentFirst Reference:Company Name Name of employer First Name Surname Position Contact Tel NoEmail Address Street Address Dates of Employment From Dates of Employment To Brief Job Description Permission to contact for reference (Yes/No) Second Reference:Company Name Name of employer First Name Surname Position Contact Tel NoEmail Address Street Address Dates of Employment From Dates of Employment To Brief Job Description Permission to contact for reference (Yes/No) Third Reference:Company Name Name of employer First Name Surname Position Contact Tel NoEmail Address Street Address Dates of Employment From Dates of Employment To Brief Job Description Permission to contact for reference (Yes/No) MISCELLANEOUS DETAILS:Are you prepared to undergo a drug or alcohol test should it be requested?*YesNoHave you worked for us previously?*YesNoHave you suffered any health problems when working on night shift?*YesNoDo you have any back problems that would prevent you lifting weights of up to 20kg?*YesNoDo you have any allergies (not including hay fever)*YesNoHave you worked for us previously?*YesNoWould you opt out of the maximum 48 hour working time limit?*YesNoWould you opt out of the 10 hour limit for night work?*YesNoAre you willing to complete a DBS check?*YesNoDo you understand we may have to share some of your personal deatils in order to secure you work?*YesNoDo you agree to Driving Talent Ltd using your license details to conduct periodical checks for points and endorsements*YesNoDo you agree to abide by our terms and conditions*YesNoCRIMINAL CONVICTIONS*Please tick as appropriate. Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)YesNoIf yes please state convictions and dates: PERMISSION TO WORK IN THE UK*Do you have immigration permission to work in the UKYesNoHEALTH 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. If you make a declaration and meet the minimum requirement for an assignment you will be guaranteed an interview.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?*YesNoIf yes, please specify 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.? NIGHT WORKERS HEALTH ASSESSMENT: These questions are designed for those staff who work regularly at night. Under the Working Time Regulations 1998, you are entitled to have a health assessment to establish whether you are suffering any adverse health effects from night work. However, this is not compulsory.Please state if you are currently or have suffered from any long term illnesses that may affect employment MOBILE WORKERS DECLARATION: Road Transport (Working Time) Regulations The Road Transport (Working Time) Regulations (RTWT) requires employment businesses to maintain records of the Working Time of mobile workers who are involved in operations subject to Community Regulation 561/2006. An employment business is obliged to ensure that the Working Time limits specified below are complied with for temporary workers they engage: Tick One* I declare that: I AM NOT currently engaged in any work, other than for Diving Talent Ltd which needs to be included in the calculations of my Working Time under the RTWT Regulations; and I will keep Driving Talent Ltd informed in writing as to the details of Working Time undertaken for other employers or employment businesses on a weekly basis; and I will inform Driving Talent Ltd immediately if there are any changes to my situation which impacts on my Working Time. I declare that: I AM currently engaged in other work in addition to my work for Driving Talent Ltd which needs to be included the calculations of my Working Time under the RTWT Regulations; and I will keep Driving Talent Ltd informed in writing as to the details of Working Time undertaken for other employers or employment businesses on a weekly basis; and I will inform Driving Talent Ltd immediately if there are any changes to my situation which impacts on my Working Time. Agreement To Opt Out Of 48 Hour Working Week (18 years+) Dear Colleague Working Time Regulations 1998 – 48-Hour Opt Out Letter Under the Working Time Regulations 1998 a worker’s average weekly working time (including overtime) calculated over a rolling 17 week period must not exceed 48 hours. The Regulations provide that this limit will not apply where a worker has agreed with his Employer, in writing, that it should not apply in his case. I am therefore asking you to agree to opt out to enable you to decide on your own hours of work. You may withdraw your agreement by giving the Company three months advance notice in writing. Please confirm your agreement by signing where indicated on the section below. Yours sincerely For and on behalf of Driving Talent Ltd Limited, 70 Boston Road, Leicester, LE4 1AWName Title Monitoring Equal Opportunities & Diversity Driving Talent Ltd operates a diversity policy. To help us monitor the effectiveness of this policy you are requested to complete this form and return it with your application form. This monitoring form will be detached from your application form and will be kept separately from the information to be used in the selection process.Date of application MM slash DD slash YYYY Ethnic Category The following categories are based on those used in 2001 census as recommended by the CRE. Please note the ethnic questions are not about nationality, place of birth or citizenship. UK citizens can belong to any of the ethnic categories listed.Please tick British Other European White and Black Caribbean White and Black African White and Asian Asian or Asian Indian Asian or Asian Pakistani Asian or British Bangliadesh Indian Pakistani Bangladeshi Black British Black Caribbean Black African Chinese Chinese British Other Driving Talent Ltd will collect and process personal data relating to its candidates in line with Data Protection Acts of 1984 and 1998 and General Data Protection Regulation (Regulation (EU) 2016/679). The organisation is committed to being transparent about how it collects and uses that data and how it meets its data protection obligations. Details of how personal data is collected and managed is contained in the Driving Talent Ltd Privacy Notice, which is available on request. I hereby give Driving Talent Ltd my consent to processing the data supplied in this questionnaire for the purpose of monitoring the diversity of its temporary workforce.Gender Male Female Other Disability:Please state if you have any long-term physical or mental condition that affects your ability to carry out day-to-day activities. (Advice can be obtained from the Disability Rights Commission 0845 7622 633) Yes No Age Date of Birth Religion NameThis field is for validation purposes and should be left unchanged. 22040